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The peel-back mechanism: its role in producing and extending posterior type II SLAP lesions and its effect on SLAP repair rehabilitation |
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| Affiliation: | 1. Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA;2. Department of Orthopaedic Surgery, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA;3. Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA |
| Abstract: | A previously undescribed mechanism of injury for posterior Type II SLAP lesions is described. The primary feature of this mechanism is a torsional peel-back of the posterosuperior labrum. Secure fixation by posterior-superior placement of suture anchors into the posterosuperior corner of the glenoid is essential. The repair must be protected against torsional peel-back forces by avoiding external rotation beyond 0 degrees for 3 weeks.Arthroscopy 1998 Sep;14(6):637-40 |
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