Arthroscopic SLAP Repair
Omaha Orthopedic Animation by Dr. Darren Keiser MD
Arthroscopic SLAP Repair
Learn about Arthroscopic SLAP Repair in Omaha, Ne
What is Arthroscopic SLAP Repair? The term SLAP stands for Superior Labrum Anterior and Posterior. In a SLAP injury, the top (superior) part of the labrum is injured. This top area is also where the biceps tendon attaches to the labrum.
A SLAP tear is an injury to the labrum of the shoulder, which is the ring of cartilage that surrounds the socket of the shoulder joint.
A SLAP tear occurs both in front (anterior) and back (posterior) of this attachment point. The biceps tendon can be involved in the injury, as well.
Your shoulder is a ball-and-socket joint made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle).
The head of your upper arm bone fits into a rounded socket in your shoulder blade. This socket is called the glenoid. Surrounding the outside edge of the glenoid is a rim of strong, fibrous tissue called the labrum. The labrum helps to deepen the socket and stabilize the shoulder joint. It also serves as an attachment point for many of the ligaments of the shoulder, as well as one of the tendons from the biceps muscle in the arm.
Causes for SLAP Repair
Injuries to the superior labrum can be caused by acute trauma or by repetitive shoulder motion. An acute SLAP injury may result from:
> A motor vehicle accident
> A fall onto an outstretched arm
> Forceful pulling on the arm, such as when trying to catch a heavy object
> Rapid or forceful movement of the arm when it is above the level of the shoulder
> Shoulder dislocation
> People who participate in repetitive overhead sports, such as throwing athletes or weightlifters, can experience labrum tears as a result of repeated shoulder motion.
Many SLAP tears, however, are the result of a wearing down of the labrum that occurs slowly over time. In patients over 40 years of age, tearing or fraying of the superior labrum can be seen as a normal process of aging. This differs from an acute injury in a person under the age of 40.
Symptoms of SLAP Tear
The common symptoms of a SLAP tear are similar to many other shoulder problems. They include:
> A sensation of locking, popping, catching, or grinding
> Pain with movement of the shoulder or with holding the shoulder in specific positions
> Pain with lifting objects, especially overhead
> Decrease in shoulder strength
> A feeling that the shoulder is going to “pop out of joint”
> Decreased range of motion
> Pitchers may notice a decrease in their throw velocity, or the feeling of having a “dead arm” after pitching
Treatment for SLAP Tear
Nonsurgical Treatment: In many cases, the initial treatment for a SLAP injury is nonsurgical. Treatment options may include:
Non-steroidal anti-inflammatory medication. Drugs like ibuprofen and naproxen reduce pain and swelling.
Physical therapy. Specific exercises will restore movement and strengthen your shoulder.
Flexibility and range-of-motion exercises will include stretching the shoulder capsule, which is the strong connective tissue that surrounds the joint. Exercises to strengthen the muscles that support your shoulder can relieve pain and prevent further injury. This exercise program can be continued anywhere from 3 to 6 months, and usually involves working with a qualified physical therapist.
Surgical Treatment: Your doctor may recommend surgery if your pain does not improve with nonsurgical methods.
Arthroscopy. The surgical technique most commonly used for repairing a SLAP injury is arthroscopy. During arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments.
Because the arthroscope and surgical instruments are thin, your surgeon can use very small incisions (cuts), rather than the larger incision needed for standard, open surgery.
Outcome of SLAP Repair
The majority of patients report improved shoulder strength and less pain after surgery for a SLAP tear. Because patients have varied health conditions, complete recovery time is different for everyone. In cases of complicated injuries and repairs, full recovery may take several months. Although it can be a slow process, following your surgeon’s guidelines and rehabilitation plan is vital to a successful outcome
**Call the office of Dr. Darren Keiser to set up an appointment & learn if arthroscopic slap repair is right for you.