Superior labrum tear treatment
Treatment of a superior labral tear
Superior labrum tears (or SLAP, short for superior labrum anterior-posterior), are classified into five types (1 to 5).
The tear occurs where the tendon of the long head of the biceps connects to the top of the labrum.
Types 3 to 5, which are very rare, usually require surgery. The most common types, 1 and 2, respond well, 90% of the time, to nonsurgical treatment, such as rest, physiotherapy, etc. Rushing to a surgeon to repair a SLAP tear detected by MRI is rarely recommended. The better course of action is a few months of physiotherapy or rest before seeing a surgeon.
When pain becomes chronic in spite of conservative treatment, however, arthroscopy may be performed to re-anchor the labrum to the glenoid or to remove the loose fragment (labrum repair), with or without release of the long biceps tendon (tenotomy) and with or without reattachment to the humerus (tenodesis).These surgical procedures are usually performed arthroscopically and an additional small incision is sometimes required for the biceps tenodesis.
Post-operative rehabilitation with physiotherapy is considered as important as the surgery itself, since it helps prevent post-surgery stiffness (capsulitis) and restores muscle strength.
The success rate is quite high – over 90% of healed cases.
La physiothérapie postopératoire selon moi est presqu’aussi importante que la chirurgie elle-même car il faut éviter l’enraidissement (capsulite) et rétablir la force musculaire.
Le taux de réussite est assez élevé (plus de 90 % de taux de « guérison »).
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Five months after my operation, despite the severity of my wound, I am again able to ride a bike without difficulty or pain. I had an impeccable and attentive follow-up from Dr. Beauchamp. Thank you!