Slap Tear Surgery in Jaipur
SLAP tears occur when you tear the cartilage on the inside of your shoulder joint. Tears can be caused by injury or overuse and can make it painful or difficult for you to move your shoulder and arm. Left untreated, these tears can cause chronic pain, limit how much you can use your arm and shoulder, and lead to more serious shoulder problems.
A SLAP tear or SLAP lesion is an injury to the glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity). SLAP is an acronym for “superior labral tear from anterior to posterior”. The shoulder joint is a ‘ball and socket’ joint. However, the ‘socket’ (the glenoid fossa of the scapula) is small, covering at most only a third of the ‘ball’ (the head of the humerus).
It is deepened by a circumferential rim of fibrocartilage, the glenoid labrum. A SLAP tear or lesion occurs when there is damage to the superior (uppermost) area of the labrum. These lesions have come into public awareness because of their frequency in athletes involved in overhead and throwing activities in turn relating to relatively recent description of labral injuries in throwing athletes.
What is a SLAP Tear?
At any given time, 25% of adults will deal with shoulder pain due to injury or overuse. Superior labrum, anterior to posterior tears (SLAP tears), also known as labrum tears, represent 4% to 8% of all shoulder injuries.
The L in SLAP refers to your glenoid labrum. Your labrum plays two important roles in keeping your shoulder working and pain free. First, your labrum is a cushion for the top part of your upper arm bone. This cushion helps your upper arm bone stay where it belongs – the cradle in your shoulder socket. Second, your labrum is a connection point between your shoulder blade socket and one of your biceps tendons.
The S in SLAP refers to the top of your labrum. When this part of your labrum ruptures, your upper arm bone loses its cushion and your bicep tendon loses its connection to your shoulder blade socket. As a result, your shoulder hurts and feels unsteady.
There are several ways to tear your labrum. SLAP tears are common injuries for people who play sports. As you age, your labrum may hurt or tear over time.
Some SLAP tears can be treated with rest and physical therapy, but some may require surgery.
What Causes SLAP Tears?
SLAP tears have three causes:
- Chronic injury. SLAP tears can occur over time in people who play sports or exercise that require a lot of overhead motion. Playing baseball or softball, swimming or lifting weights are common causes of SLAP tears. The most common cause of a SLAP tear is chronic injury.
- Acute Injury. SLAP tears can happen when you try to stop a fall with your outstretched arm or you use a sudden jerk to lift heavy objects.
- Aging. SLAP tears can simply happen because your labrum wears out over time. This tear is commonly seen in people 40 years of age and older.
Signs and Symptoms of Slap Tear
Several symptoms are common but not specific:
Dull, throbbing, ache in the joint which can be brought on by very strenuous exertion or simple household chores.
Difficulty sleeping due to shoulder discomfort. The SLAP lesion decreases the stability of the joint which, when combined with lying in bed, causes the shoulder to drop.
For an athlete involved in a throwing sport such as baseball, pain and a catching feeling are prevalent. Throwing athletes may also complain of a loss of strength or significant decreased velocity in throwing.
Any applied force overhead or pushing directly into the shoulder can result in impingement and catching sensations.
Diagnose SLAP Tears
Providers use the following tests to diagnose SLAP tears and determine treatment:
- Physical examination: Your doctor will check the range of motion and strength of your arm and shoulder.
- Magnetic resonance imaging (MRI) or MRI arthrogram.
Slap Tear Treatment
Few with SLAP lesion injuries return to full capability without surgical intervention. In some, physical therapy can strengthen the supporting muscles in the shoulder joint to the point of reestablishing stability. For most others, the choice is to do nothing or some form of surgical repair.
While surgery can be performed as a traditional open procedure, an arthroscopic technique is currently favored being less intrusive with a low chance of iatrogenic infection.
Slap Tear Surgery in Jaipur
Following inspection and determination of the extent of injury, the basic labrum repair is as follows.
The glenoid and labrum are roughened to increase contact surface area and promote regrowth.
Locations for the bone anchors are selected based on number and severity of tear. A severe tear involving both SLAP and Bankart lesions may require seven anchors. Simple tears may only require one.
The glenoid is drilled for the anchor implantation. Anchors are inserted in the glenoid. The suture component of the implant is tied through the labrum and knotted such that the labrum is in tight contact with the glenoid surface.
Who To Consult for Slap Tear Surgery in Jaipur?
If you have no option available for consultation, then “Dr. Arun Partani” is the right one for you to approach. He provides one of the best Slap Tear surgery in Jaipur.
Whether you are looking forward to knowing how to resolve the issue of whether you have any queries considering Slap Tear surgery, he will be going to resolve every query you are having.
He will help you to get rid of the problem you are facing. Also, in his career till yet, he has done almost 7000+ surgeries, and all of them are successful. Also, the best part about approaching Partani Clinic is, they are available with all the necessary equipment.
REHABILITATION AND RECOVERY
The first phase focuses on early motion and usually occupies post-surgical weeks one through three. Passive range of motion is restored in the shoulder, elbow, forearm, and wrist joints.
Phase 2, occupying weeks 4 through 6, involves progression of strength and range of motion, attempting to achieve progressive abduction and external rotation in the shoulder joint.
However, while manual resistance exercises for scapular protraction, elbow extension, and pronation and supination are encouraged, elbow flexion resistance is avoided because of the biceps contraction that it generates and the need to protect the labral repair for at least six weeks. A sling may be worn, as needed, for comfort.
Thereafter, isokinetic exercises may be commenced from weeks 10 through 12 to 16, for advanced strengthening leading to return to full activity based on post surgical evaluation, strength, and functional range of motion. The periods of isokinetics through final clearance are sometimes referred to as phases four and five.
Phase 3, usually weeks six through 10, permits elbow flexion resistive exercises, now allowing the biceps to come into play on the assumption that the labrum will have healed sufficiently to avoid injury.
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