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Glenoid Superior Labrum Anterior to Posterior (SLAP) Lesions

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Orthopedic Surgery Clerkship

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Abstract

Glenoid superior labrum anterior to posterior (SLAP) lesions are a potential source of shoulder pain which may occur due to repetitive stress in overhead/throwing athletes or secondary to acute trauma. SLAP lesions are commonly associated with other shoulder pathology. Clinical examination includes evaluation for potential internal rotation deficits, glenohumeral instability, biceps-specific tests, dynamic shear tests, and evaluation for potential suprascapular neuropathy. MRI with contrast is the preferred diagnostic test, but accuracy is variable. Nonsurgical efforts may be attempted initially with arthroscopic examination of the superior labral/biceps complex being diagnostically definitive. Surgical treatment of SLAP tears depends on the type of tear present and patient-related factors.

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References

  1. Anders J, Carson W, McLead W. Glenoid labrum tears related to the long head of the biceps. Am J Sports Med. 1985;13:337–41.

    Article  Google Scholar 

  2. Rodosky M, Harner C, Fu F. The role of the long head of the biceps muscle and superior glenoid labrum in anterior stability of the shoulder. Am J Sports Med. 1994;22:121–30.

    Article  CAS  PubMed  Google Scholar 

  3. Mileski R, Snyder S. Superior labral lesions in the shoulder: pathoanatomy and surgical management. J Am Acad Orthop Surg. 1998;6:121–31.

    Article  CAS  PubMed  Google Scholar 

  4. Burkart S, Morgan C, Kibler W. The disabled throwing shoulder: spectrum of pathology Part I: pathoanatomy and biomechanics. Arthroscopy. 2003;19:404–20.

    Article  Google Scholar 

  5. Youm T, Matthews P, El Attrache NS. Treatment of patients with spinoglenoid cysts associated with superior labral tears without cyst aspiration, debridement, or excision. Arthroscopy. 2006;22:548–52.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Erie County Medical Centre, Buffalo, NY, USA

    Matthew Binkley MD

  2. University of SUNY Buffalo, Buffalo, NY, USA

    Marc Fineberg MD

Authors
  1. Matthew Binkley MD
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  2. Marc Fineberg MD
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Correspondence to Matthew Binkley MD .

Editor information

Editors and Affiliations

  1. Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA

    Adam E. M. Eltorai

  2. Department of Orthopedic Surgery, Division of Pediatric Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

    Craig P. Eberson

  3. Department of Orthopaedic Surgery, Division of Spine Surgery, Rhode Island Hospital, Providence, Rhode Island, USA

    Alan H. Daniels

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Binkley, M., Fineberg, M. (2017). Glenoid Superior Labrum Anterior to Posterior (SLAP) Lesions. In: Eltorai, A., Eberson, C., Daniels, A. (eds) Orthopedic Surgery Clerkship. Springer, Cham. https://doi.org/10.1007/978-3-319-52567-9_16

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  • DOI: https://doi.org/10.1007/978-3-319-52567-9_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52565-5

  • Online ISBN: 978-3-319-52567-9

  • eBook Packages: MedicineMedicine (R0)

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