Orthopedics

OSPI offers the top orthopedic surgeons in Gilbert AZ and the East Valley. Drs. Mahoney, Macqueen, Stewart and Clouse offer minimally invasive General, Sports and Joint Replacement expertise.

Physical Therapy

Whether you are pre or post-operative, OSPI’s East Valley physical therapy team works with you on both active and passive treatments. Your will be in the best hands with our licensed physical therapists!

Chiropractic

The Gilbert chiropractors at OSPI offer a plethora of nonoperative pain relief options such as manipulations, laser therapy, physiotherapy and electrical stimulation.

Family Practice

OSPI offers comprehensive family practice services including allergy testing, BHRT, medical weight loss, aesthetics and full check ups.

Medical Weight Loss

Patients routinely experience dramatic, healthy weight loss with the customized programs at OSPI. The programs combine nutrition, exercise and prescription weight loss options.

Performance Training

OSPI’s integrated team of healthcare providers work with both amateur and professional athletes to maximize one’s performance with sport specific programs.

Pain Management

OSPI’s Board Certified, Fellowship Trained pain doctor offers both medication management and interventional procedures with exceptional outcomes!

Arthroscopic Labral Repairs in Shoulder

FAQs on Arthroscopic Labral Repairs in Shoulder

 

Arthroscopic labral repair in shoulder is the most performed surgical process to treat shoulder labrum tears of which the common example is SLAP lesion. Arthroscopic Surgery allows faster and better labrum repair using less-invasive procedure and restoration of strength to the shoulder joint. Offering faster recovery, the method is widely used to treat shoulder labrum tears in athletes and sports persons.

What is arthroscopic labral repair in shoulder?

Arthroscopic labral repair in shoulder is a type of shoulder arthroscopy used to repair tears in the labrum of the shoulder. Though most of the labral tears heal with non-surgical treatment, the procedure is an alternative to repair severe labral injury and restore full joint function.

Arthroscopic shoulder labral repair ensures complete restoration of the damaged labrum and prevent shoulder instability by shifting stretched tissues in a less-invasive method.

What is shoulder arthroscopy?

Arthroscopy is a minimally invasive method that helps in the performing “a surgical procedure inserting a small a fiber-optic camera through small incisions.” In case of shoulder arthroscopy, the camera is put into the shoulder joint through a small opening to see the state of damaged tissues. Specialized equipment are inserted through another incision to repair or remove damaged tissues. It is commonly used to treat and repair labral tears, rotator cuff injury, bicep tendon injury, frozen shoulder syndrome, and subacromial decompression impacting the shoulder.

What is shoulder labrum tear?

Labrum is a fibrous tissue found in the shoulder socket. It completely surrounds the glenoid and acts as a shock observer while facilitating shoulder movement. Labral tears occur when the labrum is partially or completely torn or damaged due to shoulder dislocation, injury, direct trauma, degeneration, or repetitive activity. This results in shoulder joint pain, instability, and restricted use.

There are three types of labral tears that occur in the shoulder joint.

  • SLAP tears where the bicep muscle is attached to the joint
  • Bankart tears associated with shoulder dislocation
  • Posterior labral tears near the rotator cuff

Who is a candidate for arthroscopic labral repair in shoulder?

You should consider arthroscopic labral repair in shoulder only when

  • the labral injury is serious enough to impact your shoulder strength and movement severely
  • failure of non-surgical treatment to repair the labral tear
  • labral injury is frequent and bothering

How is arthroscopic labral repair in shoulder performed?

The patient is administered a nerve block. Then he or she was placed under general anesthesia. A small incision is made in the shoulder and a tiny fiber-optic camera is placed through it to make a comprehensive assessment of labrum damage. Other small incisions are made in the shoulder to insert specialized surgical equipment. Both repairing and tendon release are performed using these instruments.

When the labral tear occurs at the top of the joint socket, surgeons release the bicep tendons to reduce pain and popping sensation. Labral debridement is carried out to trim or knock of torn parts in case of SLAP lesions. For tears, the labrum is sewn back or its attachment with bone is restructured using suture anchors. All incisions are stitched and the shoulder was wrapped in a splint.

How long does arthroscopic shoulder labral repair take?

Arthroscopic labral repair in shoulder takes between 45 minutes to an hour. Patients are kept under observation for another hour or two and then discharged.

Do I need to stay at the hospital after arthroscopic labral repair in shoulder?

Patients are discharged within one or two hours following the procedure. However, they are barred from drive home immediately after the surgery and must make alternative arrangements to reach home.

Do I need rest after arthroscopic labral repair in shoulder?

Take rest for two to three days after the surgery. Wear a sling for at least a week to keep your shoulder joint off from any pressure. Use pain and nausea medication, if required, for a few days. No shower is allowed for three days.

What kind of rehabilitation is needed following arthroscopic labral repair in shoulder?

The rehab process depends on the type of procedure. Have post-operative physical therapy and follow general rehab guidelines as told by your doctor. Your physical therapy may include gentle mobility workouts in the second and third weeks. Then it progresses to strengthening exercises. You can do full range of motions with strength and flexibility only after the sixth week. Apply ice pad frequently for the first three days.

How long is the recovery period following arthroscopic labral repair in shoulder?

For at least a week following the arthroscopic labral repair in shoulder, patients are required to keep wearing a sling and limit shoulder joint movements. Recovery takes one to six months. Patients can start physical therapy from the second week after approved by their orthopedic surgeons. Patients return to normal activities in six to eight weeks. However, they have to wait for few weeks before participating in high intensity sports.

You can have light workouts in the second week and strengthening exercises after four to six weeks. Patients recover completely in four to six months.

What are the restrictions following arthroscopic labral repair in shoulder?

  • Keep wearing a sling for at least a week
  • Limit your shoulder movements for a week
  • Ensure your dressed shoulder is clean and dry for at least the first three days
  • Take shower only after 72 hours
  • Avoid forward flexion, abduction, and shoulder rotation for three to four weeks
  • Apply ice pad frequently in the first 72 hours
  • Do not scrub your incisions
  • Meet your surgeon after a week

What are the potential complications of arthroscopic labral repair in shoulder?

Rare complication may be associated with the surgery. It includes bleeding, injury to nerves and blood vessels, infection, inflammation, need for secondary surgery, and temporary stiffness. All these complications can be avoided by expert surgeons.

What are benefits of arthroscopic labral repair in shoulder?

Arthroscopic labral repair in shoulder is minimally invasive and highly effective. It has above 95% success rate in restoring shoulder joint strength and functions.

References

Sayde WM, et al.Return to play after Type II superior labral anterior-posterior lesion repairs in athletes: a systematic review.Clin Orthop Relat Res. 2012 Jun;470(6)

Andrews JR, aet al (Sep–Oct 1985). “Glenoid labrum tears related to the long head of the biceps.”. The American journal of sports medicine 13 (5): 337–41

Snyder SJ, et al (1990). “SLAP lesions of the shoulder.” Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association 6 (4): 274–9.

Aydin N, et al (Jul 18, 2014). “Superior labrum anterior to posterior lesions of the shoulder: Diagnosis and arthroscopic management”. World J Orthop 5 (3): 344–50

Erickson J, et al. Surgical Treatment of Symptomatic Superior Labrum Anterior-Posterior Tears in Patients Older Than 40 Years: A Systematic Review. Am J Sports Med May 2015 vol. 43 no. 5 1274-1282

Martin DR, Garth WP Jr. Results of Arthroscopic Debridement of Glenoid Labral Tears. Am Jour Sports Med. 1995; 23 (4):447 -451.

Bedi, A., Allen, A.A. Superior labral lesions anterior to posterior-evaluation and arthroscopic management. Clin Sports Med. 2008;27:607–630.

Seroyer S, et al. Arthroscopic capsulolabral reconstructionof the type VIII superior labrum anterior posterior lesion. Am J Sports Med. 2007;35:1477–1483.

Tokish, J.M., McBratney, C.M., Solomon, D.J. et al, Arthroscopic repair of circumferential lesions of the glenoid labrum. J Bone Jt Surg Am. 2009;91:2795–2802.

Hantes, M.E., Venouziou, A.I., Liantsis, A.K. et al, Arthroscopic repair for chronic anterior shoulder instability: a comparative study between patients with Bankart lesions and patients with combined Bankart and superior labral anterior posterior lesions. Am J Sports Med. 2009;37:1093–1098.

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