Slap Lesion Tests

SLAP lesions are common in athletic populations particularly those requiring overhead motions that encourage the biceps to pull the labrum from its underlying bony attachment. Anterior Slide Test for SLAP Lesions Involved Structures.

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Of the 5 tests only the Biceps Load II test demonstrated utility in identifying patients with a SLAP-only lesion with a positive predictive value of 26 95 confidence limits CL 18 31 negative predictive value of 93 95 CL 84 97 positive likelihood ratio of 17 95 CL 11 26 and negative likelihood ratio of 039 95 CL 014 091.

Slap lesion tests

. SLAP lesion increases the strain on the anterior band of the IGHL and thus compromises stability of shoulder. Examiner places on hand on top of affected shoulder and other hand on point of elbow. Examiner then applies a forward and superior.

The most Common Classification system for SLAP lesions was described by Snyder et al 29 following a retrospective review of 700 shoulder arthroscopies. These studies investigated 19 clinical tests. In fact this pathology is relatively common.

Horizontal flexion and internal rotation after RTA. When choosing from among the 10 tests two tests should be selected from the OBrien anterior apprehension and compression-rotation tests. The authors concluded that clinical tests are helpful but arthroscopic exam is needed to confirm a type II SLAP lesion.

You will have to tie in a positive with the test with a history of impact or trauma a deep ache in the shoulder and to be honest. This test was described by Berg and Ciullo in 1998 and was developed after 2 patients described cervical spine and shoulder pain and a click associated with turning a steering wheel Le. Nanmoins des tests complmentaires doivent tre raliss pour confirmer le diagnostic.

The goal of this article is to provide a current best-evidence synthesis with regard to physical examination tests used for the diagnosis of SLAP lesions. Yergasons test may load the superior aspect of the labrum where part of the tendon attaches. Up to 14 of patients undergoing shoulder arthroscopy for any diagnosis will demonstrate a SLAP lesion.

Active Compression Test Passive Distraction Test. Only one test from the first group of three must be positive to be. A literature search yielded 17 studies that investigated the di- agnostic utility of clinical tests for SLAP lesions.

La prsence de douleurs lors de ces tests cliniques peut tre un signe de SLAP lsion de lpaule. They identified 4 types of superior labral lesions involving the biceps anchor FIGURE 1. Physical examination can lead the physician to suspect a SLAP lesion but no test is pathognomonic.

Arthroscopy revealed the presence of a type II SLAP lesion in both patients. SLAP lesion cluster two test used to assess for SLAP Lesions the tests are. One test should be done from the Speed Yergasonand biceps load II tests.

On parle de tests de Obrien de recentrage de Jobbe de Lafosse ou encore du biceps load test. In throwers may be due to tightness of the posterior-IGHL which shifts the glenohumeral contact point posterosuperiorly and increases the shear force on the superior labrum. The examiner puts one hand on the top of the patients shoulder proximal to the glenohumeral joint.

The test is best performed with the patient in sitting with their hand resting on their hip with. The SLAPprehension test is helpful in the clinical evaluation of patients with unstable superior glenoid labrum lesions whose symptoms are often confused and overlap with those of shoulder impingement or acromioclavicular arthrosis. Type I SLAP lesions have fraying of.

SLAP Lesions - OBriens Test - Anterior Slide Test Kibler - Pt sitting with hands on hips and thumbs pointing posteriorly. Active and passive range of motion are usually normal but impingement signs including pain on frontal flexion Neer sign and rotation from external rotation to internal rotation in 90 degrees of abduction Hawkins sign are often positive due to secondary rotator cuff involvement.

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