SLAP Lesion

Question 1

Where does the biceps tendon most commonly attach to the labrum?

Answer 1

Posterior to the 12 o’ clock position

Question 2

What is the classification for SLAP tears?

Answer 2

Snyder:
I- labral and biceps fraying
II-labral fraying; biceps torn (41%)
III- bucket handle labral tear; biceps fraying (33%)
IV- both biceps and labrum torn (15%)
V- SLAP and anterior labral lesion (Bankhart)
VI- SLAP and capsular injury

Question 3

What is the typical presentation of a SLAP tear?

Answer 3

1) positive O’Brien’s
2) Vague delayed onset deep shoulder pain
3) Clicking and popping

Question 4

In what scenario would you not repair a larbral tear found incidentally on arthroscopy?

Answer 4

Pts >45yo; can lead to shoulder stiffness

Question 5

How do you rehab SLAP tears?

Answer 5

week 1-4
sling with passive forward elevation. Avoid extremes of abduction and external rotation
passive and active assisted flexion in the scapular plane
week 4-6
progress to active ROM, isometrics
week 6-12
functional exercise and light strengthening
week 12+
advance strength and ROM, sport-specifics
typical return to sport around 6 months

Question 6

What is a Buford complex?

Answer 6

Normal anatomic variant characterized by a cord-like MGHL and an absent anterosuperior labrum