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The peel‐back mechanism: its role in producing and extending posterior type II SLA <i>P</i> lesions and its effect on SLA <i>P</i> repair rehabilitation

SS BurkhartCD Morgan

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.

Shoulder Injury and TreatmentShoulder and Clavicle InjuriesNerve Injury and RehabilitationMechanism (biology)LabrumFixation (population genetics)Fibrous jointMedicineSurgeryAnatomyOrthodonticsPhysicsArthroscopy

MeSH terms

Shoulder InjuriesArthroscopyBiomechanical PhenomenaHumansJoint InstabilityShoulder JointTendon InjuriesTendons
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References
Type II SLA <i>P</i> lesions: three subtypes and their relationships to superior instability and rotator cuff tears
Arthroscopy The Journal of Arthroscopic and Related Surgery · 1998 · 633 citations
Glenoid labrum tears related to the long head of the biceps
The American Journal of Sports Medicine · 1985 · 989 citations
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The peel‐back mechanism: its role in producing and extending posterior type II SLA <i>P</i> lesions and its effect on SLA <i>P</i> repair rehabilitation · Scinovex