What Physical Therapists Need to Know About SLAP Tears: FPF Show Episode 130

By dpope2020

April 26, 2024

dan pope, fitness pain free, labral tear, labral tear shoulder, labrum tear, physical therapist, physical therapy, physio, rotator cuff, rotator cuff tear, Shoulder, shoulder labral tear, shoulder labrum injury, Shoulder Pain, shoulder slap tear, slap lesion, SLAP tear, slap tear exercises, slap tear physical therapy exercises, slap tear rehab, slap tear shoulder, slap tear stretches, slap tear treatment, sports medicine, superior labral anterior posterior, torn labrum

What Physical Therapists Need to Know About SLAP Tears: FPF Show Episode 130

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In today's video we go over What Physical Therapists Need to Know About SLAP Tears: FPF Show Episode 130: 

Timeline:

  • 0:00 - Intro
  • 0:46 SLAP Tears anatomy review
  • 1:20 SLAP tear history and definition
  • 1:52 Explaining different types of SLAP Tears
  • 6:42 Visual demonstration of different SLAP tears
  • 9:50 Different mechanisms of injury of SLAP Tears
  • 21:03 How common are asymptomatic SLAP tears in a general population? 
  • 26:18 Is SLAP pathology common in the strength and fitness community?
  • 32:10 How common is SLAP pathology by age group?
  • 34:23 How common are SLAP Tears in overhead athletes?
  • 38:22 Are SLAP tears associated with other injuries (rotator cuff pathology, other labral tears)

SLAP Tears, maybe the best type of labral tear?

- Dan Pope DPT,OCS,CSCS

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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. Lasanianos, N.G., Panteli, M. (2015). SLAP Lesions. In: Lasanianos, N., Kanakaris, N., Giannoudis, P. (eds) Trauma and Orthopaedic Classifications. Springer, London. https://doi.org/10.1007/978-1-4471-6572-9_8

  3. Morgan CD, Burkhart SS, Palmeri M, Gillespie M. Type II SLAP lesions: three subtypes and their relationships to superior instability and rotator cuff tears. Arthroscopy. 1998 Sep;14(6):553-65. doi: 10.1016/s0749-8063(98)70049-0. PMID: 9754471.

  4. 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.

  5. Bernstorff MA, Schumann N, Schwake L, Somberg O, Balke M, Schildhauer T, Königshausen M. Shoulder pathologies in CrossFit: a magnetic resonance imaging study of 51 cases. J Sports Med Phys Fitness. 2024 Mar 6. doi: 10.23736/S0022-4707.24.15071-2. Epub ahead of print. PMID: 38445843.

  6. Steinmetz RG, Guth JJ, Matava MJ, Brophy RH, Smith MV. Return to play following nonsurgical management of superior labrum anterior-posterior tears: a systematic review. J Shoulder Elbow Surg. 2022 Jun;31(6):1323-1333. doi: 10.1016/j.jse.2021.12.022. Epub 2022 Jan 19. PMID: 35063641.

  7. Carbone S, Candela V, Gumina S. High Rate of Return to CrossFit Training After Arthroscopic Management of Rotator Cuff Tear. Orthop J Sports Med. 2020 Apr 1;8(4):2325967120911039. doi: 10.1177/2325967120911039. Erratum in: Orthop J Sports Med. 2020 May 30;8(5):2325967120928365. PMID: 32284944; PMCID: PMC7139188.

  8. Lansdown DA, Bendich I, Motamedi D, Feeley BT. Imaging-Based Prevalence of Superior Labral Anterior-Posterior Tears Significantly Increases in the Aging Shoulder. Orthopaedic Journal of Sports Medicine. 2018;6(9). doi:10.1177/2325967118797065

  9. Mathew CJ, Lintner DM. Superior Labral Anterior to Posterior Tear Management in Athletes. Open Orthop J. 2018 Jul 31;12:303-313. doi: 10.2174/1874325001812010303. PMID: 30197712; PMCID: PMC6110067.

  10. Thumbnail Image: File URL: https://upload.wikimedia.org/wikipedia/commons/5/5d/SLAP-Lesion-before-after-IT.jpg- Attribution: SLAP-Lesion-front-2.jpg: B3t SLAP-Lesion-front-3.jpg: B3t SLAP-Lesion-side-1.jpg: B3t SLAP-Lesion-side-2.jpg: B3t derivative work: B3t, CC BY-SA 3.0, via Wikimedia Commons- Edited by fitness pain free LLC