Slap Tear

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SLAP Lesion Tear
A SLAP lesion tear is an injury to the shoulder. This can cause painful symptoms and difficulty with overhead activities whether they be athletic or those of daily living. In 1985, Andrews et al were the first to describe the superior labrum tear. In their experience, they identified tears of the labrum from throwing athletes located anterosuperor near the origin of the bicep tendon. The cause of the lesion to tear was the bicep tendon being pulled off the labrum from the force generated during the throwing motion. As time went on, the labral tears got categorized into four different types of classifications called SLAP lesions by Snyder in 1990. A SLAP lesion, as described by Snyder involves tears of the superior aspect of the glenoid labrum that extend anteriorly and posteriorly to the biceps insertion. As an examiner, in order to detect a SLAP lesion, there needs to be an investigation of patients activities, any previous shoulder injuries, and or any factors that could lead up to this injury. The highest incidence of SLAP lesions is seen in the 20 to 29 and 40 to 49 years of age.
In order to understand the mechanism of a SLAP lesion it is best to understand the anatomy of the shoulder. The shoulder is a ball and socket joint made up of three bones: humerus that is the upper arm bone, shoulder blade of the scapula, and the clavicle. The humerus bone fits into the rounded socket of the scapula, which is called the glenoid fossa. Surrounding the outside edge of the glenoid fossa is a rim of strong, fibrous tissue called the labrum. The labrum helps deepen and stabilize the socket glenoid-humeral joint and allows the arm to circumduct.
Injuries to the superior labrum can be caused by acute pain or by repetitive shoulder motion. This can result from a fall onto an outstretched arm, a motor vehicle accident, a forceful movement of the arm…...

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