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19 Cards in this Set
- Front
- Back
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what is the definition of a SLAP lesion
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superior labral anterior and posterior lesion
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what are the S and S of a SLAP lesion
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1) related to overhead activities
2) pain with overhead activities 3) deep pain within the joint 4) hard to diagnose even with an MRI 5) clicking, snapping, locking 6) slight GHJ instability 7) "rotator cuff tendinitis" that doesnt get better |
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why is a SLAP lesion hard to dx even on a MRI
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because htey resemble a hooked acromion or a RC tear/tendinitis
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what is a type 1 SLAP lesion
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1) frayed super labrum
2) biceps tendon and labral attachment are still intact |
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what is a type 2 SLAP lesion
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1) frayed superior labrum
2) attachment of superior labrum comprimised 3) instability of the labral biceps tendon |
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what is a type 3 SLAP lesion
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1) bucket handle tear of the labrum
2) labral biceps tendon is intact |
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what is a type 4 SLAP lesion
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1) bucket handle tear of the labrum
2) labral tear extends into biceps tendon 3) biceps tendon is allowed to usblux the joint |
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what is the treatment for type 1 SLAP lesion
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1) surgical debridement of frayed labrum
2) preservation of attachmetn of labrum and biceps tendon 3) rehabilitation |
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what is the treatment for type 2 SLAP lesion
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1) surgical debridement of frayed lesion
2) reattachment of superior glenoid labrum and biiceps tendon using absorbable tack 3) rehabiliataion |
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what is the treatment for a type 3 SLAP lesion
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bucket handle tear is excised and rehab
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what is the treatment for a type 4 SLAP lesion
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1) bucket handle tear is excised
2) split portion of biceps is either excised or tenodesed 3) rehav |
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what type of SLAP lesions have the shortest rehab (and why
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1 and 3- becasue biceps tendon is not involved
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does excision of the bucket handle in a SLAP lesion affect stability
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no because we dont dislocated superior
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what are the treatment protocols for a SLAP lestion type 1 and 3
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1) sling 1-2 weeks
2) initiate PROM/AAROM right away 3) initiate isometrics within a few days (except biceps) 4) Full AAROM shoudl be achieved within 4 weeks 5) initiate RROM at 3 weeks 6) return to activities in about 2 months |
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when can you initiate ER/IR tubing in a type 1 or 3 SLAP
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at 0 degrees of ABD at 7-10 days
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when are bicep isometrics initiated in a type 1 or 3 SLAP
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5-7 days post op
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what are the treatment protocols for a type 2 and 4 SLAP
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1) sling for 4 weeks
2) PROM/AAROM first 6 weeks 3) initiate isometrics within a few days (EXCEPT BICEPS) 4) Full AAROM should be achieved within 8-9 weeks 5) initiate light RROM at 6 weeks (biceps at 9 weeks) 6) return to activities in about 6-9 months |
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differentiate the return to activities between 1/3 and 2/4 slap lesions
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1/3 return is 2 months
2/4 6-9 months |
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when would you initiate light RROM for the biceps
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at 9 weeks
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