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Type II SLAP Tear in an 19-Year-Old Baseball Pitcher Treated with SLAP Repair

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The Biceps and Superior Labrum Complex

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Abstract

Superior Labral Anterior-Posterior (SLAP) tears are a common source of shoulder pain, especially in the overhead-throwing athlete. Etiology most commonly involves a repetitive overhead-throwing motion. Direct shoulder trauma such as a fall onto an outstretched hand can also result in tears involving the superior labrum (Keener and Brophy. J Am Acad Orthop Surg 17:627–37, 2009). The case presented describes a collegiate baseball pitcher who presented with shoulder pain in his throwing arm. History, clinical exam, and MRI were highly suggestive of a SLAP tear. After a 4-month course of non-operative management consisting of rest from throwing, a structured physical therapy program focusing on shoulder stretching and strengthening exercises followed by an interval throwing program, he continued to experience shoulder pain with loss of pitch velocity and command. Consequently, surgery was recommended. The patient successfully underwent arthroscopic repair of a type II SLAP lesion. Following surgery, he completed a postoperative rehabilitation program with eventual return to pitching at the collegiate level.

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Author information

Authors and Affiliations

  1. Division of Shoulder and Elbow Surgery, NYU Hospital for Joint Diseases, New York, NY, USA

    Siddharth A. Mahure MD, MBA, Mina M. Abdelshahed MD & Andrew S. Rokito MD

Authors
  1. Siddharth A. Mahure MD, MBA
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  2. Mina M. Abdelshahed MD
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  3. Andrew S. Rokito MD
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Corresponding author

Correspondence to Andrew S. Rokito MD .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Nikhil N. Verma

  2. Division of Sports Medicine, Department of Orthopaedic Surgery NYU Hospital for Joint Diseases, New York, New York, USA

    Eric J. Strauss

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Mahure, S.A., Abdelshahed, M.M., Rokito, A.S. (2017). Type II SLAP Tear in an 19-Year-Old Baseball Pitcher Treated with SLAP Repair. In: Verma, N., Strauss, E. (eds) The Biceps and Superior Labrum Complex. Springer, Cham. https://doi.org/10.1007/978-3-319-54934-7_10

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  • DOI: https://doi.org/10.1007/978-3-319-54934-7_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54932-3

  • Online ISBN: 978-3-319-54934-7

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