SLAP tears Flashcards
Where is the biceps anchor located?
supraglenoid tubercle
What type of cartilage covers the superior rim of the glenoid?
hyaline cartilage
Where does the biceps tendon insert into on the labrum?
superior labrum
What is the most common complaint with a SLAP tear?
pain
SLAP Tear Type ___: fraying and a degenerative appearance of the superior labrum
type I
SLAP Tear Type ___: A detachment of the superior labrum from the supraglenoid tubercle
type II
SLAP Tear Type ___: Bucket handle tear that is displaced into the joint while the biceps nerve root remains stable
type III
SLAP Tear Type ___: A bucket handle tear where the tear propagates into the biceps tendon
type IV
What are the MOAs for a SLAP tear?
repetitive throwing
hyperEXT
FOOSH
trauma
heavy lifting
contracture of postero-inferior GH ligament in throwers
definition: probability of a positive test among patients with slap lesions
sensitivity
definition: probability of a negative test among patients without SLAP lesions
specificity
(true/false) One test can definitely diagnose SLAP lesions
false
What is the SLAP lesion test cluster?
Biceps load I
Biceps Load II
SPEEDS
What types of SLAP tears often require surgery?
II and IV
What are the post-surgical rehabilitation phases for type II slap tears?
- protective phase
- moderate protection phase
- minimum protective phase
- advanced strengthening phase
- RTA
Phase one of Type II SLAP lesion rehabilitation is week ___-___.
1-6
Phase two of Type II SLAP lesion rehabilitation is week ___-___.
7-12
What are clinical milestones of a type ii tear to progress to phase ii?
FLX: 125
ABD: 70
scapular IR: 40
ER: 40
3 to 4/5 MMT for RTC mm
The goal for RTC rehabilitation s/p surgery is to progressively restore full ROM by week ____.
10
What are clinical milestones of a type ii tear to progress to phase iii?
FLX: 160
ABD: 150
scapular ER: 65
ER: 40
ABD: 90 w/ ER: 45
4/5 MMT for RTC
AROM w/o pain
Phase three of Type II SLAP lesion rehabilitation is week ___-___.
13-20
What are clinical milestones of a type ii tear to progress to phase iv?
- 5/5 MMT
- Full symmetrical posterior shoulder mobility
- w/in 10 degrees of full AROM from the opposite side in all planes of motion
Phase four of Type II SLAP lesion rehabilitation is week ___-___.
21-26
How long does it take to get to phase V of rehabilitation?
6-9 months
(true/false) Overhead athletes are less likely to return to pre-injury level of performance following surgery as compared to non-athletes
true
(true/false) Overhead athletes are more likely to return to full pre-injury level of performance
false (less likely)
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
longer
RTS for ELITE overhead athletes is about ___-___ months.
11-13 months
RTS for overhead athletes is ___-___ months.
6-9 months
