What is a peel back SLAP lesion? Burkhart and Morgan4 have hypoth- esized that a “peel-back” mechanism may produce a SLAP lesion in the over- head athlete. They believe that when the shoulder is placed
What is a peel back SLAP lesion?
Burkhart and Morgan4 have hypoth- esized that a “peel-back” mechanism may produce a SLAP lesion in the over- head athlete. They believe that when the shoulder is placed in a position of abduc- tion and maximal external rotation, the rotation causes a torsional force at the base of the biceps.
How do SLAP lesions occur?
A SLAP lesion is mainly caused by a fall on an outstretched arm where there is an important superior compression on the labrum which causes a tear of the labrum. A typical symptom is intermittent pain that also occurs in overhead movements.
How do you treat a torn shoulder labrum?
Labral tears are often treated with rest, over-the-counter medications, and physical therapy. If you have a Bankart tear, your doctor (or even your coach or trainer) may be able to pop your upper arm back into place. This should be followed by physical therapy.
Is a SLAP tear the same as a labrum tear?
A SLAP tear is also referred to as a labral tear, or a tear or lesion to the labrum. This injury tends to develop over time due to repetitive movements. It can also result from acute trauma or age.
What is a Type II SLAP lesion?
Type 2 is the comonest type of SLAP tear. The superior labrum is completely torn off the glenoid, due to an injury (often a shoulder dislocation). This type leaves a gap between the articular cartilage and the labral attachment to the bone.
How do you treat a SLAP lesion?
SLAP tear treatment
- Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs like ibuprofen and naproxen help relieve pain and swelling. These drugs are available over-the-counter.
- Ice. Applying ice on your shoulder will also reduce the pain.
- Rest. Rest will allow your shoulder to heal.
Can you fix a SLAP tear without surgery?
Can You Heal a SLAP Tear Without Surgery? SLAP injuries cannot be healed naturally, and often times surgery is needed to make a full recovery. However, patients usually begin treatment with 6-12 weeks of physical therapy to see how their shoulder responds.
Can you fix a torn labrum without surgery?
Surgery is often recommended to repair a torn labrum. However, exercise can also be a very effective treatment option. Non-operative management includes non-steroidal anti-inflammatory drugs and steroid injections to decrease pain and inflammation.
Will a SLAP tear show up on an MRI?
An MRI scan is often done to diagnose a SLAP tear and other potential injuries to the muscles, tendons, ligaments, and cartilage in the shoulder. Because of the many overlapping and interwoven structures in the shoulder, it is possible for an MRI scan to miss a smaller tear.
What are the 4 types of SLAP lesions?
SLAP Lesion
| SLAP Classification | |
|---|---|
| Type | Description |
| I | Labral and biceps fraying, anchor intact (11% of cases) |
| II | Labral fraying with detached biceps tendon anchor (41% of cases) |
| III | Bucket handle tear, intact biceps tendon anchor (33% of cases) (Biceps separates from bucket handle tear) |
Why do they call it a SLAP tear?
The term SLAP stands for Superior Labrum Anterior and Posterior. In a SLAP injury, the top (superior) part of the labrum is injured. This top area is also where the biceps tendon attaches to the labrum. A SLAP tear occurs both in front (anterior) and back (posterior) of this attachment point.
What is the peel back mechanism in a slap?
The peel-back mechanism is a likely cause of one type of SLAP lesion. As the shoulder is rotated outward (like a pitcher reaching back to throw the ball), the base of the biceps twists. An increased load goes to the labrum. The actual peel-back sign can only…
Why do I have a peel back sign on my Shoulder?
The peel-back mechanism is a likely cause of one type of SLAP lesion. As the shoulder is rotated outward (like a pitcher reaching back to throw the ball), the base of the biceps twists. An increased load goes to the labrum. The actual peel-back sign can only be seen visibly during the arthroscopic exam.
What causes the labrum to peel back after surgery?
A torsional load is transmitted to the superior labrum. If there’s a tear in the back half of the labrum, this twisting of the biceps actually peels back the labrum. Surgery is needed to stitch the labrum back in place.