SLAP Tear
Overview
SLAP撕裂(SLAP代表上唇前后)是唇的损伤, 肱骨(上臂骨)与肩窝相接的纤维软骨. This common injury occurs either from a repetitive activity, 比如在网球中投球或发球或摔倒在肩膀上. 在肩关节脱位中也经常出现唇部损伤.
Our approach to SLAP tears
加州大学旧金山分校健康中心致力于帮助患有SLAP撕裂的患者恢复肩部功能并恢复他们喜欢的活动. Our team includes orthopedic surgeons, shoulder and other joint specialists, primary care sports medicine doctors, physical therapists and athletic trainers. 这些专家一起工作，为每个病人的需要和目标量身定制治疗计划.
治疗通常从休息、冰敷和物理治疗开始. We offer the full range of physical therapies, including specifically designed exercise regimens, 功能活动指导和神经肌肉再教育(训练该区域恢复正常活动的技术). 如果患者持续感到疼痛，无法进行日常活动或运动，则可以选择手术. 我们的骨科十大赌博平台排行榜是微创技术方面的专家, 使用小切口和专门的器械来修复损伤并促进愈合.
Awards & recognition
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Among the top hospitals in the nation
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One of the nation's best for orthopedic care
Signs & symptoms
Patients with SLAP tears may experience these symptoms:
- Shoulder pain when moving arms overhead
- Pain when lifting heavy objects
- Diminished ability to perform sports
- 肩关节咔嗒作响，好像有什么东西卡在里面
- Deep pain within or in back of the joint
- 肩前部疼痛(如果肱二头肌肌腱也受伤)
Diagnosis
十大赌博平台排行榜通过病人的病史和身体检查来诊断SLAP眼泪. MRI可用于确诊和确定损伤的程度. In a test called an MR arthrogram, 少量染料被注入肩关节，用于MRI进一步确定关节唇.
Treatments
许多患有SLAP眼泪的人经过一段时间的休息和康复后会好转. 物理治疗方案可以加强肩部周围的肌肉，改善对肩关节的控制. Nonsurgical treatment may include:
- Rest. If overuse led to inflammation, resting the shoulder may help.
- Nonsteroidal anti-inflammatory drugs (NSAIDs). 非处方药物，如布洛芬，通过减少唇状肌和肱二头肌肌腱周围的炎症来帮助控制疼痛.
- Strengthening and stretching exercises. 有组织的物理治疗方案可能会被推荐，以加强肩膀周围的肌肉，并解决任何伴随的问题与唇和二头肌肌腱. 物理治疗可以在家里、加州大学旧金山分校或其他有执照的机构进行.
- Corticosteroid injections. Corticosteroids can reduce pain by decreasing inflammation. Ultrasound imaging may be used to guide the injection.
Surgery
对于那些持续疼痛限制了他们运动或日常活动能力的患者, we may recommend surgery.
SLAP撕裂手术是一种在关节镜(关节内窥镜)下进行的微创手术。, and patients typically go home the same day. 他们在全身麻醉(完全睡眠)下，通常给予神经阻滞(一种阻止特定区域疼痛信号的注射)。, which lessens post-op pain. 外科十大赌博平台排行榜使用多个小切口通过相机和小, specialized instruments into the shoulder joint. 这种可视化使外科十大赌博平台排行榜能够确认撕裂模式并确定最佳治疗方法. 技术包括修复撕裂(如通过将唇状骨与肩窝骨缝合)和从唇状骨上移除受损组织. For some patients, the best approach is a biceps tenodesis, 其中一个二头肌肌腱附着在不同的点上以阻止它牵拉受伤的唇.
Recovery from SLAP tear surgery takes time. 患者通常使用吊带四到六周的时间来愈合. During that period, they shouldn't drive, 物理治疗仅限于被动的活动范围练习, 哪一种既能防止肩膀僵硬，又能保护修复. 静坐工作的人通常可以在手术后一到两周回去工作, 但从事繁重工作的人可能需要等到他们完成三到四个月的物理治疗.
After the sling is removed, physical therapy begins, 专注于积极的活动范围练习，不使用重量. Jogging and other lower body exercises can also be introduced. At week 12, physical therapy starts to focus on strengthening. 术后5 - 6个月可以完全恢复活动, and at six months, the repair is considered completely healed.
Frequently asked questions
- When can I shower after surgery?
在你第一次做术后检查之前，你需要保持切口清洁和干燥, one to two weeks after surgery. At that time, you'll likely be cleared to shower, 但你不应该把手术部位浸在浴缸或游泳池里三到四周.
- When can I drive after SLAP tear surgery?
在最初的四到六周内，你将不能开车，因为你在吊带中. 之后，你可以继续驾驶，只要你有适当的控制，这样做是安全的.
- When can I return to sports and other physical activities?
人们通常需要大约6个月的时间才能恢复像扔球这样的活动, swimming and climbing.
UCSF Health medical specialists have reviewed this information. 它仅用于教育目的，并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.
