Slap Tear Essay

2242 Words May 4th, 2016 9 Pages
SLAP Lesion Tear
A SLAP lesion tear is an injury to the shoulder. This can cause painful symptoms and difficulty with overhead activities whether they be athletic or those of daily living. In 1985, Andrews et al were the first to describe the superior labrum tear. In their experience, they identified tears of the labrum from throwing athletes located anterosuperor near the origin of the bicep tendon. The cause of the lesion to tear was the bicep tendon being pulled off the labrum from the force generated during the throwing motion. As time went on, the labral tears got categorized into four different types of classifications called SLAP lesions by Snyder in 1990. A SLAP lesion, as described by Snyder involves tears of the superior
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Both Walch et. al and Burkart et.al are both causes to SLAP lesions but in a different form. Internal impingement typically involves repetitive abducting and externally rotating arm motions and positions. This consists of volleyball and tennis players. Whereas the peel back is seem more in baseball players in the late cocking and early deceleration phases. Both hurting the shoulders but in different places of different motions and force.
Snyder et al classified detachments of the labrum into five types. Type 1: Degenerative fraying of the labrum near the insertion of the long head of the biceps tendon. Type 2: Avulsion of the glenoid labrum with a tear of the LHBT. Biceps anchor peels off from the supraglenoid tubercle with the associated detachment of the labrum extending anteriorly and or posteriorly. Type 3: Bucket handle tear of the superior tear of the superior labrum without involvement of the biceps anchor. Type 4: Bucket handle tear and tearing of the LHBT. And type 5: SLAP with Bankhart lesion.8
During examination, examiner will first ask questions to the patient to see if this injury was an acute or chronic injury. Second, observe the patient if he or she has a gait problem or a forward shoulder posture. Third, the examiner will palpate and usually present pain, clicking, or popping. Soon after the examiner will test with range of motion, strength, and stability of the shoulder. Examiner may also inspect the neck and head to make sure the pain is

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