What is a SLAP tear?

Balance

SLAP stands for Superior Labrum Anterior and Posterior. A SLAP injury occurs when the labrum, a ring of cartilage that surrounds the shoulder socket, is frayed or completely torn. This type of injury occurs where the biceps tendon meets the labrum.

What causes SLAP injuries?

Many times, these injuries are seen after a forceful incident to the shoulder, like a dislocation or falling on an outstretched arm. Other causes can include:

  • Sports injuries
  • Car accidents
  • Forceful pulling on the arm (trying to catch a heavy object)

Often, labrum tears are caused by a wearing down of the tissues. This is common in patients over 40, or athletes who participate in repetitive overhead sports, like pitchers and weightlifters.

How do I know if I have a SLAP injury?

Symptoms of SLAP tears include:

  • A feeling of locking, popping, catching or grinding in the shoulder
  • Pain during movement or while holding shoulder in specific positions
  • Pain when lifting objects
  • Decrease in strength and/or mobility
  • Looseness in the joint, or feeling like the shoulder is going to “pop out”

These symptoms are often associated with other shoulder conditions, so if you feel you may have a SLAP injury, it’s best to consult an orthopaedic specialist.

Treatment

It’s important to explore non-surgical options first when considering treatment for SLAP injuries. These alternatives options can include non-steroidal anti-inflammatory medication or physical therapy.

Surgery is sometimes required when these injuries do not respond to medication or therapy. In most cases, the surgeon will conduct an arthroscopy. This less invasive method uses a camera inserted into the shoulder joint to guide the surgeon fixing the tear with smaller instruments. To learn more about shoulder arthroscopy, visit this blog post.

What to expect after surgery

The labrum will take time to heal, so you may need to wear a sling around your arm for two to four weeks. After the initial healing process has begun, your doctor may recommend physical therapy to aid you in recovering your mobility and strength in the shoulder joint.

For athletes, it’s important to discuss return to activity plans with your physician. Since these injuries take time to heal, it’s best to let the shoulder rest before jumping back into the game. Usually, throwing athletes return to early interval throwing three to four months after surgery. Nebraska Orthopaedic Hospital offers a program to assist athletes called Perfect Pitch. To find out more about our athletic training programs, please visit https://www.neorthohospital.com/our-services/sports-medicine.

 

What is a SLAP tear?

What is Diagnostic Imaging?

MRI

At Nebraska Orthopaedic Hospital, we are fortunate to have a diagnostic imaging department. This department consists of General and Surgical Radiology services, as well as MRI and CT services. The department’s 2 MRI scanners and CT scanner allow our physicians to see a more detailed picture of the organs, ligaments, tendons and tissues that may be injured or affected by an injury.

What is the difference between an MRI and CT scan?

An MRI, or Magnetic Resonance Image, is a large cylindrical device that accommodates the patient during imaging. Unlike a CT, the MRI magnet has no moving parts and does not use radiation. The only things that move are electrons and protons in a strong magnetic field during the image acquisition, just as its name suggests. With an MRI, images are taken via “slices” and show a detailed cross-section of the anatomy.

A CT, or Computerized Tomography, is a small cylindrical device that uses radiation during imaging.  The patient table and the CT gantry (the fixed unit in the CT room) move during imaging, exposing the patient to radiation at the region of interest.

Contrast media can be used to aid the radiologists in differentiating between soft tissues within the affected area.

No matter what kind of scan you receive, the images are read by our radiologists and quickly turned around to your physician to speed up your diagnosis and treatment.

What types of injuries are appropriate for an MRI or CT scan?

Our physicians may order these scans for multiple reasons. MRI scans are often recommended in the evaluation of bones, joints, ligaments, cartilage, tendons soft tissue and muscle. CT scans are more ideal for trauma, chest, abdominal and pelvis, and fracture healing.

For MRI, patients are screened for safety precautions before scanning. Because the MRI machine is a very powerful magnet, we must ensure everyone’s safety. Patients who have pacemakers or internal defibrillators are not recommended to have MRI’s. Candidates who have had non-ferrous joint replacements can take advantage of the MRI scanner.

Our whole body MRI scanner is the traditional full tube, where patients are surrounded by the machine. We provide headphones that play music, as directed by the FDA. We also have an extremity MRI scanner, which allows for a comfortable seated position. This scanner works best for wrist, finger, hand, elbow and ankle scans.

For CT scans, patients are assessed before scanning. Some CT exams require a patient to prepare for the CT scan, but not all CT imaging requires a prep. Unlike MRI, there are not metallic implant concerns.

What if I’m claustrophobic?

Even patients who suffer from claustrophobia can be scanned using the whole body machine. Make sure to notify your provider and discuss solutions.

What can I expect during my appointment?

CT scans usually last about 30 minutes, and MRI’s usually last about 45 minutes.

Wear comfortable, loose-fitting clothing. If you are a woman, you may want to consider wearing an athletic bra or tank top. We recommend you also wear layers, as the temperature is not regulated in the procedure. Please leave any electronics, including cell phones and MP3 players, at your home. A locker is also provided to store your belongings during the exam.

As with any procedure, discuss your medical history and any concerns with your physician before your appointment. To learn more about diagnostic imaging, please visit www.neorthohospital.com/our-services/diagnostic-imaging.

What is Diagnostic Imaging?

Total Shoulder Replacement

3d rendered illustration of a shoulder replacement

Shoulder replacement hardware

The shoulder is made up of three bones: the humerus (the upper arm bone), the shoulder blade, and the collarbone. Other parts comprising the shoulder include the ball, which is the humeral head of the upper arm bone. It fits into the rounded socket in the shoulder blade, called the glenoid. Both of these surfaces are covered by articular cartilage that helps the bones glide smoothly against each other instead of grinding. Another type of cartilage called the labrum surrounds the glenoid to add stability and cushion the joint.

The shoulder capsule is surrounded by ligaments and tendons that hold the shoulder together. This bundle is called the rotator cuff. It covers the ball of the shoulder and attaches it to the shoulder blade. The rotator cuff also helps to keep the humerus centered in the shoulder socket.

During shoulder replacement surgery, the artificial components replace the damaged parts of the shoulder.

Who should have a total shoulder replacement?

Potential candidates for shoulder replacement surgery often suffer from:

  • Loss of motion or strength in the shoulder
  • Severe pain that limits everyday activities
  • Moderate to severe pain while sleeping

If non-surgical treatments, like physical therapy, anti-inflammatory medicines and cortisone injections have not relieved this pain, it may be time to speak with your physician about shoulder replacement options.

What to expect before, during and after surgery

You may be referred to an orthopaedic specialist to be evaluated prior to your surgery. During this evaluation, you will likely speak with your specialist about your medical history, have x-rays taken and have your shoulder examined. Other tests (blood draws, MRI’s, bone scans) may be required. Be sure to inform your orthopaedic specialist about all medications you currently take.

There are several types of shoulder replacements. Your physician will decide which is appropriate based on your individual situation. These replacements include:

  • Total shoulder replacement: the most common of replacement surgeries. The damaged joint is replaced with a smooth metal ball attached to a stem joined with a plastic socket to relieve pain.
  • Stemmed hemiarthroplasty: replacement of just the ball of your shoulder. This procedure is recommended for those with severely weakened bone in the glenoid.
  • Resurfacing hemiarthroplasty: an alternative to stemmed shoulder replacements, this protehtsis replaces the ball of the shoulder to preserve the bone in the arm. Patients who young or active may be good candidates for this procedure, as it’s easier to convert to a total replacement at a later time.
  • Reverse total shoulder replacement: this procedure is usually performed on patients who have had a traditional shoulder replacement fail, or have torn rotator cuffs. Instead of having the ball portion attached to a stem in the humerus, a plastic socket is attached to the upper arm bone and the ball is joined to the shoulder bone.

You will most likely be able to return home after a two to three hospital stay. After surgery, you’ll need assistance for the first few weeks with daily tasks like cooking, cleaning, driving and bathing. You’ll also start physical therapy soon after your operation. Your arm will be in a sling for the first two to four weeks following your procedure, and it will be crucial to do at-home exercises recommended by your medical team to regain strength and mobility.

To learn more about our shoulder specialists, visit https://www.neorthohospital.com/orthopaedic-services/shoulder.

Total Shoulder Replacement

#FreeLeprechaunChase 10K Rules and Regulations

LepChase Contest

We’re running a giveaway on our Facebook page for a free entry into this year’s Leprechaun Chase 10K in Omaha! To enter, head over to the Nebraska Orthopaedic Facebook page and follow the instructions.

Here are the official rule and regulations of the contest:

#FreeLeprechaunChase Facebook Sweepstakes Rules and Regulations

NO PURCHASE NECESSARY TO ENTER OR WIN.

  1. This campaign is hosted by Nebraska Orthopaedic Hospital and is not in any way sponsored, endorsed, administered by, or associated with Facebook.
  2. Eligibility: This campaign is only open to those who enter the sweepstakes via a valid entry method (liking the NOH Facebook page, liking the campaign Facebook post or sharing the campaign Facebook post) and who are 18 years of age or older as of the date of entry. This campaign is subject to all applicable federal, state and local laws and regulations. Void where prohibited.
  3. Agreement to Rules: By participating, the Contestant (“You”) agrees to be fully unconditionally bound by these Rules, and You represent and warrant that You meet the eligibility requirements. In addition, You agree to accept the decisions of Nebraska Orthopaedic Hospital as final and binding as it relates to the content of this Campaign.
  4. Campaign Period: Entries will be accepted online starting on January 1, 2016 at 8:00 A.M. CST and ending January 8, 2016 at 11:59 P.M. CST. All online entries must be received by January 8, 2016 at 11:59 P.M. CST.
  5. How to enter: The campaign must by entered via a valid entry method. Valid entry methods include: liking the Nebraska Orthopaedic Hospital Facebook page during the campaign period, liking the Campaign Facebook post during the campaign period, or sharing the Campaign Facebook post during the campaign period. The entry must fulfill all Campaign requirements, as specified, to be eligible to win a prize. Only one entry per entry method per person. You many not enter more times than indicated by using multiple email addresses, identities, or devices in an attempt to circumvent the rules. If You use fraudulent methods or otherwise attempt to circumvent the rules, your submission may be removed from eligibility at the sole discretion of Nebraska Orthopaedic Hospital.
  6. Prizes: The Winner(s) of the Campaign (the “Winner”) will receive one (1) entry for the 2016 Leprechaun Chase 10K, valued at $40 USD. Actual/appraised value may differ at the time of the prize award. The specifics of the prize shall be solely determined by Nebraska Orthopaedic Hospital. No cash or other prize substitution shall be permitted except at Nebraska Orthopaedic Hospital’s discretion. The prize is nontransferable. Any and all prize-related expenses, including without limitation any and all federal, state, and/or local taxes, shall be the sole responsibility of Winner. No substitution of prize or transfer/assignment of prize to others or request for the cash equivalent by Winner is permitted. Acceptance of prize constitutes permission for Nebraska Orthopaedic Hospital to use Winner’s name, likeness, and entry for purposes of advertising and trade without further compensation, unless prohibited by law.
  7. Odds: The odds of winning depend on the number of eligible entries received.
  8. Winner Selection and Notification: Winner will be selected by a random drawing under the supervision of Nebraska Orthopaedic Hospital. Winner will be notified via Facebook message within five (5) days following the selection of Winner. Nebraska Orthopaedic Hospital shall have no liability for Winner’s failure to receive notices due to spam, junk email or other security settings or for Winner’s provision of incorrect or otherwise non-functioning contact information. If Winner cannot be contacted, is ineligible, fails to claim the prize within five (5) days from the time award notification was sent, or fails to timely return a completed and executed declaration and release as required, the prize may be forfeited and an alternate Winner selected. Receipt by Winner of the prize offered in this Campaign is conditioned upon compliance with any and all federal, state and local laws and regulations. ANY VIOLATIONS OF THESE OFFICIAL RULES BY WINNER (AT NEBRASKA ORTHOPAEDIC HOSPITAL’S SOLE DISCRETION) WILL RESULT IN WINNER’S DISQUALIFICATION AS WINNER OF THE CAMPAIGN, AND ALL PRIVILEGES AS WINNER WILL BE IMMEDIATELY TERMINATED.
  9. Rights Granted By You: By entering this content, You understand and agree that Nebraska Orthopaedic Hospital, anyone acting on behalf of Nebraska Orthopaedic Hospital, and Nebraska Orthopaedic Hospital’s licensees, successors, and assigns, shall have the right, where permitted by law, to print, publish, broadcast, distribute, and use in any media now known or hereafter developed, in perpetuity and through the World, without limitation, your entry, name, portrait, picture, voice, likeness, image, statements about the Campaign, and biographical information for news, publicity, information, trade, advertising, public relations and promotional purposes, without any further compensation, notice, review or consent.
  10. Terms & Conditions: Nebraska Orthopaedic Hospital reserves the right, in the its sole discretion, to cancel, terminate, modify or suspend the Campaign should virus, bug, non-authorized human intervention, fraud or other cause beyond Nebraska Orthopaedic Hospital’s control corrupt or affect the administration, security, fairness, or proper conduct of the Campaign. In such case, Nebraska Orthopaedic Hospital may select the Winner from all eligible entries received prior to and/or after (if appropriate) the action taken by Nebraska Orthopaedic Hospital. Nebraska Orthopaedic Hospital reserves the right, in its sole discretion, to disqualify any individual who tampers or attempts to tamper with the entry process or the operation of the Campaign or the website or violates these Terms & Conditions. Nebraska Orthopaedic Hospital has the right, in its sole discretion, to maintain the integrity of the Campaign, to void votes for any reason, including, but not limited to: multiple entries from the same user from different IP addresses; multiple entries from the same computer in excess of that allowed by Campaign rules; or the use of bots, macros, scripts, or other technical means for entering. Any attempt by an entrant to deliberately damage any website or undermine the legitimate operation of the Campaign may be a violation of criminal and civil laws. Should such attempt be made, Nebraska Orthopaedic Hospital reserves the right to seek damages to the fullest extent permitted by law.
  11. Limitation of Liability: By entering, You agree to release and hold harmlessNebraska Orthopaedic Hospital and its subsidiaries, affiliates, advertising and promotion agencies, partners, representatives, agents, successors, assigns, employees, officers, and directors from any liability, illness, injury, death, loss, litigation, claim, or damage that may occur, directly or indirectly, whether caused by negligence or not, from: (i) such entrant’s participation in the Campaign and/or his/her acceptance, possession, use, or misuse of any prize or any portion thereof; (ii) technical failures of any kind, including but not limited to the malfunction of any computer, cable, network, hardware, or software, or other mechanical equipment; (iii) the unavailability or inaccessibility of any transmissions, telephone, or Internet service; (iv) unauthorized human intervention in any part of the entry process or the Promotion; (v) electronic or human error in the administration of the Promotion or the processing of entries.
  12. Disputes: THIS Campaign IS GOVERNED BY THE LAWS OF the United States of America AND Nebraska, WITHOUT RESPECT TO CONFLICT OF LAW DOCTRINES. As a condition of participating in this Campaign, participant agrees that any and all disputes that cannot be resolved between the parties, and causes of action arising out of or connected with this Campaign, shall be resolved individually, without resort to any form of class action, exclusively before a court located in Nebraska having jurisdiction. Further, in any such dispute, under no circumstances shall participant be permitted to obtain awards for, and hereby waives all rights to, punitive, incidental, or consequential damages, including reasonable attorney’s fees, other than participant’s actual out-of-pocket expenses (i.e. costs associated with entering this Campaign). Participant further waives all rights to have damages multiplied or increased.
  13. Privacy Policy: Information submitted with an entry is subject to the Privacy Policy stated on theNebraska Orthopaedic Hospital  To read the Privacy Policy, click here.
  14. Winners List: To obtain a copy of the Winner’s name or a copy of these Official Rules, mail your request along with a stamped, self-addressed envelope to: Lauren Fischer, c/o Nebraska Orthopaedic Hospital, 2808 S. 143rd Plaza, Omaha, Nebraska, 68144, United States of America. Requests must be received no later than 11:59 P.M. CST, January 18, 2016.
  15. Sponsor: The Sponsor of the Campaign is Nebraska Orthopaedic Hospital, 2808 S. 143rd Plaza, Omaha, Nebraska, 68144, United States of America.
  16. By submitting your entry, You, the Contestant, have affirmatively reviewed, accepted, and agreed to all of the Official Rules.
#FreeLeprechaunChase 10K Rules and Regulations