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2026 Guide

SLAP Repair Surgery Guide

Complete guide to slap repair — costs, recovery timeline, success rates, and how to find the right surgeon.

What Is a SLAP Tear?

A SLAP tear (Superior Labrum Anterior to Posterior) occurs at the top of the shoulder socket where the biceps tendon attaches. It is most common in overhead athletes — baseball pitchers, tennis players, swimmers, volleyball players — and in people who fall on an outstretched arm. SLAP tears cause deep shoulder pain, clicking with overhead motion, and reduced throwing velocity.

Treatment Options

SLAP Repair: Arthroscopic reattachment with suture anchors. Best for active patients under 40 who need to return to overhead sports.

Biceps Tenodesis: The biceps tendon is detached from the labrum and reattached to the humerus. Increasingly preferred for patients over 35-40 — more predictable outcomes with less risk of stiffness.

Debridement: Cleaning up torn tissue without repair. For older patients with degenerative tears and minimal instability.

Recovery

Weeks 1-6: Sling, passive range of motion only.
Weeks 6-12: Active motion, light strengthening.
Months 3-6: Sport-specific strengthening, interval throwing program for pitchers.
Months 6-12: Return to competitive throwing. Full recovery for overhead athletes takes 9-12 months.

Frequently Asked Questions

Can I pitch again after SLAP repair?
About 70-85% of overhead athletes return to their previous level of competition after SLAP repair. Return to competitive pitching typically takes 9-12 months.
Is biceps tenodesis better than SLAP repair?
For patients over 35-40, biceps tenodesis often provides more predictable pain relief with lower stiffness risk. For young overhead athletes, SLAP repair may better preserve the biceps anchor function needed for throwing.

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