Case Study: SLAP Lesion

References:

Abrams, G., Sheets, A., Corazza, S., Andriacchi, T., & Safran, M. (2011). Injury potential evaluation of the upper extremity and torso of three

tennis serve types using a novel markerless motion system. British Journal Of Sports Medicine, 45(4), 333.

Altchek D., Dodson C. (2009, February). SLAP Lesions: An Update on Recognition and Treatment. Retrieved from http://www.udel.edu/PT/PT%20Clinical%20Services/journalclub/caserounds/08_09/Mar09/SLAP.pdf

Blum, A., Lecocq, S., Louis, M., Wassel, J., Moisei, A., Teixeria, P. (2013, January). The Nerves Around the Shoulder. Retrieved from http://www.sciencedirect.com/science/article/pii/S0720048X1100413X

Cools, A., Johannson, F., Borms, D., Maenhout, A. (2015, September). Prevention of Shoulder Injuries in Overhead Athletes: A Science-Based Approach. Brazilian Journal of Physical Therapy.

Hoehn, K., Marieb, E., (2013). Human Anatomy and Physiology. 9th Edition. Glenview, IL. Pearson Education, Inc.

Hoeven,D. & Kibler, W. B. (2006). Shoulder injuries in tennis players. British Journal of Sports Medicine, 40(5), 435-440. doi:10.11 36/bjsm.2005.023218

Marshfield Clinic, (2010, August). Prevent S.L.A.P. Shoulder Injury. Retrieved from: https://www.marshfieldclinic.org/sports-wrap/prevent-slap-shoulder-injury

Risk Factors

- muscle strength imbalance

- posterior shoulder stiffness

Prevention

- improving stability

- strength training

Other Diagnoses

Treatment

1) bicipital tendonitis

2) rotator cuff tendonitis

3) acromioclavicular joint injury

- rest

- anti inflammatory medicine

- physical therapy

- surgical repair

Ruled out because...

1) accompanied by sharp pain

2) symptom is sudden pain and swelling in front of arm

3) most common when one falls directly on shoulder

Diagnosis

Anatomy Case Study

Superior Labrum Anterior Posterior Lesion

Why?

- recently took up tennis, previously a runner

- complains of a "deep ache in the supero-lateral shoulder region"

- age

Potential Nerve Injury

Anatomy of

Shoulder Joint

- Extreme damage is unlikely

- 2 nerves in area:

axillary

suprascapular

- scapula

- clavicle

- head of humerus

- rotator cuff muscles

If damaged...

Three methods to detect nerve injury:

- feeling of "dead arm"

- affects deltoid and teres minor

- ultrasound

- CT scan

- MRI