SLAP tears

Question 1

Where is the biceps anchor located?

Answer 1

supraglenoid tubercle

Question 2

What type of cartilage covers the superior rim of the glenoid?

Answer 2

hyaline cartilage

Question 3

Where does the biceps tendon insert into on the labrum?

Answer 3

superior labrum

Question 4

What is the most common complaint with a SLAP tear?

Answer 4

pain

Question 5

SLAP Tear Type ___: fraying and a degenerative appearance of the superior labrum

Answer 5

type I

Question 6

SLAP Tear Type ___: A detachment of the superior labrum from the supraglenoid tubercle

Answer 6

type II

Question 7

SLAP Tear Type ___: Bucket handle tear that is displaced into the joint while the biceps nerve root remains stable

Answer 7

type III

Question 8

SLAP Tear Type ___: A bucket handle tear where the tear propagates into the biceps tendon

Answer 8

type IV

Question 9

What are the MOAs for a SLAP tear?

Answer 9

repetitive throwing
hyperEXT
FOOSH
trauma
heavy lifting
contracture of postero-inferior GH ligament in throwers

Question 10

definition: probability of a positive test among patients with slap lesions

Answer 10

sensitivity

Question 11

definition: probability of a negative test among patients without SLAP lesions

Answer 11

specificity

Question 12

(true/false) One test can definitely diagnose SLAP lesions

Answer 12

false

Question 13

What is the SLAP lesion test cluster?

Answer 13

Biceps load I
Biceps Load II
SPEEDS

Question 14

What types of SLAP tears often require surgery?

Answer 14

II and IV

Question 15

What are the post-surgical rehabilitation phases for type II slap tears?

Answer 15

1. protective phase
2. moderate protection phase
3. minimum protective phase
4. advanced strengthening phase
5. RTA

Question 16

Phase one of Type II SLAP lesion rehabilitation is week ___-___.

Answer 16

1-6

Question 17

Phase two of Type II SLAP lesion rehabilitation is week ___-___.

Answer 17

7-12

Question 18

What are clinical milestones of a type ii tear to progress to phase ii?

Answer 18

FLX: 125
ABD: 70
scapular IR: 40
ER: 40
3 to 4/5 MMT for RTC mm

Question 19

The goal for RTC rehabilitation s/p surgery is to progressively restore full ROM by week ____.

Answer 19

10

Question 20

What are clinical milestones of a type ii tear to progress to phase iii?

Answer 20

FLX: 160
ABD: 150
scapular ER: 65
ER: 40
ABD: 90 w/ ER: 45
4/5 MMT for RTC
AROM w/o pain

Question 21

Phase three of Type II SLAP lesion rehabilitation is week ___-___.

Answer 21

13-20

Question 22

What are clinical milestones of a type ii tear to progress to phase iv?

Answer 22

• 5/5 MMT
• Full symmetrical posterior shoulder mobility
• w/in 10 degrees of full AROM from the opposite side in all planes of motion

Question 23

Phase four of Type II SLAP lesion rehabilitation is week ___-___.

Answer 23

21-26

Question 24

How long does it take to get to phase V of rehabilitation?

Answer 24

6-9 months

Question 25

(true/false) Overhead athletes are less likely to return to pre-injury level of performance following surgery as compared to non-athletes

Answer 25

true

Question 26

(true/false) Overhead athletes are more likely to return to full pre-injury level of performance

Answer 26

false (less likely)

Question 27

Elite overhead athletes require a (shorter/longer) period of rehabilitation following surgery compared to non-athletes in order to return to pre-injury level of performance

Answer 27

longer

Question 28

RTS for ELITE overhead athletes is about ___-___ months.

Answer 28

11-13 months

Question 29

RTS for overhead athletes is ___-___ months.

Answer 29

6-9 months