Type iv slap lesions involve a buckethandle tear of the superior labrum in. Stephen snyder coined the term slap lesion superior labrum, anterior and posterior and the diagnosis and treatment of slap lesions from there has grown exponentially. The labrum of the hip works almost like a suction cup to keep the joint stable. Ive had a spot of shoulder trouble for about a year now that i originally pinned down as subacromial impingement. A shoulder labrum tear can be a painful injury that limits your ability to use your arm normally. Complex slap lesions involve a combination of two or more slap types, usually. In involves a superior labral tear combined with a posteroinferior labral tear a reverse bankart lesion. The shoulder works like a ball and socket joint, but the bones are much more like a golf ball on a tee. Superior labrum anterior posterior slap repair type i. Rotator cuff and shoulder rehabilitation exercises to ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Instability dislocation labral tears the shoulder is the most mobile joint in the body, but to have this amount of motion, it is also less stable and more likely to dislocate than other joints.
Manual laborers will likely be out of work for at least. These injuries can also occur from trauma, such as falling on your arm, bracing your arm in an accident, arm tackling in football or any large sudden force applied to the arm. Use a small weight in your hand to help open up the shoulder joint. Baseball players may benefit from the throwers 10 exercise program after a labrum tear or labrum repair surgery. Also known as a superior labral tear, it is frequently seen in pitchers and. If you are a tennis player, you may need to perform specific tennis swinging exercises, and golfers may need different exercises to get back on the course after a. You should not experience pain during or after the exercises. One of the most important things you can do to prevent glenoid labrum tears is. The torn biceps tendon and labrum are displaced into the joint. Shoulder dislocations can also cause a tear, often to the front anterior or back posterior. It is a tear in the glenoid labrum, the fibrocartilagenous structure that forms a deep pocket that helps keep the humerus bone in the shoulder socket and provides a painfree range of motion. Work with your doctor to plan a rehabilitation rehab program that helps you regain as much.
Type iv slap lesions involve a buckethandle tear of the superior labrum in which the tear extends into the biceps tendon. A slap tear can be a serious injury no matter your age or professional level. These four muscles surround your shoulder and help to keep your shoulder in place when you move your arm. The labrum is a lip like piece of cartilage that deepens the socket of the shoulder. Rehabilitation exercises to strengthen the rotator cuff muscles. A tear of the labrum below the middle of the glenoid socket that also involves the inferior glenohumeral ligament is called a bankart lesion. A slap superior labrum anteriorposterior lesion is a term used to describe an injury to the cartilage the labrum that covers the top part of the shoulder socket glenoid and may include an injury to the biceps tendon anchor. Rotator cuff and shoulder rehabilitation exercises. How to treat, prevent and fix a shoulder labrum tear. They typically occur as a result of a fall on out stretched hand or following repetitive overhead. A locking, popping, catching or grinding sensation. This acronym stands for superior labrum from anterior to posterior.
Slap stands for superior labrum anterior and posterior, meaning theres a tear from front to back on the top of the glenoid labrum. Continue gentle promaarom exercises rate of progression based on patients. Outcome following nonoperative management of superior labral anterior to posterior slap lesions has been under reported with little empirical data demonstrating the ef. Reprint permission for illustrations and photos is granted by the journal of bone and joint surgery, inc. Type iv slap tear is a buckethandle tear to the top of the labrum, extending into the biceps tendon to varying degrees. The is owned by the journal of bone and joint surgery, inc. Generally, they should be performed 3 times daily and only provided they do not cause or increase. According to the type of lesion, the age of the individual and the functional level of the athlete, a specific treatment plan will be prescribed for these. A slap tear can be caused by an acute injury such as a fall onto an outstretched arm, a shoulder dislocation or a motor vehicle accident or it may be due to repetitive overhead activities. Outcome following nonoperative management of superior labral anterior to posterior slap lesions has been under reported with little empirical data demonstrating the ef fectiveness of conservative treatment. Most the superior labral tear was first described in throwing athletes by dr.
Avoid activities that may cause additional damage to the labral tear, such as arm curls while lifting heavy objects. These stretches and exercises should help relieve the pain. Postoperative instructions shoulder arthroscopy and slap. Avoid activities that may cause additional damage to the labral tear, such as arm. A slap tear is a torn piece of cartilage in the inner portion of the shoulder joint. A slap tear or lesion occurs when there is damage to the. A slap lesion superior labrum, anterior front to posterior back is a tear of the labrum above the middle of the glenoid that may also involve the biceps tendon. Some of the most common symptoms of a slap tear include. Too hard physical activities can cause torn labrum. Rotator cuff repair w slap massachusetts general hospital. According to the type of lesion, the age of the individual and the functional level of the athlete, a specific treatment plan will be prescribed for these slap lesions. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them. Injuries to the superior labrum can be caused by acute trauma or by repetitive shoulder motion.
When it comes to slap lesions, a type of shoulder injury, there are numerous types of treatment options available for the affected individuals. Rehabilitation of a surgically repaired slap tear can take up to 912 months. The majority of slap tears dont happen in one day and are usually a result of. Apply dry or moist heat to the shoulder prior to the exercises and during the sleeper stretch. A labrum tear is characterized by pain in the shoulder, especially with overhead exertion. Arthroscopic labral repair protocoltype ii, iv, and.
Like most other injuries, a slap tear is initially thought to be only minor pain and tenderness. The shoulder can also dislocate or be unstable in a posterior direction toward the back of the shoulder. Type iii slap lesions involve a buckethandle tear of the superior labrum with an intact biceps anchor. Slap tear shoulder injury and treatment sportshealth.
Your pt will likely prescribe exercises for you to do as a part of your rehab program for your shoulder labrum tear. The shoulder labrum is a ring of cartilage around the shoulder socket that stabilizes the head of the upper arm bone. The most common type of labral tear in baseball is a superior lesion anterior to posterior or slap. Figure 2d a type iv slap lesion is a superior labral buckethandle tear that extends into the biceps tendon. These lesions are common among military members and athletes that utilize overhead arm movements. To ensure that the program is safe and effective for you, it should be performed under your doctors supervision. According to the type of lesion, the age of the individual and the functional level of the athlete, a specific. While the slap tear likely will not heal, a recent study confirmed that many have improvement of symptoms and function. A type ii slap tear with a posterior labral extension to the 6 oclock position. Most slap tears are caused by the slowly wearing down of labrum over time. Rehabilitation guidelines for slap lesion repair uw health. Figure 2c a typeiii slap lesion is a superior labral buckethandle tear. Learn about slap tear symptoms, causes and treatments below. Slap tear stretches exercises for shoulder ask doctor, slap tear girlboxing.
December 31, 2015 baseballsolution leave a comment. Rom exercises are prescribed with specific limits depending on the pattern of tear, in order to avoid damaging the repaired labrum. Zero to two weeks after surgery, you can do the pendulum exercises, which is when you bend over at the waist and let your arm hang down, swinging it gently in small circular motions. Conservative treatment for patients with suspected slap tears. Further, chronic degenerative fraying of the labrum is commonly seen in patients over the age of 40 years. These stretches and exercises should help restore movement and strengthen your shoulder. At rebound, our physicians give your shoulder injury or condition compassionate and thoughtful attention.
A slap tear is an injury to the labrum of the shoulder, which is the ring of cartilage that surrounds the socket of the shoulder joint. Slap lesion superior labrum, anterior front to posterior back is a tear of the labrum above the middle of the glenoid that may also involve the biceps tendon. Torn labrum in shoulder, exercises to strengthen shoulder without surgery. The superior labrum anteriortoposterior slap lesion is a term that was coined to refer to a tear involving the superior glenoid labrum. If you have a bad enough tear it will take a very very long time to rehab without surgery, and you may very well end up.
Based on the diagnosis of your slap tear, your doctor will most likely refer you to physical therapy. Is a circumferential lesion involving the full 360 of labral attachment to the glenoid rim. Repairing a slap tear without surgery caring medical. Complex slap lesions involve a combination of two or more slap types, usually ii and iii or ii and iv. This is either the result of repetitive pushing stress as with football linemen or from an injury that pushes the head to the back of the socket. Conservative treatment of slap tears ace physical therapy. A slap tear superior labrum anterior and posterior is an injury to the labrum of the shoulder and is usually caused by acute trauma to the. Jun 06, 2019 after surgery for a torn labrum, your doctor might prescribe gentle rangeofmotion exercises as part of the shoulder labral tear rehab protocol. Exercises for a slap tear to help you recover quickly youtube. This is a general conditioning program that provides a wide range of exercises. How well the knee will heal and whether surgery will be needed depends in large part on the type of tear see figure in appendix and how bad the tear is. Frequent shoulder stretches and gentle exercises promote the stability of the whole system, which can help compensate for a weak or damaged labrum. A slap tear can cause many shoulder problems including pain, decreased shoulder strength, and decreased range of motion.
Slap lesion superior labral anterior to posterior tear. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus ball and the glenoid portion of the scapula socket. It can be painful andor limit movement in the shoulder, especially overhead motions. Arthroscopic labral repair protocoltype ii, iv, and complex. Physical therapy can help to increase the strength and mobility in your shoulder to help you return to normal activity quickly and safely. Exercises to improve shoulder stability after a labrum tear. It is common in baseball and softball pitchers, position players and other athletes who do a lot of overhead arm motions similar to throwing. The first set of exercises will be a four way hip with a resistive band while standing. Torn labrum in shoulder, exercises to strengthen shoulder. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. For this reason the shoulder is the most mobile joint in the body.
Exercises for a slap tear to help you recover quickly. I highly suggest getting surgery if you can afford it. Clinical examination of superior labral tears what is. Clinical examination of superior labral tears what is the best special test for a slap tear.
Conservative treatment for patients with suspected slap. Rehabilitation exercises a meniscus tear is a common knee joint injury. A trial of nonoperative treatment is the preferred initial step for a slap tear. That painful, clicking feeling in your shoulder when you swim. The following exercises are commonly prescribed to patients with a labral tear of the shoulder. Shoulder labrum tear exercise program verywell health. With a hip labral tear, the hip becomes unstable, and sometimes you feel a poppingclicking with movement as well as pain. She is saving the op report for me to read and is, of course, also seeing a pt.
Training with a slap tear ive tried searching the forum for any info on training with slap tears without undergoing surgery but couldnt so i decided to type up a post. Our desire is to quickly return you to full mobility and activity by using the latest in diagnostic and treatment techniques for a variety of shoulder injuries, including slap tears. The socket portion of the joint is not naturally deep. Arthroscopic debridement of type i and iii slap lesions. Most people involved with sports, including coaches, players, and players families, have at least heard. It often occurs in association with other problems such as rotator cuff tears. Seek the advice and treatment of a physical therapist if you have shoulder pain. A slap tear can be caused by a motor vehicle accident, falling onto an outstretched arm, shoulder dislocation, repetitive overhead sports or repetitive motions over time. Mar 20, 2019 a slap tear of the shoulder is a tear of the labrum at the superior aspect of the glenoid or top of the shoulder. Slap tear prevention tips for baseball and softball players. Type i slap lesions have degenerative fraying of the superior labrum but the biceps attachment to the labrum is intact. Most slap tears can be positively diagnosed with a mri with dye.
To ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Doing physical activities are very important to keep your health. Gentle proprioceptive neuromuscular facilitation pnf manual resistance. Treatment options could depend on the extent the biceps tendon is involved. Slap lesion is a superior labral buckethandle tear that extends into the biceps tendon. A slap tear of the shoulder is a tear of the labrum at the superior aspect of the glenoid or top of the shoulder. Here i will show you some examples of essential elements, which are used in funk slap, practical examples with notes, tablatures and studio recorded mp3 audio tracks. After surgery for a torn labrum, your doctor might prescribe gentle rangeofmotion exercises as part of the shoulder labral tear rehab protocol. Posted on november 29th, 2017 by orthopaedic specialty group. Begin week 3, submaximal shoulder isometrics for internal. Living with a slap tear orlando orthopaedic center. Different people may love to do different physical activities. Sometimes this aggressive motion can cause the labrum to tear.