SLAP Tear Overview - Everything You Need To Know - Dr. Nabil Ebraheim скачать в хорошем качестве

SLAP Tear Overview - Everything You Need To Know - Dr. Nabil Ebraheim

Educational video decribing specifics associated with SLAP tear lesions. The shoulder joint is a ball and socket joint. The socket of the shoulder joint is shallow. The labrum is a cuff of cartilage around the socket. It deepens the socket. The biceps tendon inserts into the top of the labrum. The labrum deepens the socket and provides stability to the shoulder joint. What is SLAP tear? SLAP tear occurs where the biceps tendon inserts into the glenoid labrum. Superior Labrum Anterior To Posterior What is the difference between SLAP and Bankart lesions? SLAP lesion is an injury to the glenoid labrum at the insertion of the biceps tendon due to overhead activities. Bankart lesion is an injury of the anterior inferior glenoid labrum due to repeated anterior shoulder dislocation. SLAP tear is usually caused by fall onto outstretched hand, repetitive overhead activity and heavy lifting. The area of the labrum where the SLAP tear occurs is susceptible to injury because it is an area of poor vascularity. The most common classification divides SLAP lesions into four types initially classified by Snyder. Maffet expanded the classification to include types V, VI and VII. These types include concomitant pathology in addition to the SLAP lesion. Type I Usually degenerative in nature and it is present in the majority of active population. Isolated fraying of the superior labrum with a firm attachment of the labrum to the glenoid. Type II The most common type of SLAP tear characterized by a detachment of the superior labrum as well as the long head of the biceps from the glenoid. Type III Characterized by a bucket-handle tear of the labrum with an intact biceps insertion. The labrum tears and flips into the joint (rare). Type VI A bucket0handle tear of the labrum that extends into the biceps tendon (rare). Type V Bankart lesion of the anterior capsule that extends into the anterior superior labrum. Type VI Disruption of the biceps tendon anchor with an anterior or posterior superior labral flap tear. Type VII Extension of a SLAP lesion anteriorly to involves the area inferior to the middle glenohumeral ligament. Conditions associated with SLAP lesions: •Rotator cuff in about 40% •Shoulder instability