Glenoid Labrum Injury

Question 1

Classification

Answer 1

• Superior Labrum Anterior to Posterior (SLAP)
• Slable
• Unstable
• Non- SLAP

Question 2

How many types of Slap lesions and what are they

Answer 2

• 4 types

- labrum fraying (type 1) to tear which extends into biceps tendon (type 4)

Question 3

What is a Non- SLAP lesion

Answer 3

• Degenerative and vertical labral tears

- Unstable lesion such as Bankarts lesion

Question 4

Mechaism of injury

Answer 4

• Repetitive overhead throwing
• GRID
• Scapula Dyskinesia ( movement of the scapula that is dysfunctional
• Excessive inferior traction ( carrying / dropping or catching a heavy object

Question 5

Clinical features?

Answer 5

• Poorly localized shoulder pain
• Aggravted with arm behind back + overhead activities
• Popping or catching

Question 6

Examination?

Answer 6

• Anterior shoulder tenderness

- Pain on resisted biceps contraction

Question 7

Investigation?

Answer 7

MRI

Question 8

Treatment?

Answer 8

Arthroscopy
- debridement ( type 1 fraying and degeneration)
- reattachment of labrum to glenoid
- Fixation (unstable lesion - bankart lesion)
Address shoulder instability