SLAP Lesions

SLAP Lesions

HX + MOI

RIsk Factors: GH Instability/Posterior GH hypomobility

MOI=FOOSH, Repetitive overhead motion

Pain Characteristics

Increased pain in 90 degrees abduction/External Rotation

+

Pain in Superior Portion of Shoulder

Other Consideration: clicking or catching

Functional Assessment

Complains of inability to perform (losing "zip" decreased accuracy etc)

+

increased pain with late cocking phase of throwing

Inspection

Forward Scap posture

Scap protracted at rest

Palpation

Point tender at posterior GH joint (inferior to acromion process)

Joint/Muscle Functional Assessment= ROM

AROM: limited internal rotation/horizontal abduction

MMT: Pain with shoulder and elbow flexion

PROM: limited horizontal adduction/limited internal rotation

Joint Stability Test:

Hypomobile posterior GH glide consistent with internal impingement