Orthopedics Book

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SLAP Lesion

Aka: SLAP Lesion, Superior Labrum Anterior to Posterior Tear, Labral Tear, Glenoid Labrum Tear
  1. See Also
    1. Biceps Tenosynovitis
    2. Biceps Tenosynovitis
    3. Biceps Tendon Rupture
    4. Biceps Tendon Instability
    5. Distal Biceps Tendinopathy
  2. Pathophysiology
    1. Superior Labrum Anterior to Posterior Tear (SLAP Lesions)
      1. Associated with Biceps Tenosynovitis
      2. Superior labrum is more weakly attached to glenoid than inferior labrum
    2. Posterosuperior Labral Tears
      1. Less common than SLAP Lesions
      2. Secondary to fraying related to Internal Shoulder Impingement
  3. Pathophysiology: Mechanism of Injury
    1. Direct blow to Shoulder
    2. Fall on an outstretched hand
    3. Repetitive overhead motion
      1. SLAP Lesions are the most common labral injury in overhead throwing
  4. Symptoms
    1. Locking, catching or popping sensation felt in the Shoulder
  5. Signs
    1. Most reliable tests for Labral Tear
      1. Jobe Relocation Test (Shoulder Apprehension Test)
      2. O'Brien Test
      3. Anterior Slide Test
    2. Bicipital Tendonitis tests (associated with SLAP Lesions)
      1. Speed Test
      2. Yergason Test
  6. Imaging: MR Arthrography of the Shoulder
    1. Anterior Labral Tears in adults
      1. Test Sensitivity: 95%
      2. Test Specificity: 100%
    2. Superior Labral Tears
      1. Test Sensitivity: 60%
    3. Posterior Labral Tears
      1. Test Sensitivity: 50%
  7. References
    1. Edmonds (2014) Am Fam Physician 89(7): 537-41 [PubMed]

Glenoid labrum tear (C0410340)

Concepts Injury or Poisoning (T037)
SnomedCT 202332000
English glenoid labrum tears, glenoid labrum tear, of glenoid labrum tear, Glenoid labrum tear, Tear of glenoid labrum, Glenoid labrum tear (disorder)
Spanish desgarro del rodete glenoideo (trastorno), desgarro del rodete glenoideo, ruptura del rodete glenoideo (trastorno), ruptura del rodete glenoideo
Sources
Derived from the NIH UMLS (Unified Medical Language System)


slap lesion (C0949191)

Concepts Disease or Syndrome (T047)
ICD10 S43.43
English SLAP lesion, lesions slap, lesion slap, slap lesion
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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