Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 14, Issue 6 , Pages 637-640, September 1998

The peel-back mechanism: its role in producing and extending posterior type II SLAP lesions and its effect on SLAP repair rehabilitation

University of Texas Health Science Center at San Antonio and the San Antonio Orthopaedic Group, 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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PII: S0749-8063(98)70065-9

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 14, Issue 6 , Pages 637-640, September 1998