Specialized Shoulder Care in Colorado Springs

SLAP Repair

Colorado Springs Orthopaedic Group

Your shoulder is one of the body's most mobile joints, allowing you to reach, lift, rotate, and perform countless everyday movements. Because of this mobility, the shoulder can also be susceptible to injuries, overuse, arthritis, and other conditions that cause pain and limit movement.

CSOG provides comprehensive evaluation and treatment for a wide range of shoulder conditions, from sports injuries and tendon problems to arthritis, instability, and fractures. Depending on your condition, treatment may include physical therapy, activity modification, medications, injections, minimally invasive procedures, or surgery.

Our shoulder specialists take the time to understand your symptoms, activity level, and goals so you can receive treatment designed to reduce pain, improve function, and help you get back to the activities that are important to you.

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What is a SLAP Repair?

A SLAP repair is an arthroscopic shoulder procedure to treat a specific type of injury to the labrum called a SLAP tear.

What is Shoulder Anatomy?

Your shoulder joint is a ball and socket joint made up of the upper arm bone, the shoulder blade, and the collarbone. The head of the upper arm bone fits into the socket of the shoulder joint known as the glenoid cavity. The outer edge of the glenoid is surrounded by a strong fibrous tissue called the labrum.

What is a SLAP Tear?

A superior labrum anterior and posterior tear or SLAP tear is an injury to the labrum. This injury may also involve the biceps tendon, which is attached to the top part of the labrum. The injury occurs from repeated use of the shoulder while throwing or a fall onto the shoulder.

What are the Indications for a SLAP repair?

A SLAP repair is indicated to treat the torn labrum of the shoulder socket when conservative treatment measures such as NSAIDs (non-steroidal anti-inflammatory medications) and physical therapy do not relieve the symptoms of a SLAP tear.

How is a SLAP Repair performed?

A SLAP repair is a minimally invasive surgery that uses an arthroscope, a tube with a light and camera on the end that projects images onto a monitor for your surgeon to view inside your joint. The type of SLAP repair depends on the type of tear involved and will be determined once your surgeon views the joint. The procedure is performed under general anesthesia and a nerve block.

• Your surgeon first makes small incisions to insert the arthroscope and thin surgical instruments into the shoulder joint.
• Your surgeon will then identify the type of SLAP tear and remove the damaged tissue of the labrum.
• A small hole is then drilled into the bone of the shoulder socket close to the labral tear.
• Your surgeon will place an anchor into the drilled hole with a strong suture.
• Additional anchors can be placed as required for securing the torn labrum to the bone of the shoulder socket.
• Finally, the torn labrum is tied to the bone with the sutures.

What are the Steps Recommended for Postoperative Care following SLAP Repair?

After the procedure, your arm will be placed in a sling for the first 3 weeks to immobilize the shoulder joint and you will be advised to restrict active motion of your shoulder for about 6 weeks. You will be instructed to take your pain medications and apply ice packs to control swelling and pain. The plaster strips over the wounds should be kept dry until the wounds heal. Through physical therapy, you can slowly regain motion and strengthen the shoulder. You can resume sports activities after consulting with your physical therapist and surgeon. You should avoid driving for a few weeks after the surgery.

What are the Advantages of SLAP Repair?

A SLAP repair involves the reattaching of the labrum to its normal anatomical position; thereby, restoring the anatomy of the shoulder. The procedure also allows the normal functioning of the previously damaged labrum and biceps attachment.

What are the Associated Risks and Complications of SLAP Repair?

As with any surgical procedure, SLAP repair may involve certain potential risks and complications including:

• Infection
• Excessive bleeding
• Blood clots
• Shoulder stiffness
• Injury to nerves or blood vessels