Description

Powerpoint Presentation: Slap lesion

A SLAP tear or SLAP lesion is an injury to the glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity). SLAP is an acronym for “superior labral tear from anterior to posterior“.

Several symptoms are common but not specific:

• Dull, throbbing, ache in the joint which can be brought on by very strenuous exertion or simple household chores.
• Difficulty sleeping due to shoulder discomfort. The SLAP lesion decreases the stability of the joint which, when combined with lying in bed, causes the shoulder to drop.
• For an athlete involved in a throwing sport such as baseball, pain and a catching feeling are prevalent. Throwing athletes may also complain of a loss of strength or significantly decreased velocity in throwing.
• Any applied force overhead or pushing directly into the shoulder can result in impingement and catching sensations.

Content:

• Description
• SLAP CLASSIFICATION
• EPIDEMIOLOGY/AETIOLOGY
• MECHANISMS OF INJURY
• EXAMINATION
• PHYSICAL THERAPY MANAGEMENT
• REFERENCES

References:

• ANDREWS JR et al., Glenoid labrum tears related to the long head of biceps. Am J Sports Med., 1985;13:337–341
• SNYDER SJ et al., SLAP lesions of the shoulder. Arthroscopy., 1990;6:274–279
• CHRISTOPHER C. et al., SLAP Lesions: An Update on Recognition and Treatment. J Orthop Sports Phys Ther, 2009; 39(2):71-80
• KOZIAK A. et al, Magnetic resonance arthrography assessment of the superior labrum using the BLC system: age-related changes mimicking SLAP-2 lesions. Skeletal Radiology, 2014;43: 1065 – 1070
• POWELL S.E. et al., The Diagnosis, Classification, and Treatment of SLAP Lesions. Oper Tech Sports Med, 2012;20 (1):46 – 56
• MANSKE R. et al., Superior labrum anterior to posterior (SLAP) rehabilitation in the overhead athlete. Phys Ther Sport., 2010;110-121
• WILK K.E. et al, The recognition and treatment of superior labral (SLAP) lesions in the overhead athlete. Int. J. Sports Phys. Ther., 2013; 8(5): 579-600
• NURI A. et al., Superior labrum anterior to posterior lesionsof the shoulder: Diagnosis ans arthoscopic management. World J. Orthop., 2014; 5(3): 344-350
• HURI G. et al, Treatment of superior labrum anterior posterior lesions: a literature review. Acta Orthop Traumatol Turc., 2014;48(3): 290-297
• EDWARDS S.L. et al., Non operative treatment of superior labrum anterior posterior tears – improvements in pain function and quality of life. Am J Sports Med., 2010;38:1456–1461
• MAENHOUT A. et al., Quantifying acromiohumeral distance in overhead athletes with glenohumeral internal rotation loss and the influence of a stretching program. Am J Sports Med., 2012;40(9):2105-2112
• COOLS A .M. et al., Rehabilitation Exercises for Athletes With Biceps Disorders and SLAP Lesions: A Continuum of Exercises With Increasing Loads on the Biceps. Am J Sports Med.,2014 ;42(6):1315-1322

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