Labrum Tear and SLAP Lesion

Question 1

______ is a Fibrocartilaginous ring attached to outer surface of glenoid

(1) Give depth to the shoulder joint
(2) Increases area of contact between humeral head and glenoid
(3) Also serves as point of contact for several ligaments and tendons

Answer 1

Labrum

Question 2

involve injury to the superior glenoid labrum and the biceps anchor complex

Answer 2

Superior labrum anterior posterior (SLAP) lesions

Question 3

True/False

SLAP lession are difficult to diagnose and are often a diagnosis of exclusion, confirmed during surgery

Answer 3

True

Question 4

What Dx
Symptoms
(1) Anterior shoulder pain (in overuse injury)
(2) Clicking/clunking of the shoulder in certain positions
(3) Swelling, parasthesias, severe night pain uncommon
Physical Examination
(1) Palpate the shoulder
-(a) Posterior shoulder tenderness common
—1) Other areas may be tender as well
-(b) Special attention to biceps tendon
Inspect ROM and scapular motion
(1) May be normal

Answer 4

SLAP

Question 4

Symptoms
(1) Anterior shoulder pain (in overuse injury)
(2) Clicking/clunking of the shoulder in certain positions
(3) Swelling, parasthesias, severe night pain uncommon
Physical Examination
(1) Palpate the shoulder
-(a) Posterior shoulder tenderness common
—1) Other areas may be tender as well
-(b) Special attention to biceps tendon
Inspect ROM and scapular motion
(1) May be normal

Question 5

True/False

No single special test on exam has ever been shown to reliably diagnose a SLAP lesion

Answer 5

True