SLAP Tear Clinical Examination and Diagnosis – FPF Show Episode 131

By dpope2020

May 3, 2024

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SLAP Tear Clinical Examination and Diagnosis [Physical Therapist Guide] FPF Show Episode 131

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In today's video we go over SLAP Tear Clinical Examination and Diagnosis - FPF Show Episode 131: 

Timeline:

  • 0:00 - Intro
  • 0:40 What will a patient with a SLAP tear report during the subjective examination?
  • 2:02 Differential diagnosis for SLAP pathology
  • 2:28 What should the objective examination look like for patients with SLAP tears?
  • 4:38 Do SLAP tears create shoulder instability and in which direction?
  • 7:18 Why is it difficult to diagnose SLAP tears?
  • 13:22 Are special tests accurate for the diagnosis of SLAP tears?
  • 21:34 What are the most sensitive and specific tests to diagnose SLAP tears?
  • 21:58 How combining tests can improve sensitivity and specificity
  • 26:41 How else can we improve SLAP tear diagnostic accuracy?

I tore my SLAP!

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Dodson CC, Altchek DW. SLAP lesions: an update on recognition and treatment. J Orthop Sports Phys Ther. 2009 Feb;39(2):71-80. doi: 10.2519/jospt.2009.2850. PMID: 19194018.

  2. Cook C, Beaty S, Kissenberth MJ, Siffri P, Pill SG, Hawkins RJ. Diagnostic accuracy of five orthopedic clinical tests for diagnosis of superior labrum anterior posterior (SLAP) lesions. J Shoulder Elbow Surg. 2012 Jan;21(1):13-22. doi: 10.1016/j.jse.2011.07.012. Epub 2011 Oct 28. Erratum in: J Shoulder Elbow Surg. 2012 May;21(5):707. PMID: 22036538.

  3. Reinold, M. (n.d.). Clinical Examination of Superior Labral (SLAP) Tears. Retrieved from https://mikereinold.com/clinical-examination-of-superior-labral-slap-tears/

  4. 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.

  5. Wilk KE, Reinold MM, Dugas JR, Arrigo CA, Moser MW, Andrews JR. Current concepts in the recognition and treatment of superior labral (SLAP) lesions. J Orthop Sports Phys Ther. 2005 May;35(5):273-91. doi: 10.2519/jospt.2005.35.5.273. PMID: 15966539.