title: The peel-back mechanism: its role in producing and extending posterior type II SLAP lesions and its effect on SLAP repair rehabilitation.
abstract: A previously undescribed mechanism of injury for posterior Type II SLAP lesions is described. The primary feature of this mechanism is a torsional peel-back of the posterosuperior labrum. Secure fixation by posterior-superior placement of suture anchors into the posterosuperior corner of the glenoid is essential. The repair must be protected against torsional peel-back forces by avoiding external rotation beyond 0 degrees for 3 weeks.
authors.affiliation: University of Texas Health Science Center at San Antonio and the San Antonio Orthopaedic Group, USA.
authors.forename: S S
authors.initials: SS
authors.lastname: Burkhart
authors.forename: C D
authors.initials: CD
authors.lastname: Morgan
mesh_terms: D001182:Arthroscopy; D001696:Biomechanical Phenomena; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology* / Q000601:surgery; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery; D013708:Tendon Injuries / Q000503:physiopathology* / Q000601:surgery; D013710:Tendons / Q000601:surgery