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January 07, 2009  
EDUCATION CENTER: Shoulder Conditions
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  • SLAP Lesion (Biceps Tendon Tear)

    Quick Reference

    Reviewed by Dr. Jon Warner

    (Also known as a Biceps Tendon Tear)

    The shoulder is the junction of three bones: the humerus (upper arm bone), the clavicle (collarbone), and the scapula (shoulder blade). The ball-like head of the humerus fits into the cup-like end of the scapula, known as the "shoulder socket" or "glenoid." This junction is commonly referred to as the shoulder socket, and is held together in part by ligaments, which connect bone to bone. A grommet-like piece of tissue known as the labrum extends from the glenoid and works to keep the head of the humerus in the socket.

    The humerus may be forced out of the glenoid, (a dislocation [link]), or overhead pitching sports may also take their toll on the shoulder joint. Either may cause a SLAP Lesion, which stands for a tear in the Superior Labrum, Anterior to Posterior. In a SLAP Lesion, the labrum is torn from the front to the back. The superior labrum is the attachment for the biceps tendon, the strong muscle in the front of the arm. A sudden pull on this muscle can pull the superior labrum off of the bone.

    Detailed Description

    Symptoms
    The patient will feel symptoms of a dislocation or rotator cuff tear, as one of the two will be the cause of the SLAP Lesion and an over-riding stimulus of pain.

    Causes and Risk Factors
    Causes
    A fall on an extended hand held close to the body presents the greatest risk of a SLAP Lesion. Pitching and other overhead sports also heighten the chance of the injury. A SLAP Lesion may also occur as the result of an automobile accident.

    Risk Factors
    Repetitive or heavy lifting, overhead sports, and superior (upward) dislocations, especially more than one.

    Treatment

    Immediate Action
    Since a SLAP Lesion usually accompanies a shoulder ailment such as superior dislocation or rotator cuff tear, follow the first aid directives for those conditions if pain persists. If the condition is not painful, but the catching sensation does not stop, take ibuproferin or aspirin to reduce swelling and schedule an appointment with an orthopedic specialist. Use medicines only as directed.

    Procedures:
    If the problem persists, an orthopedic surgeon may decide to stitch the labrum together and anchor it to the glenoid. He or she may also fix a tear in the biceps tendon, which is often associated with a SLAP Lesion. While operating on the lesion, the surgeon may repair the rotator cuff or stabilize the shoulder.

    Medications
    Non-prescription drugs, as directed by doctor.

    Prevention
    Strengthening the area around the shoulder, especially the rotator cuff muscles, makes for greater shoulder stability, and, thus, a reduced risk of a SLAP Lesion. Walking on slippery floors and improper falling also raise the risk of an injury to the shoulder.

    Last updated: 14-Nov-00

       
     
    Interact on Shoulder1

    On February 08, bbstacy posted:

    Hi - have recovered well, except that lately I have noticed an odd sensation- I am hearing/sensing a weird noise upon certain shoulder movements. ...  

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