A SLAP tear or lesion occurs when there is damage to the top of the labrum, or where the biceps tendon connects to the labrum. The shoulder is one of the most complex joints in the body; it is held together by an intricate network of tendons, ligaments and soft tissue.
The labrum is a piece of cartilage that serves an important function in this network. See Soft Tissues of the Shoulder. The humerus head, or the top of the humerus bone in the arm, fits into the glenoid—but it is not a tight fit because the humerus head is usually larger than the glenoid socket.
See Guide to Shoulder Anatomy. In theory, SLAP lesions most likely occur in overhead athletes from a combination of these 2 previously described forces. The eccentric biceps activity during deceleration may serve to weaken the biceps-labrum complex, while the torsional peel back force may result in the posterosuperior detachment of the labral anchor.
If you want to learn even more about the shoulder, my online course will teach you exactly how I evaluate and treat the shoulder. It is packed with tons of educational content that will help you master the shoulder, including detailed information on the clinical examination and treatment of SLAP tears.
Shoulder impingement is a really broad term that is used too often. Unfortunately, the use of such a broad term as a diagnosis is not helpful to determine the treatment process. To make the treatment process for shoulder impingement a little more simple, there are 3 things that I typically consider to classify and differentiate shoulder impingement. Accurately measuring strength is an important part of any injury evaluation or performance assessment.
I help people feel better, move better, and perform better. I want to help you learn to do the same. Skip to content. Share on facebook Facebook. Share on twitter Twitter. Share on linkedin LinkedIn. This surgery is more successful in patients under age 40, but remains the treatment of choice for high-level overhead athletes. Older patients are more likely to have better outcomes from biceps tenodesis or tenotomy. When applied to appropriate surgical candidates, newer surgical techniques are allowing competitive many athletes to return to their chosen sport and continue to perform at a high level.
While the surgery is typically done arthroscopically as an outpatient meaning patients go home the same day , the recovery is the hard part. Most patients are in a sling for six weeks then get more aggressive in physical therapy to work on stretching and strengthening.
Athletes gradually start returning to sport by about four months from surgery with full, unrestricted play on average by six months. SLAP Tear. What is a SLAP tear? What causes a SLAP tear? What are the symptoms of SLAP tear? How is SLAP tear diagnosed? How is a SLAP tear treated? How successful is SLAP tear surgery? Team Physicians for the Portland Trail Blazers. Skip to main content. What is a SLAP tear? What causes a SLAP tear?
The following scenarios may also cause a SLAP tear: Repetitive use of the shoulder in throwing sports Rapid over the shoulder or overhead movement Shoulder dislocation Acute trauma from a motor vehicle accident Falling onto an outstretched arm in front of or to the side of the body Falling onto the shoulder Forceful pulling of the arm Lifting heavy objects Degeneration, or the wearing down of the labrum What symptoms are associated with SLAP tears?
SLAP Tear Symptoms: Deep, aching pain Popping, clicking, catching, locking or grinding in the shoulder Decreased range of motion Shoulder instability Pain when lifting or carrying objects Pain when moving the arm or shoulder Decreased shoulder strength Treatment Initial treatment methods for SLAP tears are typically nonsurgical.
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