What is a SLAP repair?
A SLAP tear affects the upper part of the labrum, at the point where the biceps tendon anchors into the shoulder. A SLAP repair uses suture anchors to reattach the torn labrum to the rim of the socket so it can heal.
It is most appropriate for younger patients with a genuine, symptomatic tear. In older patients, or where the biceps anchor is the real source of pain, repositioning the biceps tendon (a tenodesis) is often more reliable than repairing the labrum.
Who is it for?
- Younger patients with a clearly symptomatic SLAP tear.
- Overhead athletes whose tear has not settled with rehabilitation.
- A tear confirmed on imaging and at arthroscopy.
- Pain and mechanical symptoms affecting function.
For many patients — particularly over 40 — a biceps tenodesis gives more reliable pain relief than repairing the labrum. The choice is made individually, and sometimes confirmed during surgery.
How the procedure works
Through small incisions, the tear is inspected and the rim of the socket prepared. Suture anchors are placed and the labrum is reattached to the bone. Where the biceps anchor is the problem, the surgeon may instead release and re-fix the biceps tendon lower down, often the more durable solution.
Recovery timeline
Protect
A sling protects the repair; gentle movement within set limits.
Restore motion
Progressive range of motion as the labrum heals.
Strength & return
Strengthening, with overhead and throwing athletes progressing last.
Risks & outcomes
Outcomes are generally good in well-selected patients, with relief of pain and a return to activity. Stiffness can occur after SLAP repair, which is why patient selection and a careful rehabilitation programme matter. Risks such as infection and clots are uncommon and actively managed. Throwing athletes are counselled that return to high-level throwing requires patience.