[quote]WestCoast7 wrote:
Your SLAP tear (Superior Labrum Anterior to Posterior) can be seen if you look around the 1 o’clock position of your humeral head (the ball part of your humerus that sits in the glenoid). See where the cuff (the white part) begins to fray at the 1 o’clock position (under the ART portion of the word ARTHROGRAM)? That’s where the SLAP tear is. It doesn’t look terrible, but you can see it.
Conceptually, a SLAP tear occurs when upward pressure causes the humeral head to push up and tear the labrum off of the glenoid. The labrum functions as a bumper that runs around the rim of the glenoid, helping to keep the humeral head in place and prevent bone on bone rubbing. The S in SLAP is for superior, meaning on top, thus in your case you can see the tear at the 1 o’clock, or more like 1:30 position.
To repair a SLAP, they will use suture and anchors to pull your labrum back down onto the glenoid. Usually it can be done with 1-3 anchors.
I’m in the OR dealing with these on a daily basis, so let me know if you have any more questions. Good luck with everything.[/quote]
I have no hardware in my shoulder. He stitched the labrum and took this thing that looked like a vitamin E capsule and twisted it into place. Everything was dissolvable.
[quote]WestCoast7 wrote:
Your SLAP tear (Superior Labrum Anterior to Posterior) can be seen if you look around the 1 o’clock position of your humeral head (the ball part of your humerus that sits in the glenoid). See where the cuff (the white part) begins to fray at the 1 o’clock position (under the ART portion of the word ARTHROGRAM)? That’s where the SLAP tear is. It doesn’t look terrible, but you can see it.
Conceptually, a SLAP tear occurs when upward pressure causes the humeral head to push up and tear the labrum off of the glenoid. The labrum functions as a bumper that runs around the rim of the glenoid, helping to keep the humeral head in place and prevent bone on bone rubbing. The S in SLAP is for superior, meaning on top, thus in your case you can see the tear at the 1 o’clock, or more like 1:30 position.
To repair a SLAP, they will use suture and anchors to pull your labrum back down onto the glenoid. Usually it can be done with 1-3 anchors.
I’m in the OR dealing with these on a daily basis, so let me know if you have any more questions. Good luck with everything.[/quote]
I have no hardware in my shoulder. He stitched the labrum and took this thing that looked like a vitamin E capsule and twisted it into place. Everything was dissolvable.[/quote]
Anchors can be made using a variety of materials, from metal, to plastic (usually PEEK) to bio-absorbable (usually PLA: Poly Lactic Acid). In your case it sounds like bio-absorbable anchors were used, which blend into bone over time, leaving only suture. Some prefer this, as it seems more natural, but others prefer anchors that remain there, so they can see their work down the road.
[quote]WestCoast7 wrote:
Your SLAP tear (Superior Labrum Anterior to Posterior) can be seen if you look around the 1 o’clock position of your humeral head (the ball part of your humerus that sits in the glenoid). See where the cuff (the white part) begins to fray at the 1 o’clock position (under the ART portion of the word ARTHROGRAM)? That’s where the SLAP tear is. It doesn’t look terrible, but you can see it.
Conceptually, a SLAP tear occurs when upward pressure causes the humeral head to push up and tear the labrum off of the glenoid. The labrum functions as a bumper that runs around the rim of the glenoid, helping to keep the humeral head in place and prevent bone on bone rubbing. The S in SLAP is for superior, meaning on top, thus in your case you can see the tear at the 1 o’clock, or more like 1:30 position.
To repair a SLAP, they will use suture and anchors to pull your labrum back down onto the glenoid. Usually it can be done with 1-3 anchors.
I’m in the OR dealing with these on a daily basis, so let me know if you have any more questions. Good luck with everything.[/quote]
I have no hardware in my shoulder. He stitched the labrum and took this thing that looked like a vitamin E capsule and twisted it into place. Everything was dissolvable.[/quote]
Anchors can be made using a variety of materials, from metal, to plastic (usually PEEK) to bio-absorbable (usually PLA: Poly Lactic Acid). In your case it sounds like bio-absorbable anchors were used, which blend into bone over time, leaving only suture. Some prefer this, as it seems more natural, but others prefer anchors that remain there, so they can see their work down the road.[/quote]
I’ve had a bankhart repair, rotator interval closure, and anterior capusal shift on my left shoulder.
Hardware:
anchors and permanent sutures
Software:
catsgut sutures (dissolvable)
Stretching the shoulder capsule back to normal was BEYOND painful; 10 times worse than the surgery. PT took 4 months, and around the 9 month mark I got the go ahead to lift normally again. Benching still sucks 3 years later. My bench went from about 300x5 down to 135x8, DBs over 60 are not fun either.
Back and shoulder workouts don’t suffer, only chest bothers me. All in all, it was worth not being in pain 24x7, I can live without benching heavy and often. Oddly enough, dips don’t bother me at all.
Surgery is in exactly one week. Probably early morning. I received 30 days off from work so hopefully I can really focus on nutrition and rehab. I will post my diet and rehab exercises. I recently purchased a shitload of Biotest products such as Flameout, Curcumin 500 and the Rodiola Rosea product. I also bought a bunch of bands from elitefts to help with creativity in exercise selection during what I’m predicting is going to be a very frustrating time for somebody that loves lifting. I military pressed 165, front squatted 250-260 and deadlifted 425 before injury. Let’s see what we can do after?
Hawksmoor, I don’t really recommend the anti-inflammatory supps after surgery, because the inflammation is part of the recovery process. I would wait until out of the sling, or once the physical therapy begins, that’s when you want to control inflammation.
I had arthroscopic surgery back in June of 2007. I had my labrum reattached with three screws, my labrum tears sewn, fraying removed from rotator cuff and biceps tendon as well as bone spurs removed. I’ve had four other joint surgeries on my knees and ankle and my shoulder was by far the most debilitating. My whole right arm and shoulder experienced some serious atrophy and was noticeably smaller than my left.
I started back slow with the weights and my doc (ortho specialist for NFL and motocross)told me not to perform any overhead or behind the head lifts, ever. All other movements and lifts are allowed, only dependant on my pain tolerance and the feel of my shoulder.
I’ve never had numbers worth bragging about before or after my shoulder surgery, but I went from literally having trouble lifting up a soup can to having a 315 bench and a 385 deadlift. It’s taken me a long time to get back in the saddle but it’s possible. Actually, sometimes running messes with my shoulder more than lifting now…maybe it’s the constant arm swing coupled with the bouncing…?
After my surgery I thought I was done. Around day 5 was the worst…I was close to tears. I saw the light about four weeks after the surgery and started to recoup from there. I suggest that you get a very comfortable recliner that you are able to sleep in. I’m a side sleeper and the sleeping discomfort is probably what made me the most miserable. Whether i was on my back, stomach, opposite side, etc, it all put a huge pressure in my socket. A reclining chair was about the only thing I could feel comfortable in.
[quote]Hawksmoor wrote:
I didn’t know that. So is the adaptogen not recommended either? I would think that the adaptogen would help with some of the post surgery recovery? [/quote]
I’m not ever sure what adaptogen is, but it takes on average about 3 months for your body to rebuild the collagen in ligaments and to heal the labrum completely. I would just wait until the physical therapy begins, because you will be icing down almost daily to keep pain and inflammation down. Start with the supps then or a week before.
I started back slow with the weights and my doc (ortho specialist for NFL and motocross)told me not to perform any overhead or behind the head lifts, ever. All other movements and lifts are allowed, only dependant on my pain tolerance and the feel of my shoulder.
[/quote]
Does this mean you cannot squat even after surgery? Squatting is one of the few exercises that have given me a problem with my shoulder. The whole point of me getting the surgery was to be able to get back at that.
Has anyone else heard anything similar from their doctors?
No, not at all. Squats are fine by my doctor and they don’t bother my shoulder, never have, although I don’t squat anymore. Not because of my shoulder injury, but because I’m into running as well as lifting, and squatting and running don’t mix well. I get too sore to run from squatting and vice versa.
Overhead and behind the head lifts meaning military presses, behind the head pulldowns, push presses, etc.
