Shoulder Surgery: Posterior Labral Lesion Repair

Anatomy

Figure 1  Figure 2
Shoulder anatomy                                                        Normal shoulder joint

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Indications for operation

A symptomatic Posterior Labral lesion (Tear)

Anaesthetic

General Anaesthetic with an interscalene block (Fully asleep with a local anaesthetic injection into the side of the neck will numb the nerves to the shoulder for post-operative pain relief)

Operation type

Arthroscopic

Incisions

3 ½ cm incisions will be made in the shoulder, one to the back and two at the front of the shoulder.

Procedure

The gleno-humeral (shoulder) joint will be inspected first followed by the subacromial bursa and the rotator cuff. The area where the labrum has become detached will be freshened up and the labrum reattached to the glenoid using 2 or 3 sutures secured to the bone using "suture anchors". If it is not possible to do this the damaged tissue will be removed.

Images

The Posterior Labral lesion   
Posterior Labral Tear - suture passing
Posterior Labral Repair - Anchor insertion  
Posterior Labral Tear - Anchor insertion and complete repair

Video

Wound Closure

Small butterfly paper stitches will be used to close the wounds.

Dressings

Elastoplast dressings will be placed over the top of the paper stitches and an adhesive bandage over the top of this.

Immediate aftercare

A sling will be placed on the arm and it may feel numb for the rest of the day. You can go home when you feel comfortable and will be given instructions on what to do next.

Further instructions for Posterior Labral Repair rehabilitation