Slap Tear and a Flashcards
What is the MOI of a SLAP tear?
Trauma, repetitive overhead activity, overhead lifting
What is the subjective hx of a SLAP tear?
Vague deep shoulder pain
Dead arm
Posterior shoulder tightneee
Catching, locking, popping
Pain with overhead activities
How many Slap types are there? What are the differences?
4 types
1 labrum only
2 labrum and biceps
3 bucket handle tear of labrum only
4 bucket handle tear of biceps and labrum
SLAP tear are most common in what age group?
45-60 yo
What four tests are used for SLAP tears?
O’Briens
Speeds
Anterior slide
Crank
What are the two AC joint ligaments?
AC ligament
Coracoclavicular ligament made up from trapezoid and Connie ligament
This rock wood classification is a sprain but not tear of AC ligament
Type 1
This rock wood classification has elevation of the clavicle bit not above the superior portion of acromion. AC ligament is ruptured. Cc ligaments sprained. Mild step off deformity
Type 2
This rock wood classification is a rupture of both ac and CC ligaments and will have twice the distance from the clavicle to the coracoid
Type 3
This rockwood class has rupture or AC ligaments with posterior displacement of the clavicle into trap
Type 4
This rockwood class has significant elevation of the clavicle with more than 2x the distance from coracoid to clavicle
Type 5
This rockwood class has inferior displacement of the clavicle I to the subacromial space with neural injury
Type 6
These rockwood classes require surgery
4-6
What 3 images see the AC joint?
AP, lateral axillary view, lateral Zanca view
