Differential Diagnosis: Superior Labral Anterior-Posterior (SLAP) Lesions

The following is another article written for the online, video-based physical therapy continuing education company MedBridge

Amongst overhead throwing athletes, there are several injuries that typically come to mind, and at the top of that list is the Superior Labral Anterior to Posterior (SLAP) Lesion. While this is not an overly common injury for the general population, with an overall incidence of 26% (Kim et al, 2003), diagnosis and subsequent surgical intervention does seem to be on the rise. Onyekwelu et al reported that the incidence of SLAP repairs in New York State rose by a factor of 5.5 between 2002 and 2010. Similarly, Weber et al analyzed 4,975 cases of SLAP repairs collected from the American Board of Orthopaedic Surgery (ABOS) and found that ABOS candidates were performing SLAP repairs at a rate 3 times higher than expected. With the growing incidence of this pathology, clinicians must understand which mechanism of injury and patient presentation is indicative of a SLAP lesion. [CONTINUE READING]

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