OP
Smaller cracks can also be treated by conservative measures such as medication and physiotherapy. An operation is only necessary if the findings are more extensive. There is the possibility of arthroscopy, which can be used not only to diagnose a SLAP lesion, but also to treat the affected rupture sites.
A camera is inserted into the shoulder joint with a tube. This makes it easier for the surgeon to assess the inner life of the shoulder. When the lesion is found, it can be closed again with a suture technique. If cartilage or pieces of bone have become loose during the lesion and are migrating in the joint, they can be removed in any case.
Torn biceps tendon
The biceps brachii muscle is relevant for the SLAP lesion. This is a double-jointed muscle that produces flexion in the elbow and slight abduction and internal rotation in the shoulder. The first head is the caput longum, which runs with its tendon through the shoulder joint and originates from the tuberculum supraglenoidale of the shoulder blade.
The small head includes the caput breve, which originates from the processus coracoideus and is attached with the caput longum to the tuberrositas radii at the radius. In the case of the SLAP lesion, the biceps tendon can also rupture due to its anatomical position. You will find comprehensive information on this and possible follow-up treatment of a biceps tendon rupture in the article: Physiotherapy after a biceps tendon rupture
Rotator cuff tear
Next to the biceps brachii muscle are the muscles of the rotator cuff around the shoulder joint. The rotator cuff is formed by four small, loop-like muscles, which sometimes produce rotation outwards and inwards in the shoulder. In addition to the biceps tendon, the rotator cuff may also be injured, as it protects the shoulder when external forces are applied. You will find a comprehensive collection of information on the topic of “Rotator cuff rupture” on the following pages:
- Rotator cuff tear
- Rotator cuff rupture pain/symptoms
