Superior Labral Lesions: Diagnosis and Management

Overview

Journal J Athl Train

Specialty Orthopedics

Date 2006 Mar 25

PMID 16558642

Citations 3

Authors

D F DAlessandro

J E Fleischli

P M Connor

Affiliations

Soon will be listed here.

Abstract

Objective: To review the pathoanatomy, classification, and etiologies of lesions of the superior labrum and biceps anchor (SLAP lesions) and to discuss the clinical presentation, with emphasis on physical examination findings and current treatment recommendations.

Data Sources: We searched MEDLINE for English-language articles published from 1985 to 1999 using the key words "superior labral lesion," "SLAP lesion," "labral tear," and "biceps tendon." Additional information was obtained from cross- referencing pertinent articles and personal communications with experts in the field of shoulder arthroscopy.

Data Synthesis: The clinical presentation of superior labral lesions often includes a history of trauma or repetitive overuse in athletes associated with complaints of pain and clicking or popping in the shoulder. The diagnosis can be difficult, as clinical findings may overlap with those of acromioclavicular or rotator cuff problems and exist concomitantly with glenohumeral instability.

Conclusions/recommendations: Superior labral lesions are a relatively newly defined cause of shoulder pain and disability. Knowledge about these lesions and a high index of suspicion are essential to identifying this important cause of shoulder pain. Superior labral lesions are usually confirmed and successfully managed arthroscopically.

Citing Articles

High Prevalence of Superior Labral Anterior-Posterior Tears Associated With Acute Acromioclavicular Joint Separation of All Injury Grades.

Shah S, Ferkel E, Mithoefer K Orthop J Sports Med. 2020; 8(8):2325967120941850.

PMID: 32923497 PMC: 7457667. DOI: 10.1177/2325967120941850.

National Athletic Trainers' Association Position Statement: Evaluation, Management, and Outcomes of and Return-to- Play Criteria for Overhead Athletes With Superior Labral Anterior-Posterior Injuries.

Michener L, Abrams J, Huxel Bliven K, Falsone S, Laudner K, McFarland E J Athl Train. 2018; 53(3):209-229.

PMID: 29624450 PMC: 5894372. DOI: 10.4085/1062-6050-59-16.

Physical tests for shoulder impingements and local lesions of bursa, tendon or labrum that may accompany impingement.

Hanchard N, Lenza M, Handoll H, Takwoingi Y Cochrane Database Syst Rev. 2013; (4):CD007427.

PMID: 23633343 PMC: 6464770. DOI: 10.1002/14651858.CD007427.pub2.

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