8 Key Tests for Diagnosing SLAP Tears in the Shoulder
To go along with today's episode I have a nice infographic to share...
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In today's video we go over 8 Key Tests for Diagnosing SLAP Tears in the Shoulder:
Physical therapists know diagnosing SLAP tears can be tricky. This video dives into the most recent study on the most sensitive and specific tests to finally get you closer to a diagnosis!
Here's what you'll learn:
- Common symptoms of SLAP tears
- Why they're more frequent in overhead athletes & with age
- How to perform 8 key tests for SLAP tears: O'Brien's, Speeds, Yurgason's, Anterior Slide, Crank, Dynamic Labral Shear, Biceps Load 2, & Bicipital Groove Tenderness
- Why individual test results might not be the whole picture & how to combine them for better accuracy
Timeline:
- 0:00 - Intro
- 0:15 - Clinical presentation
- 0:30 - Prevalence in athletes
- 0:49 - Prevalence in general population
- 1:20 - O'Brien's Test
- 1:55 - Speed's Test
- 2:35 - Yergason's Test
- 2:56 - Anterior Slide Test
- 3:20 - Crank Test
- 4:03 - Dynamic Labral Shear Test
- 4:29 - Biceps Load 2/Kim 2 Test
- 4:52 - Bicipital Groove Tenderness
- 5:15 - How to make special test more accurate
Happy slappy tears,
- Dan Pope DPT,OCS,CSCS
Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- What Physical Therapists Need to Know About SLAP Tears
- What Physical Therapists Need to Know about Shoulder Instability
- 6 Keys to Shoulder Instability Physical Therapy
- Shoulder Instability Physical Therapy Exercises | Labral Tear, SLAP, Bankart | Open Chain
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Thank you!
Dan Pope DPT, OCS, CSCS
References:
- Dean RS, Onsen L, Lima J, Hutchinson MR. Physical Examination Maneuvers for SLAP Lesions: A Systematic Review and Meta-analysis of Individual and Combinations of Maneuvers. Am J Sports Med. 2023 Sep;51(11):3042-3052. doi: 10.1177/03635465221100977. Epub 2022 Aug 23. PMID: 35997579.
- Andrews JR, Carson WG Jr, McLeod WD. Glenoid labrum tears related to the long head of the biceps. Am J Sports Med. 1985 Sep-Oct;13(5):337-41. doi: 10.1177/036354658501300508. PMID: 4051091.
- Schwartzberg R, Reuss BL, Burkhart BG, Butterfield M, Wu JY, McLean KW. High Prevalence of Superior Labral Tears Diagnosed by MRI in Middle-Aged Patients With Asymptomatic Shoulders. Orthop J Sports Med. 2016 Jan 5;4(1):2325967115623212. doi: 10.1177/2325967115623212. PMID: 26779556; PMCID: PMC4710128.