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SLAP is an acronym for "Superior Labrum Anterior and Posterior". [1] SLAP lesions are commonly seen in overhead throwing athletes but middle-aged labor workers can also be affected, and they can be caused by chronic overuse or an acute stretch injury of the shoulder.
A SLAP lesion (superior labrum, anterior to posterior) is a tear where the glenoid labrum meets the tendon of the long head of the biceps muscle. Symptoms include increased pain with overhead activity, popping or grinding, loss of strength, and trouble localizing a specific point of pain. [ 3 ]
It is an injury of the anterior glenoid labrum of the shoulder. [4] When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it. It is an indication for surgery and often accompanied by a Hill-Sachs lesion, damage to the posterior humeral head. [5]
Over time, with enough force, a tear may develop in the labrum. The labrum is a rim of cartilage around the shoulder socket to help hold the head of the humerus (upper arm) in the joint. This condition is called a superior labrum anterior posterior (SLAP) lesion. The outcome in all these steps is the dead arm phenomenon.
O'Brien's test: positive test indicates a SLAP (or superior labral tear from anterior to posterior) tear; Tests for shoulder instability
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A SLAP tear (superior labrum anterior to posterior) is a rupture in the glenoid labrum. SLAP tears are characterized by shoulder pain in specific positions, pain associated with overhead activities such as tennis or overhand throwing sports, and weakness of the shoulder. This type of injury often requires surgical repair. [8]