SLAP Tears [Surgery vs. Physical Therapy] Physical Therapist Guide – FPF Show Episode 132

By dpope2020

May 10, 2024

biceps tenodesis, dan pope, fitness pain free, injury, labral tear, labral tear shoulder, labrum, labrum tear, orthopedics, pain, physical therapist, physical therapy, physio, physiotherapist, rehab, rotator cuff, Shoulder, shoulder exercises, shoulder injury, Shoulder Pain, shoulder slap tear, shoulder surgery, slap lesion, slap repair, slap repair with biceps tenodesis, SLAP tear, slap tear exercises, slap tear rehab, slap tear shoulder, sports injury, sports medicine, surgery

SLAP Tears [Surgery vs. Physical Therapy] Physical Therapist Guide - FPF Show Episode 132

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In today's video we go over SLAP Tears [Surgery vs. Physical Therapy] Physical Therapist Guide - FPF Show Episode 132: 


  • 0:00 - Intro
  • 0:33 Why physical therapists need to know about surgical vs. Non-operative management of SLAP Tears
  • 1:53 Why return to sport rates may not be as important as return to play at the same rate
  • 5:36 How return to sport rates vary widely between different sports (Baseball Pitcher vs. Weight Lifters)
  • 8:06 What do SLAP Tear Non-operative Rehab Protocols looks like and what are the return to sport criteria?
  • 10:16 How GIRD (gleno-humeral internal rotation deficits) are outdated and total arc is more important
  • 13:14 What are return to sport rates after SLAP Tear Conservative Management?
  • 16:02 What are the average time frames for returning to play after conservative management of SLAP Tears
  • 16:38 How many physical therapy visits on average did patients need to complete SLAP Tear Rehab?
  • 17:12 What factors predict failure of Non-operative physical therapy?
  • 24:49 If we don't surgically repair SLAP Tears are we setting patients up for long term failure?
  • 26:16 What are the average return to sport rates after SURGICAL management of SLAP Tears?
  • 26:38 What surgeries are used to help patients with SLAP Tears?
  • 30:42 Is biceps tenodesis effective for SLAP Tears?
  • 33:23 Can strength and fitness athletes return to sport at similar rates of performance after SLAP tear surgery?

Hmmmm, so many choices....


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  1. 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.

  2. Abdul-Rassoul H, Defazio M, Curry EJ, Galvin JW, Li X. Return to Sport After the Surgical Treatment of Superior Labrum Anterior to Posterior Tears: A Systematic Review. Orthop J Sports Med. 2019 May 6;7(5):2325967119841892. doi: 10.1177/2325967119841892. PMID: 31106221; PMCID: PMC6506928.

  3. Waterman BR, Newgren J, Richardson C, Romeo AA. High Rate of Return to Sporting Activity Among Overhead Athletes With Subpectoral Biceps Tenodesis for Type II SLAP Tear. Arthroscopy. 2023 Jan;39(1):11-16. doi: 10.1016/j.arthro.2022.07.017. Epub 2022 Aug 18. PMID: 35987458.

  4. 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.