NYC Dr. Armin Tehrany Explains How a Superior Labrum Anterior-Posterior Tear is Repaired
What is an Arthroscopic SLAP Repair?
Arthroscopic shoulder surgery is performed to repair a tear of the biceps tendon at the point where it connects to the labrum, a ring of cartilage that surrounds the shoulder socket. A tear at this point is called a SLAP (Superior Labrum Anterior-Posterior) tear. An arthroscopic SLAP repair is performed under general and regional anesthesia, and patients usually leave the hospital the same day.
Arthroscopic SLAP Repair Surgery
Dr. Armin Tehrany is an award-winning orthopedic surgeon who specializes in superior labrum anterior-posterior tear diagnosis, treatment, and management. Below he explains the various steps involved in arthroscopic SLAP repair surgery.
Accessing the jointThe patient is positioned, and the shoulder is cleaned and sterilized. The shoulder surgeon creates a few small incisions in the shoulder. An arthroscopic camera is inserted through one of the incisions. The others will be used as access points for other arthroscopic tools.
Implanting the anchorsAfter any loose bits of tissue are removed, the surgeon drills a small hole into the glenoid bone where the labrum has torn away. A tiny anchor tied to a suture is implanted in the glenoid bone. Some tears may be repaired with just one anchor, others require multiple anchors.
Repairing the labrumThe surgeon ties the sutures around the torn labrum, reattaching it firmly to the glenoid. If the tendon cannot be repaired, it is released.
End of procedure and aftercareThe instruments are removed and the incisions are closed and bandaged. Patients generally require a sling for two to four weeks after shoulder surgery.
Arthroscopic SLAP Repair Recovery
Physical therapy will be required to strengthen the joint. Most patients can regain normal activities within three to six months. It is important to follow your orthopedic surgeon’s recovery instructions and guidelines to ensure optimum healing. You should expect to be limited in your activity level. Pain medication will be prescribed during your initial post-op period.
Surgery Risks & Side Effects
Complications from arthroscopic SLAP repair are extremely rare. However, as with any surgery, risks and side effects can be possible. These may include:
- Shoulder stiffness
- Excessive bleeding
However, these risks are significantly minimized when working with a board-certified orthopedic surgeon.
If you struggle with any shoulder-related conditions, injury or arthritis then do consult Manhattan Orthopedic Care and book your treatment consultation with top New York orthopedic surgeon, Dr. Armin Tehrany. His offices are located in Staten Island and Manhattan.