Atlanta Bone and Joint Specialists
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    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
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      • Outpatient Total Joint Replacement Survey
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    • FAQ
    • How to Prepare and What to Expect Knee Surgery
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  • Español
  • Online Scheduling
  • Home
  • Our Doctors
    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
    • Physician Assistants >
      • Omid Midanaky, PA-C
      • Aidan O'Connor, MPH, PA-C
      • Elissa Ricker, PA-C
  • Locations
  • Appointments
    • Online Scheduling
    • Forms
    • Referrals
    • Independent Medical Examination
    • Telemedince and E-Visits >
      • E-Visit Scheduler
    • Saturday Clinic
    • What To Expect
    • Medical Tourism
  • Our Office
    • About Us
    • Social Media >
      • Facebook
      • Instagram
      • LinkedIN
      • Twitter
      • YouTube
    • Orthopedic Expert Witness
    • Conditions Treated
    • Payments
    • Bracing
    • Office Staff >
      • Office Manager >
        • Brian Pallone
      • Front Desk & Checkout >
        • Decatur
        • Loganville >
          • Meagan
        • Snellville >
          • Cheryl
      • Billing & Collections >
        • Maurice Jové, M.D. >
          • Buffie
        • Nathan Jové, M.D. >
          • Mayra
          • Makenzie
        • Jeff Traub, M.D. >
          • Jennifer
          • Liz
      • Scheduling >
        • Jeff Traub, M.D. >
          • Andrea
        • Maurice Jové, M.D. >
          • Rachael
        • Nathan Jové, M.D. >
          • Lindsay
        • Brian Vanderhoof, D.O. >
          • Megan
      • Radiology >
        • David
        • Rebecca
        • Carla
        • Oscar
      • Medical Records >
        • Team
    • Insurance
    • MRI
    • Medical Records >
      • Decatur
      • Loganville
      • Snellville
    • Prescription Refill Request >
      • Decatur
      • Loganville
    • Reviews
    • Affiliate Hospital Resources >
      • Emory Decatur Hospital
    • Marketing Internship
    • Job Opportunities
  • Patient Education
    • Coronavirus Update Page
    • What is an Orthopedic Doctor
    • Joint Replacement Center >
      • Arthritis Center >
        • Arthritis 101
      • Hip >
        • Anterior Hip Replacement
        • Total Hip Replacement
      • Knee >
        • Total Knee Replacement
        • Anterior Reference Knee Replacement
        • Knee Replacement Surgery Recovery
        • Partial Knee Replacement
        • Patellofemoral Replacement
        • Tourniquet-less Knee Replacement
      • Shoulder >
        • Total Shoulder Replacement
        • Reverse Total Shoulder Replacement
      • Outpatient Joint Replacement Center
      • Metal Sensitivity and Nickel Allergy
      • Revision Surgery >
        • Revision Knee Replacement
        • Revision Hip Replacement Surgery
        • Metal on Metal Hip Problems
      • Infections >
        • Hip and Knee Replacement Infections
    • Sports Medicine Program >
      • Arthroscopic Surgery
      • Shoulder >
        • Rotator Cuff Tears
        • SLAP Tears
        • Labral Tears
      • Knee >
        • Meniscus Tears
        • ACL Tears
        • Patella (Kneecap) Instability
        • Patella (Kneecap) Dislocation
      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
    • EMG
    • Hip Fracture Center
    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
    • Fracture (Broken Bone) Center >
      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • How to Prepare and What to Expect Knee Surgery
    • Blog
  • Español
  • Online Scheduling

The SLAP Tear
Superior Labral Anterior Posterior

Picture

About the Superior Labral Tear

Many people  in the Orthopaedic community are talking about the "SLAP tear."  The SLAP tear usually occurs in people who do extensive overhead activities, like baseball pitchers.  Prior to the 1980's, the SLAP tear was barely identifiable.  Over the past 30 years we have made tremendous advances in SLAP repairs.
Symptoms include shoulder pain with overhead activity, pain in the front of the shoulder, pain with reaching above your head, pain with reaching backwards

Picture
Image of patient complaining of shoulder pain, possibly due to a SLAP ter.

What is a SLAP tear?

A SLAP tear is a tear of the cartilage (labrum) surrounding the bony glenoid.  The tear occurs because one part of the biceps tendon originates (starts) at the top of the glenoid (shoulder socket) from the labrum.  With repetitive pulling of the biceps tendon, the labrum may "peel off" the top of the glenoid bone and cause pain.
Continued pain is usually caused because the biceps tendon continues to pull on the torn superior labrum (see image) and therefore the superior labrum is never able to seat properly and heal.

Picture
Arthroscopic image of a SLAP tear. Notice how the superior labrum is peeled off the top of the glenoid and a gap is created. This is a Type 2 SLAP tear that will require repair.

Normal Anatomy vs SLAP tear

Picture
Normal anatomy of a shoulder. Notice how the biceps tendon comes off the top part of the labrum.
Picture
Here the SLAP (Superior tear anterior to posterior) tear is seen. The biceps tendon has pulled the labral tissue off the top of the labrum. This is a SLAP tear.

Types of Tear

Picture
There are multiple variants of SLAP (superior labral anterior to posterior) tear. Image A shows fraying of the labrum consistent with a Type 1 tear. Image B shows a Type 2 tear, which is the one most commonly seen. Image C shows a Type 3 tear where there is a bucket handle tear of the superior labrum. Image D shows a tear of the superior labrum AND the biceps.

SLAP Repair

Rehabilitation

Depending on the repair and tissue quality, most people report being back to 100% around 4-6 months after surgery.  The rehabilitation process is long, starting with simple motion and progressing to strengthening activities.  Most patients start physical therapy around 4-6 weeks after surgery.  Outcomes are extremely good, with success rates greater than 95%!
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  • Prior blood clot or pulmonary embolus
    • the #1 predictor of having another clot
  • Factor 5 Leiden
  • Von Willdebrands disease
  • Venous Statsis
  • Extensive immobilization after surgery
  • Lower Extremity surgery
  • Oral Contraceptive Birth Control

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Office Hours

Mon-Fri: 9AM-5PM  


Telephone

Decatur                             404.296.5005
Loganville                         770.564.3393
Snellville                           770.985.9330

High School Football Season Added Coverage Hours

Saturdays During High School Football Season
Injury Clinic is for INJURED PLAYERS ONLY.
Snellville
ONLY.
9AM-10AM

MEDIA ROOM