SLAP/Labral Tears

Question 1

Labral Tear Diagram

Answer 1

Question 2

All labral tears will have what type if MOI?

Answer 2

Traumatic/Sudden Onset

Question 3

Pain Descriptions?

Answer 3

Deep anterior shoulder Pain, not easy to localize

Question 4

Subjective Complaints?

Answer 4

• Clicking
• Clunking
• Locking

Question 5

What/How to Perform the O’Brien Test?

Answer 5

PURPOSE: To detect SLAP (Type II) or superior labral lesions

DESCRIPTION: Two-part test. The patient stands with his or her involved shoulder at 90 degrees of flexion, 10 degrees of horizontal adduction, and maximum IR with the elbow in extension. In this position, the patient then resists a downward force applied by the clinician to the distal arm. The test is then repeated in the same manner except that the arm is positioned in maximum ER.

RESULT: If pain on the joint line or painful clicking is produced inside the shoulder (not over the acromioclavicular joint) in the first part of the test and eliminated or decreased in the second part, the test is considered positive for labral abnormalities.

Question 6

What/How to Perform the Biceps Load II Test?

Answer 6

PURPOSE: To detect SLAP (Type II) or superior labral lesions

DESCRIPTION: Two-part test. The patient stands with his or her involved shoulder at 90 degrees of flexion, 10 degrees of horizontal adduction, and maximum IR with the elbow in extension. In this position, the patient then resists a downward force applied
by the clinician to the distal arm. The test is then repeated in the same manner except that the arm is positioned in maximum ER.

RESULT: If pain on the joint line or painful clicking is produced inside the shoulder (not over the acromioclavicular joint) in the first part of the test and eliminated or decreased in the second part, the test is considered positive for labral abnormalities.

Question 7

What/How to Perform the Clunk Test?

Answer 7

PURPOSE- Identifies glenoid labrum tear

DESCRIPTION- Patient is supine, with shoulder in full abduction. Push humeral head anteriorly, while rotating humerus externally

RESULT- Audible clunk is heard while performing test

Question 8

MOI for a Bankart Lesion?

Answer 8

Anterior Dislocation

Question 9

MOI for a Reverse Bankart Lesion?

Answer 9

Posterior Dislocation

Question 10

What is a Hill-Sachs Lesion?

Answer 10

An injury that occurs secondary to an anterior shoulder dislocation.

• The posterolateral aspect of the humeral head ‘collides’ with the anterior part of the glenoid.