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Hand & Upper Limb
intermediate
X-Type

SLAP Lesions

Shoulder Pathology

A 28-year-old baseball pitcher presents with insidious onset shoulder pain exacerbated by throwing. He reports a "dead arm" sensation at the end of the throwing motion. Examination reveals positive O'Brien test and active compression test. He has full range of motion but pain with resisted forward flexion of the supinated arm. MR arthrogram shows a tear of the superior labrum extending from anterior to posterior. Regarding SLAP (Superior Labrum Anterior to Posterior) lesions:

Mark each as TRUE or FALSE

A

SLAP lesions involve the superior glenoid labrum at the biceps anchor; the long head of biceps attac...

B

The Snyder classification includes: Type I (degenerative fraying, anchor intact), Type II (labrum de...

C

SLAP lesions involve the inferior labrum; the biceps tendon attaches to the coracoid process; Type I...

D

Physical examination tests include O'Brien (active compression), Speed's test, Yergason's test, and ...

E

Treatment depends on type: Type I is treated non-operatively (debridement if symptomatic), Type II r...

Answer the questions to see explanations

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