Arthroscopic Procedures -- SLAP Repair   Shoulder Arthroscopy and a SLAP Repair 006-- Glenoid Labral Tearing. Here we can see tearing of the cartilage rim that lines the cup or glenoid of the shoulder. Normally this tissue should appear smooth and look as if it was a suction cup designed to stabilize the shoulder keeping the ball or humerus located in place. Tears such as these can be painful and may cause catching, popping, and instability in the shoulder. 008 -- Arthroscopic Debridement of Glenoid Labral Tearing Small arthroscopic suction powered shavers can be used to remove the torn cartilage tissue associated with tearing of the labrum. The shaver you see here is only 4 millimeters in size and may therefore be easily placed through a very small incision on the front of the shoulder into the shoulder joint. 011 -- SLAP Lesion Type 2 This is a variant of injuries that may occur to the labral cartilage called a SLAP lesion. SLAP stands for Superior Labrum Anterior Posterior and most commonly occurs with overhead throwing, compressive or traction injuries to the shoulder. SLAP injuries of this type require surgical repair because they will not heal. Patients with these tears complain of recurrent shoulder pain that is worsened with loading of the biceps tendon that attaches to the torn cartilage rim. 016 -- 017 -- 030 -- Repairing of a SLAP Lesion with Suture Anchors SLAP injuries may be repaired arthroscopically using absorbable suture anchors. The sutures used to secure the cartilage tear back to the bone are passed through the cartilage with a device called a suture loop. Sliding knots can be used to hold the tissue firmly in place so that it may heal back to the underlying bone. 032 -- Completed SLAP Repair Here the SLAP lesion can be seen at the completion of the repair. The cartilage and biceps tendon attaching to it has been fixed back to its' original insertion on the bone of the glenoid. info@oksss.com www.oksss.com