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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.
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 snapping indicates a tear or laxity of the transverse humeral ligament, which would prevent the ligament from securing the tendon in the groove. Pain at the superior glenohumeral joint is indicative of a SLAP tear. [4]
Over time, with enough force, a tear may develop in the labrum. The labrum is a rim of cartilage around the shoulder socket to help hold the head of the humerus (upper arm) in the joint. This condition is called a superior labrum anterior posterior (SLAP) lesion. The outcome in all these steps is the dead arm phenomenon.
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The glenoid cartilage underneath the labrum in the glenohumeral (GH) joint is disrupted by glenolabral articular disruption. [5] The articulation of the humeral head inside the glenoid fossa of the scapula forms the GH joint itself, which is a synovial ball and socket joint.
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Although subacromial decompression may be beneficial in the management of partial and full-thickness tear repair, it does not repair the tear itself and arthroscopic decompression has more recently been combined with "mini-open" repair of the rotator cuff, allowing for the repair of the cuff without disruption of the deltoid origin. [71]