After a physical exam and MRI, Dismore was diagnosed with a SLAP tear - a shoulder injury that often requires surgery and up to four months of rehabilitation before return to athletic activity.
A SLAP tear occurs in a part of the shoulder called the labrum, which is a cuff of cartilage that forms a cup for the arm bone (humerus) to move within.
While conservative treatment such as rest, icing, anti-inflammatory medications and physical therapy may be the first approach to managing a SLAP tear, many patients are unable to return to full athletic capability without surgery.
First, contrast within a SLAP tear is directed away from the interface between the fibrocartilaginous labrum and the osseous glenoid (Figure 3).
Unlike SLAP tears in the shoulder, tears of the acetabular labrum are more commonly seen as contrast tracking between the fibrocartilaginous labrum and the acetabular rim (Figure 16), rather than tracking into the substance of the labrum itself.
It was frustrating because the injury happened the week before the first friendly, it was what's known as a SLAP tear
and is quite technical, and it just took a lot of rest, rehab and strengthening exercises to put right.
Multiple special physical examination tests exist to aid in the diagnosis of a SLAP tear, including the dynamic labral shear test, biceps load test, and labral tension test.
They hypothesized that there would be no difference in outcome between repair of both lesions compared to repair of the rotator cuff without repair of the type II SLAP tear.
A biceps tenodesis provides a good option when treating a patient with a type II SLAP tear.
Caption: Figure 1 Algorithm for treatment of type II SLAP tear.
Snyder initially described four subtypes of SLAP tears with type II having the most common incidence of 55%.
For the shoulder specialist, we include an algorithm of the treatment of Hill-Sachs lesions and discuss the role of biceps tenodesis in SLAP tears