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A SLAP tear or SLAP lesion is an injury to the superior glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity in the shoulder blade) that initiates in the back of the labrum and stretches toward the front into the attachment point of the long head of the biceps tendon.
However, early surgical treatment may be considered in significant (>1 cm – 1.5 cm) acute tears, in young individuals with full-thickness tears who have a significant risk for the development of irreparable rotator cuff damage, or the patient is very active and/or uses their arms for overhead work or sports.
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.
A Bankart lesion is a type of shoulder injury that occurs following a dislocated shoulder. [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.
Conservative treatment includes rest, cessation of painful activity, and physical therapy. Physical therapy treatments would typically focus at maintaining range of movement, improving posture, strengthening shoulder muscles, and reduction of pain. NSAIDs and ice packs may be used for pain relief. [4] [20]
Non-surgical treatment used to be long and a tedious process. It involved a series of casts, and took longer to complete than surgical treatment. Recently, both surgical and non-surgical rehabilitation protocols have become quicker and more successful. [23] Before, patients who underwent surgery would wear a cast for approximately 4 to 8 weeks.
The Rusk Institute has been voted the best rehabilitation hospital in New York and among the top ten in the country since 1989, when U.S. News & World Report introduced its annual "Best Hospitals" rankings. As of 2008 Steven Flanagan is the chairman of rehabilitation medicine and medical director of the Rusk Institute. [1]
Subacromial bursitis is a condition caused by inflammation of the bursa that separates the superior surface of the supraspinatus tendon (one of the four tendons of the rotator cuff) from the overlying coraco-acromial ligament, acromion, and coracoid (the acromial arch) and from the deep surface of the deltoid muscle. [1]