Many people are familiar with knee meniscus injuries and are unfamiliar with shoulder glenoid labrum injuries. In fact, shoulder glenoid labrum injuries are similar to meniscus injuries in that they are associated with joint pain, splitting sounds, interlocking and embedded sensations. Clinically, anterior-to-posterior tears of the superior glenoid labrum of the shoulder are more common, also known as SLAP injuries. The pathogenesis is not yet clear and may be due to chronic pulling of the upper glenoid labrum by the biceps muscle, but it has also been suggested that it originates from axial pressure from landing with the arm outstretched during a fall. Arthroscopically, it can be categorized into four types and five categories; mild patients can be treated conservatively, while surgical treatment is required for patients with separation of the glenoid labrum. SLAP injuries can be repaired arthroscopically, and rehabilitation is usually restarted 1-3 weeks after surgery, with patients wearing a brace at all times except during training. Due to the different types of the disease, as well as the individual’s physical condition and the condition of the repair tissue, the rehabilitation program should be adjusted flexibly under the guidance of the physician in combination with their own situation. Rehabilitation training program: Stage 1 training (1-4 weeks after surgery) This stage is mainly to promote healing by braking, and moderate movement can be allowed to avoid limitation of movement in the later stage. The affected limb is protected in a sling for three weeks, and hand activities can be performed immediately after surgery. Hand grasping exercises can promote circulation; wrist and elbow joint mobility exercises can avoid contracture caused by braking, supine position elbow flexion and extension activities, in the elbow joint below the pad a towel roll, support the arm, in order to reduce the biceps pressure. 1, after the operation that is to start the active activities of the elbow and wrist, as well as hand grasping exercises; the second week after the operation, you can carry out scapular activity exercises. A. Grasping exercises: the affected limb clenches the fist with force for 6 seconds, then stretches 5 fingers with force for 6 seconds. One grasp and one release is 1 stroke, 12-36 strokes each time, 6-8 times a day. B. Palm flexion and dorsiflexion: slowly dorsiflex the wrist joint of the affected limb to the limit, and then slowly flex it to the limit, one extension and one flexion for 1 stroke, 12-36 strokes for each movement, 6-8 times a day. C. Left and right palm swing: the affected limb five fingers straight, palm to the ulnar side, radial side swing back and forth. One back and forth for 1, each time 12-36 times, 6-8 times a day. D, elbow rotation: the healthy hand to support the upper arm of the affected limb in order to brake the affected shoulder, gradually rotate the elbow joint, rotate forward and backward for 1, 12-36 times each time, 8-10 times a day. E, elbow flexion and extension: the healthy hand to support the affected arm to brake the affected shoulder, and gradually extend the elbow flexion activities, an extension and flexion for 1, 12-36 times each time, 8-10 times a day F, unarmed scapular resistance loosening: the patient is lying on the side, the healthy side downward, the physician to assist the patient with scapular anterior extension, posterior retraction, elevation and depression of the movement, training to a certain degree after the unarmed application of gentle resistance to resist resistance to scapular The patient should be trained to perform resistance scapular activities. 2. In the 4th week after surgery, remove the sling during training and perform slight pendulum exercises. However, it should be noted that the external rotation should not exceed the neutral position, and the upper limb should not be extended behind the body when the elbow joint is straightened. A. Pendulum exercise: the patient’s body flexes forward (bends at the waist), the hands hang down (or the healthy hand holds the table), and does front and back swing and clockwise and counterclockwise rowing circles, 5-10 times/day. Ensure that this exercise is passive during training, starting from the trunk and driving the shoulder joint in different planes to do small arc movement. B, deltoid isometric exercises: patient neutral position, axillary elbow medial pad a towel roll, so that the arm has a gentle abduction (modified neutral position), flexion of the elbow 90 ° side shoulder against the wall, resistance wall abduction, for deltoid muscle slight resistance isometric contraction. Stage 2 (5-8 weeks postoperatively) This stage focuses on external rotation and forward flexion exercises, and avoids tense biceps activities such as scratching behind the back or combing the hair. 1, passive external rotation exercises, 6 weeks internal and external rotation is limited to 30 °, 8 weeks is limited to 60 ° passive external rotation exercises: supine outside, the affected side of the upper limb is in abduction 30 ° – 45 °, the upper arm under the padded towel roll, so that the humeral head to maintain the plane of the scapula, the healthy side of the upper limb transverse grip therapeutic rod, to assist the affected shoulder for internal and external rotation activities, the exercise must be carried out in a painless and limited degree of activity. 2, passive or active flexion exercises: forward flexion in the plane of the scapula (you can put a towel roll on the upper arm or behind the elbow, so that the upper arm and the frontal plane at an angle of 30 ° – 45 °), the position of the joint capsule is minimally compressed, the glenoid labrum of the joint and the humeral head of the coordination between the humerus is better, the angle of forward flexion is not more than 90 ° A, passive forward flexion exercises: supine position, the affected side of the upper limb is in adduction of 30 ° – 45 °, completely in the healthy side of the upper limb role Passive elevation of the affected limb, 3-5 times a day activity exercise, training to avoid pain B, active forward bending exercises: supine position, the affected side of the upper limb is in abduction 30 ° – 45 °, active elevation of the affected limb, if the effort can be placed on the top of a pulley, in the heavy or healthy limbs under the help of the affected limb, 3-5 times a day, and gradually increase the exercise activities, training to avoid pain 3, wall climbing exercises: stand facing the wall, the affected side of the hand on the wall, fingers up the wall, climb up the wall. Wall climbing exercises: stand facing the wall, with the affected side holding the wall with the hand, climb upwards with the fingers, gradually. 10-20 round trips each time, 3-5 times a day. 4.If the patient’s symptoms allow, rotator cuff or deltoid muscle isometric exercises can be carried out. Apply cold compresses after exercise to reduce pain and inflammation. A. Isometric contraction of rotator cuff muscle group: with the patient lying on his back, shoulder abduction of 30°-45°, a pillow or folded towel under the distal upper arm, applying gentle resistance to the forearm in all directions, so that the patient can carry out the rhythmic stability exercise against unarmed resistance, which will trigger the mild isometric contraction of rotator cuff muscle group. B. Isometric contraction of rotator cuff muscles: with the patient in a neutral position and a towel roll under the armpit and inside the elbow, the arm was gently abducted (modified neutral position), and the elbow was flexed at 90° to apply resistance in all directions, so as to carry out isometric contraction of rotator cuff muscles and deltoid muscles against resistance. C, hold the barrel exercise: the patient standing position, both arms in the scapular plane straight (that is, the upper arm and the frontal plane into 30, or the body as the axis of the two arms angle of about 120), slowly raise both arms, the action is similar to hold up a large barrel 4, scapular peripheral muscle exercises A, shrug exercises, training scapula upward lift, an up and a down for a whole down, each time 12-24, 8-10 times a day B, scapular resistance isotropic contraction Exercise: prone position, close to the bedside to facilitate the affected limb hanging down, holding a dumbbell or other heavy objects, resistance scapula retraction, one up and one down for 1 whole down, 6-8 each time, 8-10 times a day C. Spreading the arm scapulae inward exercise: prone position, the upper arm spread parallel to the shoulder, palm down, try to inwardly closed scapulae, resistance to gravity stays in mid-air, exercise scapular inward muscles. 5, continue to flexion exercises, the angle of forward bending more than When the angle of forward flexion is more than 110°, pulley resistance exercise can be used Stage III training (9-14 weeks after surgery) This stage starts internal rotation assisted or active activities, and biceps tension activities and strength exercises, after 12 weeks, such as internal/external rotation up to 90°/90°. Over-the-head activities such as shooting exercises can be started. A, touching the ear internal retraction and internal rotation exercises: with the affected side of the hand across the face to touch the opposite side of the ear, gradually transition to the back of the neck, to avoid excessive movement and obvious pain, 3-5 times a day. B. Behind the back hand pulling exercise: standing position behind the hand, to the healthy side of the affected limb to pull, so that its internal rotation, 3-5 times a day. C, back rubbing exercises: standing position, the affected limb in the back of the waist and back, the healthy limb in the back of the neck and shoulder, respectively, grasping the elastic band or towel ends, in the healthy limb pulling the affected limb to drive the internal rotation, the action is similar to behind the back rubbing, 3-5 times a day. D, dumbbell exercises: the patient’s back against the wall, the back of the upper arm against the wall to provide a fulcrum, bilateral simultaneous biceps strength exercises, the weight of the dumbbells gradually increase, 3-5 times a day. Note: According to the patient’s occupation (athletes or non-athletes), injury, surgery, etc., the rehabilitation program has individualized characteristics, so this article is for reference only, the specific rehabilitation process needs to be carried out under the guidance of the surgeon or physical therapist.