What is a SLAP Tear?

A SLAP tear is an injury to the labrum, the ring of cartilage that surrounds the shoulder socket (glenoid). The tear occurs where the biceps tendon attaches to the labrum, from the front (anterior) to the back (posterior) of the shoulder. This can lead to pain, instability, and reduced shoulder function.

What Causes a SLAP Tear?

• Repetitive Overhead Motion: Common in athletes (e.g., baseball pitchers, tennis players, swimmers) and workers performing overhead tasks
• Acute Trauma: Falling on an outstretched arm, direct shoulder impact, or sudden pulling force
• Aging: Wear and degeneration of the labrum over time
• Heavy Lifting: Sudden or repetitive strain on the shoulder joint

Common Symptoms:

• Deep shoulder pain, especially with overhead movements
• Clicking, popping, or catching sensation in the shoulder
• Weakness and decreased range of motion
• Pain when lifting objects or rotating the shoulder
• Feeling of instability or looseness in the shoulder joint

How is it Diagnosed?

Your surgeon will perform a physical exam, assessing shoulder stability, strength, and pain with specific movements. Imaging tests such as an MRI with contrast may be used to confirm the diagnosis and determine the extent of the tear.

Treatment Options:

• Non-Surgical:
  • Rest and activity modification to avoid aggravating movements
  • Ice therapy and anti-inflammatory medications (NSAIDs) for pain relief
  • Physical therapy to strengthen shoulder muscles and improve stability
  • Corticosteroid injections for temporary pain relief
• Surgical:
  • Arthroscopic SLAP Repair: Minimally invasive surgery using sutures to reattach the torn labrum
  • Biceps Tenodesis: In cases where the biceps tendon is significantly damaged, it may be reattached to a different location to reduce pain and improve function

Recovery and Rehabilitation:

• Non-surgical treatment may take several weeks to months, depending on severity
• Post-surgical recovery can take 4-6 months, with physical therapy playing a crucial role
• Strength and stability gradually improve with consistent rehabilitation
• Avoiding high-risk activities and strengthening the shoulder can help prevent future injuries

If you suspect a SLAP tear or have ongoing shoulder pain, schedule a consultation with us to discuss the best treatment options for you.