SLAP Repair
What is a SLAP Repair?
A SLAP repair is a minimally invasive arthroscopic procedure performed to treat a specific injury of the shoulder labrum known as a SLAP tear.
Shoulder Anatomy
The shoulder joint is a ball and socket joint composed of the upper arm bone (humerus), the shoulder blade (scapula), and the collarbone (clavicle). The head of the humerus fits into a shallow socket in the scapula called the glenoid cavity. The outer rim of the glenoid is surrounded by a ring of strong fibrous cartilage known as the labrum, which deepens the socket and stabilizes the joint.
What is a SLAP Tear?
A SLAP (Superior Labrum Anterior and Posterior) tear is an injury to the top portion of the labrum, where the biceps tendon attaches. This type of tear can occur from repetitive overhead motions, such as throwing, or from acute trauma like a fall onto the shoulder. Patients often experience shoulder pain, clicking, or a feeling of instability.
Indications for a SLAP Repair
A SLAP repair is recommended when non-surgical treatments, including rest, non-steroidal anti-inflammatory medications (NSAIDs), and physical therapy, fail to relieve symptoms. Surgery is indicated to restore shoulder stability and function by reattaching the torn labrum to the bone.
How is a SLAP Repair performed?
A SLAP repair is typically performed arthroscopically under general anesthesia, often with a regional nerve block to minimize pain. The steps include:
- Small incisions are made around the shoulder to insert the arthroscope and surgical instruments.
- The surgeon identifies the tear and removes any damaged labral tissue.
- A small hole is drilled into the bone of the glenoid near the tear site.
- A suture anchor is inserted into the hole, and strong sutures are used to secure the torn labrum back to the bone.
- Additional anchors may be placed as needed to fully reattach the labrum.
- The incisions are then closed with small sutures or adhesive strips
Postoperative Care Following SLAP Repair
After surgery, your arm will be placed in a sling for approximately 3 weeks to protect the repair and immobilize the shoulder. Active shoulder movement should be limited for about 6 weeks. Pain medications and ice therapy help manage discomfort and swelling. The surgical site should be kept clean and dry until healed. Physical therapy will gradually restore motion and strength, and sports or heavy activities can typically resume once cleared by your surgeon and physical therapist. Driving should be avoided for several weeks post-surgery.
Advantages of SLAP Repair
A SLAP repair restores the labrum to its natural anatomical position, allowing normal function of the shoulder joint and the biceps attachment. This helps reestablish joint stability, reduce pain, and improve overall shoulder mechanics.
