The recognition and treatment of superior labral (slap) lesions in the overhead athlete.
A wide variety of pathology may affect the superior aspect of the labrum. Clinical examination is often difficult due to the numerous injury mechanisms and the widely varied extent of labral pathology. Proper identification of the exact mechanism and specific severity of pathology is vital to accurately diagnose and manage these injuries. Surgical procedures to address SLAP lesions vary from minimal debridement to extensive labral repair. The authors suggest postoperative rehabilitation based on the specific injury and surgical procedure performed, as well as an understanding of basic science related to injury and tissue healing. Rehabilitation places emphasis on gradually restoring ROM, strength, and dynamic stability of the glenohumeral joint while controlling forces on the healing labrum. The aim is for the patient to return to full functional activities as quickly and safely as possible. Because no out come data exist, research regarding the efficacy of the rehabilitation guidelines that are provided in this clinical commentary is warranted > Wilk et al.; The International Journal of Sports Physical Therapy 8 (2013) 579-600. All rights reserved to the authors.
Read the free full text article for more information about an overview of the anatomy and pathomechanics of SLAP lesions and review specific clinical examination techniques used to identify these lesions in the overhead athlete. Furthermore, a review of the current surgical management and postoperative rehabilitation guidelines is provided.