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OrthoVellum

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Sports Medicine
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SLAP Tears (Superior Labrum Anterior Posterior)

Shoulder Labral Pathology

A 28-year-old elite cricket fast bowler presents with a 6-month history of right shoulder pain. The pain is located deep in the shoulder and worsens with bowling, particularly during the cocking and acceleration phases. He reports occasional "clicking" and a sense of instability. Examination reveals a positive O'Brien test, positive Speed's test, and positive crank test. Pain is reproduced with resisted shoulder external rotation in 90 degrees abduction. MR arthrogram shows a tear of the superior labrum extending from anterior to posterior with involvement of the biceps anchor. Regarding this condition:

Mark each as TRUE or FALSE

A

This is a SLAP (Superior Labrum Anterior to Posterior) tear, involving the superior labrum and bicep...

B

Type II SLAP tears are the most common and clinically significant type, characterised by complete de...

C

SLAP tears occur exclusively from acute traumatic events such as falls onto an outstretched hand or ...

D

In overhead athletes, the "peel-back" mechanism describes how the biceps vector changes during late ...

E

Clinical tests for SLAP lesions include O'Brien's test (active compression), Speed's test, crank tes...

Answer the questions to see explanations

Click T (True) or F (False) for each option