Patient Education
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A SLAP (Superior Labrum Anterior and Posterior) tear is an injury to the labrum, which is the ring of cartilage surrounding the shoulder socket. It involves a tear at the top (superior) portion of the labrum where the biceps tendon attaches.
Common Symptoms
- Deep shoulder joint pain with arm movements
- Catching, locking, or grinding sensation in the shoulder
- Popping or clicking sound
- Radiating arm pain if biceps tendon is involved
Cause & Anatomy
Causes of SLAP Tears:
- Acute trauma like a fall on an outstretched arm, forceful pulling, or shoulder dislocation
- Repetitive overhead motions in sports like throwing or weightlifting
- Normal wear and tear from aging, especially over 30-40 years old
Anatomy of SLAP Tears:
- Labrum: Ring of cartilage surrounding the shoulder socket (glenoid)
- Biceps tendon: Attaches to the superior labrum
- Shoulder joint: Ball (humerus) and socket (glenoid) joint
Diagnosis
- Physical examination testing shoulder mobility and pain
- Imaging like MRI to visualize the labrum tear
Prevention
- Avoid repetitive overhead motions that strain the shoulder
- Strengthen rotator cuff and shoulder muscles
- Use proper technique in sports involving throwing/overhead motions
Treatment
Nonsurgical:
- Anti-inflammatory medication, physical therapy, corticosteroid injections
Surgical (arthroscopy):
- Removing or reattaching torn labrum, releasing biceps tendon
Surgery
Arthroscopic surgery involves small incisions and inserting a camera (arthroscope) to visualize and repair the SLAP tear, often by reattaching the torn labrum with sutures or removing the torn portion.
Rehabilitation
It takes 6-9 months for complete recovery after SLAP tear surgery. Rehabilitation focuses on restoring range of motion through stretching and exercises to strengthen supporting muscles.
FAQ’s
How long does a SLAP tear last?
3-6 months with nonsurgical treatment, 6-9 months after surgery.
Can I play sports after SLAP tear surgery?
Yes, but you need to protect the repaired shoulder from re-injury.
What increases SLAP tear risk?
Overhead throwing/lifting sports, age over 30-40 years.
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