ARTHROSCOPIC SUPERIOR LABRAL SLAP REPAIR

What is arthroscopic superior labral SLAP repair?

Arthroscopic superior labral SLAP repair refers to a minimally invasive keyhole surgery that is performed to repair tears or damage to the cartilage. A rupture in the superior labrum is known as an SLAP tear. These types of injuries can occur from an unexpected, hard blow to the shoulder, repetitive twisting movements, or certain sports (such as throwing or tennis).

The labrum protects and cushions the upper portion of the upper arm bone (humerus). Furthermore, the protective cushioning enables the upper part of the long arm bone to remain in the shoulder socket. The labrum also serves as a connection between the socket of the shoulder blade and the biceps tendon.

SLAP tear surgery is primarily done to repair a rupture in the labrum. As a result, surgery is performed to treat shoulder instability and relieve shoulder pain.

What are the Indications for a SLAP repair?

SLAP repair is typically recommended for patients who experience ongoing shoulder symptoms that do not improve with conservative treatment. Indications for surgery include:

• Persistent shoulder pain, especially with overhead or rotational movements
• Shoulder instability or a feeling of the joint “giving way”
• Recurrent shoulder dislocations or subluxations
• Catching, locking, or clicking sensations in the shoulder
• Reduced shoulder strength or loss of function affecting daily activities
• Failure to improve with physiotherapy, rest, or anti-inflammatory treatment
• Activity limitation in athletes or individuals performing repetitive overhead motions

How does Dr van Niekerk perform arthroscopic superior labral SLAP repair?

A SLAP repair can be done openly or minimally invasively, depending on how badly damaged the cartilage is. For example, Dr van Niekerk can insert the arthroscope and several other tiny surgical tools to fix the torn labrum by making smaller incisions over the shoulder. Should he decide to repair the labrum, Dr van Niekerk will use a shaver and rasp to prepare the torn portion to reconnect to the shoulder socket. Afterwards, he creates a hole in the shoulder socket using a drill to place a suture through the opening. Finally, the labrum is stitched to the suture, which serves as an anchor, pulling the labrum toward the shoulder socket, so it rests flat against the surface.

What is recovery like?

An arm sling or alternative mobilising device must remain in place for several weeks after the procedure. As a result, you will require assistance when driving because this will be hard to do when your arm is in a sling. Dr van Niekerk will suggest applying ice and taking prescribed painkillers to relieve discomfort after the surgery. Additionally, physical therapy is strongly advised to strengthen the shoulder, improve mobility and reduce shoulder stiffness. The physical therapist Dr van Niekerk refers you to will provide light exercises for you to engage in daily as your shoulder heals.

What are the advantages of SLAP Repair?

• Restores shoulder stability and function
• Reduces shoulder pain and discomfort
• Improves strength and range of motion
• Allows return to sports and daily activities
• Minimally invasive technique with smaller incisions
• Reduced scarring compared to open surgery
• Shorter hospital stay and faster recovery in most cases

What are the risks and complications?

As with any surgical procedure, SLAP repair carries some risks. Possible complications include:

• Infection
• Bleeding
• Nerve or blood vessel injury
• Stiffness of the shoulder joint
• Persistent or recurrent pain
• Failure of the repair or need for revision surgery
• Delayed healing or prolonged recovery

Participation in prescribed rehabilitation and physiotherapy is important to help reduce the risk of complications and improve overall outcomes.