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:
- 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
- 8 Key Tests for Diagnosing SLAP Tears in the Shoulder
- 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:
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.
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.
Reinold, M. (n.d.). Clinical Examination of Superior Labral (SLAP) Tears. Retrieved from https://mikereinold.com/clinical-examination-of-superior-labral-slap-tears/
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.
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.