Ss. Burkhart et Cd. Morgan, THE PEEL-BACK MECHANISM - ITS ROLE IN PRODUCING AND EXTENDING POSTERIOR TYPE-II SLAP LESIONS AND ITS EFFECT ON SLAP REPAIR REHABILITATION, Arthroscopy, 14(6), 1998, pp. 637-640
A previously undescribed mechanism of injury for posterior Type IT SLA
P lesions is described. The primary feature of this mechanism is a tor
sional peel-back of the posterosuperior labrum. Secure fixation by pos
terior-superior placement of suture anchors into the posterosuperior c
orner of the glenoid is essential. The repair must be protected agains
t torsional peel-back forces by avoiding external rotation beyond 0 de
grees for 3 weeks.