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repair of the biceps long head anchor or SLAP lesion; tightening of the shoulder capsule (capsulorrhaphy or capsular shift) Open Repairs (for dislocations with fractures, etc.) Biceps Tenodesis Surgery; Surgical treatment of the shoulder due to potential biceps tendonitis or a tear of the labrum otherwise known as a SLAP tear.
A SLAP tear or SLAP lesion is an injury to the superior glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity in the shoulder blade) that initiates in the back of the labrum and stretches toward the front into the attachment point of the long head of the biceps tendon.
A SLAP lesion (superior labrum, anterior to posterior) is a tear where the glenoid labrum meets the tendon of the long head of the biceps muscle. Symptoms include increased pain with overhead activity, popping or grinding, loss of strength, and trouble localizing a specific point of pain. [ 3 ]
It identifies the presence of a pathology involving the biceps tendon or glenoid labrum. The specific positive findings to the test include pain in the bicipital groove indicating biceps tendinitis, [2] [3] subluxation of the long head of the biceps brachii muscle, [3] and presence of a SLAP tear. [4]
Arthroscopic surgery techniques may be used to repair the glenoidal labrum, capsular ligaments, biceps long head anchor or SLAP lesion or to tighten the shoulder capsule. [26] Arthroscopic stabilization surgery has evolved from the Bankart repair, a time-honored surgical treatment for recurrent anterior instability of the shoulder. [27]
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Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
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