Glenoid cavity
The glenoid cavity or glenoid fossa of scapula is a part of the shoulder. It is a shallow, pyriform articular surface, which is located on the lateral angle of the scapula. It is directed laterally and forward and articulates with the head of the humerus; it is broader below than above and its vertical diameter is the longest.
Full Answer
What is a SLAP lesion?
Figures 2-A through 2-D The classification system for SLAP lesions. Figure 2-A A Type-I SLAP lesion consists of degenerative fraying on the inner margin of the superior aspect of the labrum. Figure 2-B With a Type-II SLAP lesion, the biceps attachment and the adjacent superior aspect of the labrum have pulled off the superior glenoid tubercle ...
What are SLAP tears of the superior labrum?
Abstract. Due to the complexity of shoulder pathomechanics in the overhead athlete, injuries located in the superior aspect of the glenoid, known as superior labral anterior to posterior (SLAP) lesions, are often a surgical and rehabilitation challenge. In an effort to determine surgical versus conservative care of SLAP lesions a thorough clinical examination and evaluation are necessary.
What is postoperative rehabilitation after SLAP repair?
Labrum repair, biceps tenodesis, debridement, tenotomy, and conservative treatment have all been recommended depending on the characteristics of the lesion. Many variations of SLAP lesions are initially treated conservatively with measures to primarily improve the patho- mechanical factors that impinge on the SLAP lesion such as glenohumeral internal rotation …
How do you repair a broken SLAP lesion?
individual through rehabilitation to full sport/activity participation. The therapist may modify the program appropriately depending on the individual’s goals for activity following Arthroscopic SLAP Lesion Repair. This guideline is intended to provide the treating clinician a frame of reference for rehabilitation. It is
What structure is involved in a SLAP lesion?
A SLAP tear or SLAP lesion is an injury to the glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity). Tears of the superior labrum near to the origin of the long head of biceps were first described among throwing athletes by Andrews in 1985.
How do you rehab a SLAP tear?
A tear in the upper portion of the labrum where the biceps tendon attaches is known as a SLAP tear. SLAP stands for superior, labral, anterior to, posterior....Physical Therapy for a SLAP Tear.TimePhysical Therapy and RecoveryConservative treatment· RICE (rest, ice, compress, and elevate) your knee · Physical therapy – strengthening & flexibility4 more rows•Jan 19, 2021
When do you start physical therapy after labrum surgery?
Athletes can usually begin doing sports-specific exercises after twelve weeks, although it will be about six months before the shoulder is fully healed.
What structures attach to the labrum?
The capsule of the glenohumeral joint attaches to the glenoid labrum....The glenoid labrum is continuous with:superiorly: tendon of the long head of biceps brachii.anteriorly:anterior band of the inferior glenohumeral ligament.middle: glenohumeral ligament (variably)
Can you rehab a torn shoulder labrum?
A labral tear can occur from a fall or from repetitive work activities or sports that require you to use your arms raised above your head. Some labral tears can be managed with physical therapy; in severe cases, surgery may be required to repair the torn labrum.Dec 1, 2016
How do you rehab a torn hip labrum without surgery?
TREATMENT OPTIONS Effective non-surgical solutions include rest, physical therapy, and anti-inflammatory medication. Most patients with hip labral tears don't need surgery, but injuries that don't respond to conservative methods may require minimally invasive arthroscopic surgery.Oct 25, 2018
How do you rehab a shoulder?
0:1612:147 Great Shoulder Rehab Exercises - Ask Doctor Jo - YouTubeYouTubeStart of suggested clipEnd of suggested clipBasically what you're doing is you're just squeezing those shoulder blades back behind you butMoreBasically what you're doing is you're just squeezing those shoulder blades back behind you but there's a couple key components to that you really want to use your muscles you're not just pushing.
What exercises can I do with a SLAP tear?
Here are seven exercises that aim to strengthen the shoulder and its supporting muscles:Wall Stretches.Lateral Raises.Lying Down Shoulder Flex.External Rotation Diagonal Up.Dec 22, 2020
How long is physical therapy for torn labrum?
Although the amount of time required for recovery varies, you may need Physical Therapy treatments for about four to six weeks. Most patients are able to get back to their activities with full use of their arm within this amount of time.
What is SLAP lesion?
A SLAP tear or lesion occurs when there is damage to the top of the labrum, where it connects to the biceps tendon. SLAP is an acronym that stands for Superior (topmost) Labral tear from Anterior (front) to Posterior (back).
How does labrum attach to bone?
Ligaments surround and connect the ball to the socket. These ligaments attach directly to the ball but attach to the labrum as opposed to the bone at the socket. The labrum attachment to the bone is the “weak link” of this setup.4 days ago
Is a SLAP tear the same as a labrum tear?
Superior Labrum, Anterior to Posterior tears (SLAP tears), also known as labrum tears, represent 4% to 8% of all shoulder injuries. The L in SLAP refers to your glenoid labrum. Your labrum plays two important roles in keeping your shoulder functioning and pain free.Jan 12, 2022
What is the difference between type 1 and type 2 biceps?
Simple type-1 lesions may only require a simple debridement without disrupting the biceps anchor (1), whereas type-2 lesions are the most commonly seen type in sports medicine clinics, and these involve a detachment of the biceps anchor from the labrum. Type-2 lesions can be treated with arthroscopic fixation of the superior labrum to establish biceps anchor stability.
Who is Dennise at Injury Medical?
Known as the master multi-tasker. Dennise, handles patient care from the moment you walk in the door. She is akin to the air traffic controller. She will assist you in matter requiring clinical preparation and effective inter-office communication. She unifies all department and clinical providers making sure all important information reaches all clinicians in a timely manner. She also loves to work out, stay in shape, watch movies and help people.
Who is Daniel Alvarado?
Daniel Alvarado is the owner and the top trainer at PUSHasRx® CrossFit Fitness Facility. Since becoming a Trainer Daniel has kept up to date on many continuing educational classes, ensuring that his clients receive the most comprehensive and advanced training. Working directly with the Doctors, he develops and collaborates on care plans that are patient specific. No patient ever gets the same clinical protocol. His expert clinical kinesiology experience spans over 2 decades. He has trained injured patients and NCAA National Champion Athletes. His technical ability to create programs that are clinically sound and second to none. He too has used his physical therapy and recovery experience to take broken top tier athletes into strict recovery protocols assisting them to achieve highly competitive national championships. He certainly will not admit it but, he is a top national champion trainer. Daniel, also develops youth programs that are sport specific to aid young athletes achieve great success. His mastery of clinical recovery is applied applied to all patients and top tier athletes alike. All patient programs are specifically designed with patient focused recovery priorities. He is happily married to beautiful Victoria Alvarado has one child. He enjoys strength training, movies, singing, conducting, writing poetry and being a CrossFit champion. Just a way cool dude. We think you will agree.
What are the canons of professional ethics?
These canons of professional ethics are based upon fundamental principles of moral and professional behavior and recommended for all doctors of chiropractic and chiropractic assistants . The following basic principles should be guiding factors in the practice of chiropractic and upheld at all times:
Where is Rampage Ethan from?
Ethan earned his nickname “rampage Ethan” from his years at El Dorado High School , where he played inside linebacker. He has placed twice in the Strongman Competition and also recently competed in the Desert Games with his fellow PUSH Athletes as a team and placed 4th overall! Ethan is currently pursuing his Bachelor’s Degree in Kinesiology at UTEP. His focus on clients is obvious to all. Ethan is able to manage very large groups of individuals like no other. His awareness of the dangers while exercising is his greatest concern. When he’s not coaching or studying for class, he likes to spend time with his family (who are here in El Paso) or with his weimaraner puppy. Fun fact: Ethan loves any food with sprinkles (especially donuts with sprinkles) and is a diehard Seattle Seahawks fan.
What is Alejandra's job?
Nothing appears to escape her mind. Highly intelligent and appears not to need a computer for recall of facts. She provides information retrieval for patients and clinical staff. She has been at Injury Medical & Chiropractic Clinic for three years and ready for any task at hand. She performs interoffice communications with attorneys and medical director of ancillary offices. She loves her family and places know how to prioritize well.
Where is Big Mike from?
Big Mike was born and raised in El Paso and is an excellent personal trainer and CrossFit coach. Mike works hand in hand with each patient’s clinical care plan in order to achieve optimal outcomes. A trusted clinical representative of the PUSHasRx System along with his advance protocols. Mike not only trains the injured and recovering. Mike is a sincere human that has great talent of brining out the best in every individual he works with. He will never admit it, but we will share with you a secret. He with his God given talents trains the greatest athletes and champions in El Paso. Many champions in our community know of his commitment. As a youth, he also played football (wide receiver), basketball, and track at Bel Air High School. Educated in Clinical Human Kinesiology at UTEP and loves playing football and basketball with his little nephews in his free time. Mike has three sisters and one brother, most of which live nearby in El Paso. When he’s not watching the Cowboys or Spurs play, he’s usually lifting, sleeping or watching movies. We are blessed to have this soul on our team.
What causes a slap lesion?
The following causes have been found: repetitive throwing, hyperextension, a fall on an outstretched arm, heavy lifting, direct trauma.
What is a slap tear?
A SLAP tear or SLAP lesion is an injury to the glenoid labrum ( fibrocartilaginous rim attached around the margin of the glenoid cavity). Tears of the superior labrum near to the origin of the long head of biceps were first described among throwing athletes by Andrews in 1985.
What is the difference between Type I and Type II?
Type I concerns degenerative fraying with no detachment of the biceps insertion. Type II is the most common type and represents a detachment of the superior labrum and biceps from the glenoid rim. Type III represents a bucket-handle tear of the labrum with an intact biceps tendon insertion to the bone.
How many joints are there in the shoulder?
The shoulder is made up of five joints; the Acromioclavicular Joint, the Sternoclavicular Joint, the Glenohumeral Joint, Scapulothoracic Joint and Suprahumeral Joint and four linked bone groups; the clavicula, sternum, Scapula and the humerus which are related and work together.
Is MRA better than CT?
This is able to detect a SLAP tear better than a normal MRI scan. Thus, MRA is more useful than conventional MRI and CT arthrography, and is a helpful technique in the diagnosis of SLAP tears.
Is tenodesis better than slap?
They found that tenodesis is superior to the repair of type II SLAP tears in older population. Arthroscopic biceps tenodesis can be considered as an effective alternative to the repair of a type II SLAP lesion, allowing patients to return to a pre-surgical level of activity and sports participation.
What are the most common slap lesions?
The most Common Classification system for SLAP lesions was described by Snyder et al, 29 following a retrospective review of 700 shoulder arthroscopies. They identified 4 types of superior labral lesions involving the biceps anchor ( FIGURE 1 ). Type I SLAP lesions have fraying of the edge of the superior labrum. Type II SLAP lesions, the most common, consist of frank detachment of the biceps anchor from the glenoid. Type III lesions consist of a bucket-handle tear of the superior labrum with, an otherwise normal biceps anchor. Finally, type IV lesions, the least common, consist of a bucket-handle tear of the superior labrum that extends into the biceps tendon, causing detachment of the biceps anchor.
What are the mechanisms of injury?
The most commonly cited mechanisms of injury include traction and compression of the shoulder; although, in many instances, no antecedent trauma is remembered. Overhead athletes may complain of pain during a specific phase of throwing, most notably the late cocking phase.
Can a slap injury cause pain?
Untreated, SLAP lesions can be a potentially devastating injury that can lead to chronic pain, as well as a significant loss of function and performance. The purpose of this article is to review the classification, pathomechanics, clinical evaluation, and treatment of SLAP lesions.
What causes a slap tear?
When this occurs, the biceps tendon contracts to prevent the dislocation and distracts the glenoid labrum form its origin. As the shoulder “slides back” the head of the humerus clips the distended labrum resulting in a tear.
What are the complications of anesthesia?
The surgery itself may be complicated by infection, injury to nerves and blood vessels, fracture, weakness, stiffness or instability of the joint, pain, inability to return to full duties or the need for additional surgeries.
Definition/Description
Clinically Relevant Anatomy
- The shoulder complex is one of the most sophisticated areas of the body. The shoulder is made up of five joints; the Acromioclavicular Joint, the Sternoclavicular Joint, the Glenohumeral Joint, Scapulothoracic Joint and Suprahumeral Joint and four linked bone groups; the clavicula, sternum, Scapula and the humerus which are related and work together. The major joint is the Gl…
Epidemiology/Aetiology
- The age of the patient has an impact on the superior labrum. From the average age of 35, the superior labrum is less firmly attached to the glenoid than in people under the age of 30. In the age category 30 to 50, there are more chances of tears/defects in the superior and anterior-superior regions of the labrum (noted in cadavers). In the age category 60 years or older, circum…
Clinical Presentation
- The most common complaint in patients that present with SLAP lesions is pain. Pain is typically intermittent and often associated with overhead movements.Isolated SLAP lesions are uncommon.The majority of patients with SLAP lesions will also complain of: 1. sensations of painful clicking and/or popping with shoulder movement 2. loss of glenohumeral internal rotatio…
Differential Diagnosis
- The glenoid labrum is often involved in shoulder pathology. Sometimes morphological varieties can be confused with pathological aspects and therefore diagnosis should be established following careful analysis of the case history and a physical examination.There are two regions where anatomic variants can appear: the superior region, where it’s mostly related to age, and th…
Diagnostic Procedures
- SLAP lesions are difficult to diagnose as they are very similar to those of instability and rotator cuff disorders. At first the clinician can test the tenderness to palpation at the rotator interval which can be helpful in the diagnostic procedure. The rotator interval is an anatomic space between the Supraspinatus tendon, the Subscapularis tendon and the processus coracoideus. T…
Outcome Measures
- Rowe Score (version of 1988): 1. consists of 5 domains: 1. pain 2. stability 3. function 4. motion 5. muscle strength 1. Scoring: < or = 49 = poor 50 - 69 =fair 70 - 84 = good 85 - 100 = excellent Oxford Instability Shoulder Score (OISS): 1. 12-item questionnaire measuring: 1. daily activities 2. pain 1. The total score ranges from 12 to 60 (12 indicates the best possible function). 2. A link t…
Examination
- Clinical examination to detect SLAP lesions is an extremely challenging procedure because the condition is frequently associated with other shoulder pathologies in patients presenting this type of condition. As with most shoulder conditions, the history including the exact mechanism of injury should be documented. It is important to keep in mind that while labral pathologies are fre…
Medical Management
- The surgical intervention depends on the type of labral lesion, but an advanced arthroscopic technique is most commonly used. Studies of surgical labral repairs show that they are generally good to excellent to allow the patient to return to a pre-injury level of function. Knowing the type of SLAP lesion is important for post-operative rehabilitation. 1. Type I: are treated with debridemen…
Physical Therapy Management
- Until now only one study looked at results from physical management on SLAP lesion. The study was a one year follow-up study of with 19 patients. It compared good shoulder function with the shoulder function of patient that followed successful conservative management in the form of scapular stabilization exercises and posterior capsular stretching. However, the study acknowle…