One of the most commonly treated injuries to the shoulder is a superior labrum anterior to posterior (SLAP) tear. This type of injury occurs in the labrum, a ring of cartilage that surrounds the socket of the shoulder joint, which connects the shoulder blade socket and bicep tendon.
When a SLAP tear occurs, it can cause instability and limit the use of the shoulder. A SLAP tear repair is surgery to fix the tear in the labrum. In this article, we will explore this injury more and discuss what is done during SLAP tear repair, as well as what you can expect from this treatment.
Understanding SLAP Tears
A SLAP tear is a specific type of shoulder injury that affects the top (superior) part of the labrum. The most common causes are repetitive overhead motions and traumatic events or direct impact on the shoulder.
SLAP tears can cause a variety of symptoms, such as the following:
- Pain: Persistent pain, especially with certain movements or activities involving the shoulder.
- Instability: A feeling of shoulder weakness or instability, as if the joint might “pop out” or become dislocated.
- Limited Range of Motion: Difficulty moving the shoulder through its full range of motion, particularly when reaching overhead or behind the back.
- Weakness: Decreased strength in the affected shoulder, making it challenging to perform routine tasks or participate in sports.
SLAP Tear Repair Surgery
When conservative treatments do not resolve symptoms and restore use of the shoulder, the orthopedic surgeon may recommend SLAP tear repair. The goal of this procedure is to reattach the torn labrum to the shoulder socket and restore stability to the joint. The shoulder repair can be completed through arthroscopic surgery.
Here’s a general overview of the surgical process:
#1 Preparation
The patient is typically placed under general anesthesia or a regional nerve block to ensure comfort during the procedure.
#2 Arthroscopy
The orthopedic surgeon uses an arthroscope, a narrow tube with a camera and light, to visualize the inside of the shoulder joint. Then, the doctor makes small incisions to access the shoulder joint and fix the tear.
#3 Evaluation and Repair
The surgeon assesses the extent of the SLAP tear and any additional damage to surrounding structures. The torn labrum is then reattached using sutures or specialized anchors that secure it to the bone.
#4 Closure
Once the repair to the torn labrum is complete, the orthopedic surgeon closes the incisions with stitches and covers the surgical site with a sterile bandage.
Recovery and Rehabilitation
It can take some time to recover from SLAP tear repair and regain full use of the shoulder. However, patients can help speed up their recovery by following their orthopedic surgeon’s post-operative instructions.
Following SLAP tear repair, patients should commit to a comprehensive rehabilitation program to optimize their recovery. Here’s what shoulder surgery patients can expect:
● Immobilization
The shoulder may be immobilized with a sling or brace initially to protect the repaired labrum and promote healing.
● Physical Therapy
Physical therapy plays a vital role in the post-operative phase. A physical therapist will guide the patient through exercises to improve range of motion and strengthen the shoulder muscles, which are important for regaining shoulder function.
● Gradual Return to Activities
Patients usually start with gentle range-of-motion exercises and progress to more challenging activities as guided by their orthopedic surgeon and physical therapist. The timeline for returning to sports or strenuous activities varies depending on individual factors and the success of the rehabilitation process.
● Follow-up Visits
Regular follow-up visits with the orthopedic surgeon will allow the doctor to monitor the patient’s progress and address any complications that may arise. Patients should openly communicate with their orthopedic care team after SLAP tear repair.
Outcomes and Expectations
An overwhelming number of SLAP tear repair surgeries produce successful outcomes for patients. Factors such as the severity of the tear and the patient’s adherence to the rehabilitation program can influence the outcomes of the surgery. Having realistic expectations from SLAP tear repair and recovery, such as understanding that a full recovery may take time, are important.
SLAP Shoulder Surgery in Carmel, IN
Dr. Stephen Jacobsen at Total Shoulder in Carmel, Indiana, specializes in shoulder treatments. We are experienced in treating the full range of shoulder issues, from SLAP tears to shoulder arthritis. You can trust in the talented and compassionate team of shoulder specialists at Total Shoulder to help restore your shoulder to normal function.
To schedule a consultation with Dr. Jacobsen, call our office today at (317) 705-4392 or use our convenient online form to schedule your appointment. Our friendly team looks forward to meeting you in our orthopedic office in Carmel.
