Slap Tear Repair
A minimally invasive procedure to repair a torn shoulder labrum and improve stability
SLAP (Superior Labrum Anterior And Posterior) repair involves repairing the torn labrum using arthroscopic techniques to stabilise the shoulder joint and alleviate associated symptoms.
Common Reasons for Surgery
- A SLAP tear caused by trauma, repetitive overhead activities, or age-related wear.
- Persistent pain, clicking, or catching in the shoulder.
- Shoulder instability that interferes with daily or athletic activities.
Goals of the Procedure:
- Reduce shoulder pain and discomfort.
- Restore joint stability and improve mobility.
- Enable a return to normal activities and sports.
Preparation for Surgery
Preparation is a crucial step in achieving the best possible outcomes.
Steps in Preparation:
- Pre-Surgical Consultations and Imaging:
- Dr Ben McGrath will assess your shoulder with physical examinations and imaging such as MRI scans to confirm the diagnosis.
- Optimising Health:
- Prehabilitation exercises may be suggested to strengthen the shoulder and surrounding muscles.
- Lifestyle adjustments, such as stopping smoking and maintaining a healthy weight, may be recommended.
- Pre-Surgical Instructions:
- Follow fasting guidelines and instructions regarding medication use.
- Plan for transportation and post-operative care.
What Happens During the Surgery?
SLAP repair is usually performed arthroscopically, a minimally invasive technique involving small incisions.
Surgical Steps:
- Anaesthesia:
- The procedure is performed under general anaesthesia.
- Procedure:
- A small camera (arthroscope) is inserted into the shoulder joint to visualise the damaged labrum.
- Specialised instruments are used to repair the torn labrum with sutures or anchors, restoring stability.
- Completion:
- The incisions are closed with sutures or adhesive strips, and a dressing is applied.
The surgery typically takes one to two hours, depending on the complexity of the tear.
Understanding the Risks
SLAP repair, like all surgeries, carries potential risks that are minimised with proper care.
Common Risks:
- Pain or stiffness in the shoulder.
- Swelling or bruising at the surgical site.
Rare but Serious Risks:
- Nerve or blood vessel damage.
- Persistent instability or pain despite surgery.
Dr McGrath will discuss these risks in detail during your consultation.
What to Expect After Surgery
Immediate Post-Operative Care:
- Pain management with prescribed medications.
- The use of a sling to immobilise and protect the shoulder during initial healing.
- Follow-up appointments to monitor recovery progress.
Discharge Instructions:
- Guidance on wound care, medications, and activity restrictions.
- Instructions on proper sling usage.
Rehabilitation and Recovery
Rehabilitation is essential for restoring shoulder function and achieving long-term results.
Recovery Phases:
- Early Recovery (Weeks 0–6):
- Focus on protecting the repair and avoiding excessive movement.
- Gentle, guided exercises may be introduced under the supervision of a physiotherapist.
- Strengthening Phase (Weeks 6–12):
- Gradual strengthening exercises to rebuild stability in the shoulder joint.
- Avoid high-impact activities during this period.
- Functional Recovery (Months 3–6):
- Return to regular activities as strength and mobility improve.
- Progression to sports or heavy lifting as guided by your physiotherapist.
Long-Term Outcomes
SLAP repair is often recommended to improve stability and function in the shoulder joint.
Expected Improvements:
- Reduced pain and discomfort.
- Improved range of motion and joint stability.
- Enhanced ability to perform daily activities and sports.
Maintaining Results:
- Adherence to rehabilitation programs and physiotherapy exercises.
- Avoiding high-risk activities during recovery.
- Regular follow-up appointments with Dr McGrath to monitor healing.