Slap Tear Treatment in Dallas

Slap Lesion

Slap Tears

SLAP tears are an injury to the soft tissues inside the shoulder joint. SLAP stands for Superior Labrum Anterior and Posterior.

What is a Slap Tear in the Shoulder

Repetitive shoulder motion or acute trauma to the shoulder area can cause a SLAP tear. Injuries that could possibly tear the superior labrum include:

  • A car accident
  • A fall onto an outstretched arm
  • Forceful pulling on the arm, such as trying to catch a heavy object
  • Shoulder dislocation
  • Rapid or forceful movement of the arm when it is elevated above the level of the shoulder

SLAP tears are likely to occur in athletes like weightlifters or baseball pitchers who engage in repeated overhead motions.

However, many SLAP tears are simply caused by the labrum wearing down over time. SLAP tears are more common in people over 40 and could be seen as a normal process of aging. They can occur in older adults without a history of repeated overhead shoulder movement or injury to the shoulder area.

SLAP tear symptoms can appear superficially like symptoms of many other shoulder injuries. They include:

  • Decreased range of motion
  • Pain with movement or while holding the shoulder in certain positions
  • A decrease in shoulder strength
  • A feeling that the should is about to “pop out of joint”
  • Pain with lifting objects, especially overhead
  • A sensation of locking, popping, catching, or grinding 
  • Pitchers may notice a decrease in their throw velocity  or numbness and heaviness in their arm after pitching 

Dr. Berry will ask you questions about your medical history, your symptoms, and when your symptoms began. During a physical examination, Dr. Berry will examine your shoulder and move it into certain positions. They will also likely examine the head or neck to rule out a compressed nerve as the cause of your symptoms. 

Dr. Berry will likely be able to determine a diagnosis through signs and symptoms, but if more confirmation is needed, X-rays and an MRI  of the affected area may be ordered. An X-ray will give your doctor a clear view of your bones and potentially help them rule out other causes of your symptoms; an MRI is better able to show soft tissues like the labrum and may be able to reveal a tear in those tissues.

There are surgical and nonsurgical treatments for SLAP tears, depending on whether or not the tear occurred in conjunction with another injury, as well as the severity of the tear.

These types of treatments are able to heal the majority of SLAP tears:

If nonsurgical treatments aren’t effective, surgical treatment or other procedures may be necessary, such as:

  • Arthroscopy. This surgical technique is most commonly used for repairing a SLAP tear. A small camera will be inserted directly above the injury. Your surgeon will use these images to guide small, pencil-like surgical instruments.
  • Other repair options. There are other types of minimally invasive procedures that can be used to repair SLAP tears. The best way to repair your specific SLAP tear will be determined by your doctor after he has seen the tear arthroscopically. This may require simply removing the torn part of the labrum or replacing it with stitches. Sometimes your surgeon will be required to detach or reattach the biceps tendon. 

After surgery or any other procedure, you will likely need to wear a sling for two to four weeks to keep your arm stable. Once pain and swelling have reduced to a manageable level, your doctor will start you on a physical therapy program. The results of the physical therapy program depend entirely on your dedication to it.

Though there are general guidelines, the time required for complete recovery is different for everyone. Despite it being a slow process, following your surgeon’s and physical therapist’s guidelines are key to a successful outcome.

Three bones make up the shoulder anatomy: the upper arm bone (the humerus), the shoulder blade (scapula), and the collarbone (the clavicle). 

The shoulder joint is a ball-and-socket joint, formed by the rounded head of the humerus. The humerus sits in a socket in the shoulder blade called the glenoid. When you move your arm, the ball of the humerus rotates inside this socket.

Around the rim of the glenoid is a ring of soft tissue known as the labrum. The labrum helps to stabilize the ball of the humerus inside the glenoid socket. It also serves as an attachment point for several ligaments and tendons in the arm, including the biceps tendon. Tears to this tissue can cause looseness or instability in the shoulder joint. A SLAP tear always occurs in the tissues in the top (superior) part of the socket.

slap tear treatment in dallas