Abstract
Superior labral tears (SLAP lesions) can pose a significant challenge
to orthopaedic surgeons and rehabilitation specialists alike. Although
advancement in arthroscopic techniques has enhanced arthroscopic
repair of SLAP lesions, the clinical diagnosis of SLAP lesions can
still be difficult. There is a variety of etiologic factors associated
with SLAP lesions and a thorough clinical evaluation is crucial to
make the diagnosis. Concomitant injury to the capsular-labral complex
or rotator cuff is not uncommon and can further confuse the clinical
presentation. The purpose of this paper is to review the pathomechanics,
diagnosis, and treatment of SLAP lesions. We will specifically review
some of the physical examination tests that are used to diagnose
SLAP lesions and report on our technique of arthroscopic repair.
Additionally, we will discuss the operative management of associated
intra-articular pathology and, finally, we will briefly discuss our
postoperative rehabilitation guidelines. LEVEL OF EVIDENCE: Level
5.
- arthroscopy,arthroscopy:
- diagnosis,athletic
- diagnosis,tendon
- injuries,athletic
- injuries,tendon
- injuries:
- methods,athletic
- modalities,rupture,shoulder,shoulder:
- therapy
- therapy,humans,physical
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