Superior Labral Anterior Posterior Tears | Everything you need to know about SLAP tears!

[@john-carlosynostroza]

Dude, you are an incredible teacher! I'm a long time athlete who played at pretty high levels and you explained these details better than any of the trainers I had in my career. Thank you!

[@ClinicalPhysio]

Thank you so much John-Carlos! That’s very kind of you 🙏🏼 Hope we can keep helping you!

[@mitchellventrone400]

😂

[@michaelkessler9467]

My compliments Sir 👏 Not only are you knowledgeable, but you also know how to teach and explain. A very rare combination. Once again, well done 👍

[@ClinicalPhysio]

So nice of you! Thank you for watching!

[@brittanyshaykevich5107]

As someone in PT school, I can’t believe I just discovered this channel. It’s a life saver! Thank you!!

[@rkatpar]

As a very new physio still trying to put everything together, your videos are an absolute life-line. Thank you so so much for taking the time to make them!!!

[@ClinicalPhysio]

You’re so welcome Rebecca! I’m so glad you are enjoying them! We have loads as well on instagram @clinicalphysio if you want to follow us there!

[@AYE1983]

Just got my MRI indicating Superior labral tear, extending into anterior labrum. Thank you for the neat explanation! 🙏🏼

[@mustimustafa3759]

i just got today my mri scan same as you superior labral tear how is your shoulder now?

[@jyoung6366]

@@mustimustafa3759did you get into PT?

[@mizouhoussam234]

​@@mustimustafa3759Is surgery required?

[@alexk3352]

Same. What did you do about it?

[@AYE1983]

@@alexk3352 did some shoulder stability work along with strengthening workouts

[@JamesDickson83]

THE most comprehensive video on SLAP tears I've seen to date. You've reassured me that there are things I can do whilst awaiting further diagnosis. Thank you so much!

[@ClinicalPhysio]

Thank you so much for your kind words my friend!

[@mizouhoussam234]

Is surgery required?

[@JamesDickson83]

Turned out to be an issue with the biceps tendon which I've managed through physio.

[@Lishaaaaaaa]

I'd like to thank you from the bottom of my heart for your wonderful videos. I had an MSK exam today, and because of your content, I was able to pass. MSK is my weakest subject and has been a major source of anxiety for me, but everything you release is so easy to disseminate. I was given a shoulder scenario where I had a SLAP tear as my differential and was able to talk at length about it thanks to you. You're an absolute star, and I hope this channel continues to grow.

[@ClinicalPhysio]

Congratulations Lisha!! This is absolutely wonderful news and I’m so pleased to hear how well you did! Huge credit to you and we are very grateful to have played a small part in your journey! Well done!!

[@anthonychr4070]

You have the gift of teaching. Very structured thinking.

[@ClinicalPhysio]

Thank you so much!

[@skatepark1ful]

12-14-22. Best vid so far!! Mot my injury but very informative!! and EXCELLENT SPEACH with fantastic explanations!! Had stage 3 Acronium separation! Surgeon was worthless-physio people WERE WORTHLESS!! Can’t anyone DO ANYTHING CORRECT!!?? Thanks for a good vid!

[@ClinicalPhysio]

Thank you so much my friend for your kind words! Wish you all the best with your shoulder 🙏🏼

[@eleanorlee-bognar9807]

Thank you. Rare to get quality posts like yours.

[@ClinicalPhysio]

Thank you so much for your kind words!

[@johnr.9589]

Great video you are very articulate. I'm a young athlete who's experienced dull but deep shoulder pain for almost two years. It has prevented me from playing tennis and other shoulder intensive activities in any significant capacity. I am excited to start my journey to repairing my shoulder.

[@ClinicalPhysio]

Thank you so much John! Wishing you all the best in your recovery!

[@coylerize]

Fantastic video, thankyou so much. I've had this for 10yrs, and only one dr is now diagnosing it. Have always been told it's impingement.

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼 wish you all the best!

[@adamcoleman2682]

Awesome video, people pay for this level of education, thanks for delivering such a great lecture!

[@ClinicalPhysio]

Thank you so much Adam that’s very kind of you!

[@szigethybalazs]

Thank you for the detailed video with the visual representations. Your video was much more useful than any other videos out there. Please continue your great work.

[@ClinicalPhysio]

Glad it was helpful! Kusunum Balázs!

[@rabbitchaser101]

Awesome information. Currently working on my third rotator cuff surgery.

[@ClinicalPhysio]

Thank you so much for your kind words! Wish you all the best with your surgery!

[@000-z8n]

Most helpful video on this subject I've seen to this point---thanks!

[@ClinicalPhysio]

Thank you so much!

[@KC-xp9of]

Thank you for this throughout explanation. I suffered a stage 2 SLAP tear to my left shoulder in summer of 2017 from trying to start a VERY stubborn lawnmower. I did some shoulder stretches afterwards to see if it would improve my pain. It only increased my pain by 100%. I felt a spider web of pain to the front of my shoulder. Then afterwards I couldn't raise my arm up above my head. I spent 3 months in an arm sling. Every step I took KILLED my shoulder. Riding in a vehicle was also extremely unbearable. I later developed long head bicep tendinitis due to the SLAP tear. I've had nearly 6 years of on and off extreme pain. Then had surgery late January for another issue. It was mandatory that the BP cuff be placed on my left arm dispite my pleas of having bicep tendinitis. My BP was taken 5x that day for surgery. Been living with level 8-10 front shoulder pain since then. Can anyone explain why having a BP taken 5x cause injury to an already damaged and repaired tendon?

[@MChile1968]

Thoroughly and engagingly explained! Thank you!

[@ClinicalPhysio]

You’re very welcome!

[@NickleJ]

Paddling a canoe (right side dominant) + playing guitar (or tuning, specifically,) is what did it for me. Thanks for the vid.

[@meds92270]

Best explanation I’ve come across. I don’t have an official diagnosis yet as my mri is in several weeks, but I’m in agony. Suffering since October. Can barely move my arm. It feels as tho it’s coming off of my body when I do move it. I can feel it subluxing 😢 lots of expletives to describe it but I never fell on it extended. I did however slam right in it from falling on ice about 12 years ago. Went to PT then and it healed nicely. Didn’t have any tears back then. This is awful and I’m going out of my mind. Interrupted sleep… tried PT and can’t do it. I do not know what I did. Just woke up in pain. And it hasn’t stopped.

[@swaradakulkarni9452]

Great video for revision. Your condition specific n differential diagnosis video are really helpful.

[@ClinicalPhysio]

You’re very welcome! Thank you for watching!

[@colindobson4045]

Hi,I've had an X-ray and ultrasound of my right shoulder, then 12 months later, a mri the ultrasound showed two small tears in my rotator cuff however did pick up a labral slap tear until i had the mri scan done then the slap tear was seen so I have type 3 tear. I've had symptoms over the past 15 months, and I've gradually gotten worse. I've had rotator cuff repair on my left shoulder, too. I've been doing exercise physiotherapy since surgery back in February 2022 and before that and developed capsulitis, which has put recovery back a bit. However, now the right shoulder issue my specialist surgeon has recommended surgery to repair the labram. However, the bicep tendinitis, hasn't been mentioned when I've spoken to my surgeon, so I'll definitely talk to my doctor about this. Your video explains this quite clearly. Oh, and my background. I'm 51 and have been working in a truck parts warehouse for the past 20 years now, and there's a lot of heavy repeative lifting. Great video cheers, Col 👍

[@sunrisechiro349]

thanks for the video, it is very informative without being too technical. I will pass this on to patients suffering from a SLAP lesion.

[@ClinicalPhysio]

Thank you so much Dr!

[@krishamer970]

Excellent explanations and appreciate the references to academic papers.

[@ClinicalPhysio]

Glad it was helpful! Thank you for watching!

[@leesheajing5194]

Thank you so much for the detailed explanations, along with the evidence-based findings!

[@ClinicalPhysio]

You’re very welcome!

[@DeezyRoc]

This was a great breakdown as I just discovered this morning that I have a slap lesion tear thank you for making it so simple to understand

[@ClinicalPhysio]

Glad it was helpful! Thank you!

[@Bitridamus]

Thank you for the great video! I just had our athletics PT tell me I injured my labrum and gave me most of the exercises to do that were listed here. This video helped me understand and made me feel a lot better about it.

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼 very kind thank you!

[@mizouhoussam234]

Is surgery required?

[@TheForgeFunctionalFitness]

Wow! Awesome breakdown. Articulate, precise and very easy to understand. Subbed immediately. Just what I needed after my type 2 SLAP Tear and biceps tendinitis diagnosis today!

[@ClinicalPhysio]

Thank you so much! Wish you all the best!

[@robx8972]

How are you now?

[@ca40946]

My SLAP tear was missed during a normal MRI, eventually years later I had a MRI done with dye and that was able to show my slap tear. I had a torn rotator cuff for 7 years before it was finally caught

[@jayj6092]

Wow this is easiest explanation for SLAP ever! Thank you so much!!

[@mrczz6690]

I'm 48 and had SLAP tear surgery in 2009. I was great till about 5 weeks ago my shoulder hurts again and I cannot throw a baseball or football without pain and discomfort and a feeling of disconnect. I've tried ice, a few exercises, 3-5lb dumbbell exercises, resting it....not helping. I need to call the orthopedic that repaired it in 2009. Full recovery took about 2 months which was quick the Dr. claimed.

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼 wishing you all the best

[@batman-sr2px]

When did you have surgery after first tear? Mine is chronic. I hate most orthos not even repairing it anymore.

[@mrblack5147]

@@batman-sr2px Try PRP threatment...It's great in my case. I'm SLAP typ 2

[@giopasika]

Keep Going Khalid One of my favorite Physio Channel.

[@ClinicalPhysio]

Thank you so much for your kind words!

[@toemass202]

Geez, so in-depth, but also digestible and easily applied. Out of all the tests, I had no pain, though I still have rear delt pinching after a meso of upper body training. I'm going to work with the suggested band exercises at the end of the video. Thanks for your help!

[@ClinicalPhysio]

Thank you so much for your kind words!

[@toemass202]

@@ClinicalPhysio Anytime.

[@sonic-fm1gw]

what do you mean by rear delt pinching?

[@toemass202]

@@sonic-fm1gw sharp muscle pain in rear delt in abduction

[@landscapingspecialist]

I had reparative surgery for this. It was endoscopic. But the imaging was the most painful thing I’ve encountered thus far in my life. The imaging was unbearable the length and positioning they had me in. And the contrast dye seemed like it was making my entire joint expand. I also had a distal biceps tendon rupture on that same side. It was repaired with an endobutton surgery. This happened before my slap tear. Now I have awful forearm and hand pain numbness and burning in both hands.

[@ClinicalPhysio]

Wishing you all the very best my friend

[@bigneiltoo]

My MRI showed this injury. It was sustained when (at age 54, with me being 6'5" 230) I was tackled on pavement and managed to rotate such that the attacker landed face first on pavement with me on top, but my arm was twisted. It popped back in about 45 minutes later.

[@nourhanhassan200]

جزاك الله خيرا دكتور خالد

[@deepikaaggarwal5124]

This lecture was really really informative 😃 Thank you so much 😊😊

[@ClinicalPhysio]

Glad it was helpful!

[@HomeGymDad]

Amazing Video, very informative and perfectively presented. Love it. (Just had a SLAP repair myself, 8 weeks post surgery)

[@ClinicalPhysio]

Thank you Rob! Wish you all the best for your recovery!

[@mizouhoussam234]

Is the operation laparoscopic?

[@KalVilmer94]

i give this lesson a 10/10!

[@ClinicalPhysio]

Thank you so much for your kind words!

[@KalVilmer94]

what do you think about the recent studies that came out explaining how the labrum has a rich blood supply?shouldnt this result in a greater healing capability?@@ClinicalPhysio

[@alexk3352]

If the labrum is damaged, I don't understand how strengthening the bicep would help. If you attach a rope to a truck's tow hitch, and the tow hitch is damaged, getting a stronger rope isn't going to solve anything. If anything, I would think that a stronger bicep would place more stress on the labrum as the person would be lifting increasingly heavy weights.

[@Arminsaf2]

What they also won’t tell you is your bicep will naturally become stronger because the bicep will take on extra stability effort through motions

[@bumblebee2085]

Bro in damaged labrum, training bicep increase the pain

[@al1976-v7m]

I guess the thinking is that training the muscle also strengthens the tendon. I think the tear is often caused through deceleration trauma and eccentric training can be especially helpful.

[@Arminsaf2]

@@al1976-v7m muscles are usually in overdrive to compensate for the loose gh structure. Training it more could possibly result in further and accelerated tendon degeneration down the road (decade or so). It’s a trade off. Better to get surgery and regenerative meds

[@dropbagit]

Excellent video, any update on the research regarding stem cell therapy for these injuries?

[@maicolbaker]

I got a slap tear and can’t get the surgery since I can’t miss the amount of work to recover. The doctor said I could live with it but it was an option. Great video!

[@murtazaafrooz2873]

Same here

[@Drikkerbadevand]

Insane to live in a world where you cant get sick leave to fix a damn shoulder

[@theodorantal238]

I need your advice :) A week ago I was doing pec cable flies from slightly below shoulder level, lightweight (12 kg either side) really slowly, controlled, focusing on the stretch. I was allowing my arms to go back a lot at the end of the eccentric. And, third set, 12th rep, I heard a subtle pop. Accompanied by a strange sensation. Not pain, or very little pain. It was more like a sensation of ease. As if my right shoulder joint had found a better location and it could move more freely. I have always had limited mobility in my right shoulder accompanied by pain both on internal and external rotation limits. So yes - first I thought it was a “good pop”… But when it came to train the biceps, I realised a strange gap between my felt and the long head of my biceps. I could still contract it, but it felt out of place so I stopped. I also noticed a slight yellowing right under my front delt where my bicep used to start, but now there is a slight gap. Went to emergency room and was told it’s a tear but it would heal on its own. Dismissed in 10 minutes. Having replayed it in my mind, what I believe happened, was a shift of the upper tendon. It simply feels as if that long tendon no longer runs in the groove at the top of my humerus, instead it moved a couple of centimetres forward and internally. What do you think, And what should I do? I really want to keep my functionality of my body, you know… I’m quite worried. Theodor

[@i701]

Thank you so much....such a great video.....I love Clinical Physio.....can you pls make some videos on lumbar / thoracic / cervical spine....I have some difficulties to really understand some of the nerve related pathologies and how to gradually treat/mobilize them right.....that would be so cool.....

[@ClinicalPhysio]

Hi! Thank you so much for your message! Absolutely we have lots of assessment videos on this in our KZbin channel, but also we have LOTS of webinars on our website at clinicalphysio.com with even more info on those kind of subjects and more!

[@Alex-iv4mu]

Do you know where in Type 1-4 the following tear would grade? From the MRI report: Mild joint arthrosis seen acromioclavicular joint. Mild tendinitis/tendinopathy is seen supraspinatus and infra spinatus tendons. Long head of the biceps tendon and biceps labral anchor are intact. There is an anterior superior labral tear from 1:00 to 4:00 position. There is a small posterior labral tear identified. The middle glenohumeral ligament shows abnormal signal intensity compatible with tear. No articular cartilage thinning is seen in the glenohumeral joint. The inferior glenohumeral ligament is intact. I think this occurred 4-5 months ago when I did a creative pushup against the corner of a bookcase, and then I tried to do pushups again that night normal on the floor and pain started. Took 2 weeks off then pain again when I tried to do pushups. Then a month later still pain only during pushups. Switched to only swimming and that worked for a while but by November I was getting dull ache preventing me from sleeping, a soft tissue-like click when I raise my arm, and now shaking (possibly from atrophy). I'm wondering how much hope I should place in PT (i.e. it's type 1) or if it's Type2-4 and I should be preparing to save money for surgery. FWIW I saw an ortho about this this week and he basically said "do physical therapy for a month to make a case for surgery". I was in so much shock I didn't get to ask any questions he just walked right out and said he had a lot of patients to see. I'm also wondering if the presence of 3 different types of tears suggests more likelihood of surgery.

[@aengusgiblin2284]

Wow, these videos are so good. Thank you for sharing

[@ClinicalPhysio]

You are so welcome! Thank you so much for your kind words!

[@myfreespirit67]

Much Gratitude

[@ClinicalPhysio]

Thank you so much! Glad you enjoyed it!

[@michelleglover7125]

Hopefully with pt and no surgery I’ll be able to return to volleyball and play professionally, thank you for the information!

[@mizouhoussam234]

Do you suffer from slap?

[@justbernie2338]

Fantastic videos/illustrations AND explanations. Thank you!

[@ClinicalPhysio]

Thank you! ⭐️ glad you enjoyed it!

[@markpiekarz]

What a fantastic video, Khalid, thank you!! After over-use at the gym (likely doing Arnie presses!) 6 months ago, and ignoring it, I was recently diagnosed with SLAP lesion by my orthopedic surgeon and had many visits at my physio. After about 6 weeks (and prescription anti-inflammatories), the constant pain has been slowly subsiding - but every now and then it will flare up again. I'm 40. One thing I noticed was the three preferred tests for high degrees of diagnosis. In each of them (except the supinated O'Briens test) I felt almost no discomfort (like 1 out of 10). MRI however has shown it as a slap lesion - Type 1 or 2, the doctor said. I will be going in for a contrast MRI to better show any lesion in the area. My strong preference is not to get surgery, so I'm trying to rehab as much as possible. I'd love to get any further recommendations for rehab exercises (including good form) that you can think of. I often find myself needing to mentally engage the right muscles as using the resistance bands sometimes causes me to just use my bicep/tricep instead of posterior rotator cuff. Once again thank you so much for this video, it really helps spread the knowledge and clearly articulates the terminology!

[@ClinicalPhysio]

Hi Mark! Thank you so much for your message! I’m really pleased to hear that all tests gave almost no discomfort! I must admit I would be a hypocrite if I was to give clear advice over the internet as a therapist/doctor/clinician who is able to see you in person and assess you is much better than me guessing over messaging… but a few things to think about, 1) SLAP lesion on a scan can be an incidental finding I.E. it is on the scan, but is it actually causing the symptoms?…… 2) You can absolutely avoid surgery if you it isn’t causing a huge issue to you and your pain levels ….. 3) once again, to prevent hypocrisy, please may I recommend you get specific exercise advice from someone who can fully assess you for the right exercises. Sorry to not give specific advice, but I would much prefer, for your sake, that you get advice specifically from someone who can assess you rather than me guessing at exercises over the internet 🙏🏼 wish you all the best!

[@sonic-fm1gw]

@@ClinicalPhysio is the superior and posterior labrum at the posterosuperior aspect of the humerus? what are the structures commonly involved there? also what are the symptoms the slap should be producing?

[@anjiajjayabandara7068]

Thank you Khalid You are the best 😇

[@ClinicalPhysio]

Thank you so much for your kind words!

[@BStavFishingAndHunting]

Great video. I’m currently in physical therapy for a suspected slap tear of my left shoulder. What a “wonky” feeling! Clicking and clunking was pretty bad but seems to be lessening with treatment. I’m 52 and pretty active. My biggest concern is the possibility of a full long bicep tendon rupture occurring.

[@ClinicalPhysio]

Wishing you all the very best with your physio! One step at a time 🙏🏼

[@kinderoreo7857]

Hello, how is the treatment going?

[@justapublichealthguy7954]

Thank you for the video. I appreciate your time and effort putting into these videos. I recently have been reading some studies as they relate to the treatment of SLAP tears. There was a small RTC study using bone marrow concentrate (BMC) and platelet-rich plasma (PRP) as a treatment modality. It's potentially a safer and more robust way to address the injury compared to the standard treatment we currently offer.

[@ClinicalPhysio]

Thank you so much for your messages and interesting to hear about these options!

[@JoshuaGassner]

What is the best way to find out if you have a Type 1, 2, 3 or 4 Labral tear? And is surgery really the only best option for a type 2 tear? What about stem cell injections paired with peptides?

[@williamsantiago9284]

Need help can i avoid surgery? RI of the shoulder was performed, using axial volumetric GRE or CISS, axial fat-saturated proton density; coronal oblique T1, fat-saturated T1, and fat-saturated T2; and sagittal fat-saturated proton density. FINDINGS: Labrum: There is a labral tear extending from the superior labrum into the posterior and posterior inferior labrum. There is a 4 x 5 mm defect in the posterior to posteroinferior glenoid articular cartilage consistent with a reverse GLAD type injury. Along the mid and superior margin of the posterior labrum there is contrast curving posteriorly along the glenoid which may reflect a component of reversed Perthes-type injury. The remainder of the anterior and inferior labrum is maintained. As suggested previously, there is a small posterior

[@Hinssss]

Informative vid!!! Hope you can get to radial head fracture soon!!! Keep it up!!!

[@ClinicalPhysio]

Thank you!

[@marrobbart6093]

Yes radial head fracture would be a great video from this physical therapist!

[@Jonathan-cq8sk]

Thank you for this video! I'm curious, what's the reasoning for the Arnie press?

[@PEDROLEVELUP]

Thank you for this full explanation 👍 If I understood well, the pain is on shoulder, if I have only pain on the biceps this is probably not a SLAP. I feel pain and weakness on one biceps and after mri the doctor thinks it's a slap tear, I will see a shoulder specialist soon.

[@ClinicalPhysio]

Wish you all the best Pedro!

[@davidchorley9219]

You should also screen for Ehlers Danlos with the Beighton score which will increase risk

[@ClinicalPhysio]

Great thought!

[@nowynope1861]

Thank you.

[@ClinicalPhysio]

You’re very welcome!

[@lou_.13._lou]

Wow, this video is such a great help and so informative. Thanks a lot. At least I have no problems with the first two biceps exercises, but pain within the third test. But the other way round, no pain while thumb goes down, but deep pain, while palms show up. 🤷🏻‍♂️ And also deep pain while reaching the arm in front and than rotating it in both directions like holding a bottle and kipping it out and than turning in the other direction.

[@ClinicalPhysio]

You’re very welcome! Wishing you all the very best with your shoulder 🙏🏼

[@ridaallauddin5364]

in O'Brien's test why the patient will complain of more pain with internal rotation? is it because the tendon will get impinge? and relief with supination which is ER too?

[@aleks__r]

🎯 Key points for quick navigation: 00:16 *🏥 SLAP-разрывы возникают из-за повреждения супраспинозного отростка и связанного с ним лабрума гленойдной впадины.* 01:54 *🏋️ Травматические и атравматические причины SLAP-разрывов различаются по механизму повреждения.* 02:22 *🎯 Большинство SLAP-разрывов встречаются у людей моложе 40 лет, часто после значительной травмы.* 04:56 *💡 Основные симптомы SLAP-разрыва - глубокая боль в плече и история травмы.* 05:36 *📋 Существуют три объективных теста для диагностики SLAP-разрывов с высокой чувствительностью и специфичностью.* 08:36 *📉 MRI не всегда эффективен для диагностики SLAP-разрывов, в отличие от артроскопии.* 09:45 *🏥 Управление SLAP-разрывами зависит от их классификации и может включать консервативное лечение или хирургические вмешательства.* 11:23 *🏋️ Физиотерапия для SLAP-разрывов фокусируется на упражнениях для восстановления движения и укрепления мышц.*

[@candacebradley3375]

Very informative! Thank you so much!!

[@ClinicalPhysio]

You’re very welcome!

[@nehajha4524]

Your videos are really great .i learned so much from your videos 🥰

[@ClinicalPhysio]

Glad you like them! Thank you! ⭐️

[@catherinegray1367]

Riddle me this: After throwing around 2400 lb of soil bags (I've been lifting heavy weights for 18 yrs now,) 5 days later I had right shoulder discomfort (3 wks ago now.) If i forcibly ADDuct (elbow flex 90°) my arm INTO my vehicle's arm rest, my shoulder discomfort is completely relieved. Hmmm.... I've r/o rot cuff because it neither produces weakness nor reproduces my pain. Also the pain is so nebulous that I can't tell exactly what structures are involved so at this point, (but lat insertion and bicipital tendon are pinpoint sore) I'm stopping short of X-ray or MRI. My DDX right now is the beginning of inflammatory arthritis to the right shoulder or a possible labral tear. Does this forceful adduction against an immovable object which relieves my shoulder pain give you any indication the bells and whistles going off in your head?

[@dandog3523]

Really excellent

[@ClinicalPhysio]

Thanks a lot! Very kind of you!

[@ahmedalnama426]

thank you, very helpful video 👏

[@ClinicalPhysio]

You're welcome!

[@tbip2001]

Brilliant channel.

[@ClinicalPhysio]

Thank you so much!

[@CleoandCoco]

Very well presented!

[@ClinicalPhysio]

Thank you so much!

[@louisamaher9198]

This is so helpful thank you! Please what would you expect to see during the objective AROM, PROM and resisted tests? Would SLAP patients show weakness or any pain during particular PROM? Thank you

[@ClinicalPhysio]

Hi Louisa! If a lower grade then mild restriction in AROM and potentially PROM, and I would expected resisted biceps to be sore. In more higher grades or severe cases I would probably expect more restriction and potential for other resisted tests including rotation to be sore, particularly if rotation is tested in outer ranges 😊 However, there isn’t necessarily a “one size fits all” with this and so would focus on subjective + tests as able 🙏🏼

[@anindyadhar9285]

Informative. Nice video :)

[@ClinicalPhysio]

Thank you so much!

[@mikemcgrath6321]

Excellent video! Very thorough, very clear, evidence based, very well explained.

[@ClinicalPhysio]

Glad you liked it! Thank you so much!

[@EldritchBumblebee]

Thank you for this

[@ClinicalPhysio]

You are very welcome!

[@HardRockMiner]

Thank you, Doc. I passed those tests. This isn't my problem. I think I have bicep's tendinitis

[@ClinicalPhysio]

No problem! Wish you all the very best!

[@rachelwillis1822]

Fantastic video and great review.

[@ClinicalPhysio]

Thank you so much! Very kind words!

[@JackBackups]

This was incredibly informative and well done, thank you. What is your opinion on using mesenchymal stem cells for SLAP tears?

[@ClinicalPhysio]

Very kind of you! Thank you 🙏🏼 my honest answer is I don’t have much of an opinion on them but I very rarely see this being used in practice, which I suppose just suggests to me that they may not have a lot of evidence behind them

[@edlesivertsen3375]

Wish I had met you after my traumatiske accident in 2015. I never achieved any treatment regarding my shoulder injuries. Subscapularis tear(1cm)+ supraspinatus tear 1cm.+ two Labrumtears+ neck injury prolapsed C5/C6 hindring the nervesignals from this level. Learned that these rotatorcuff muscles are inervered by the c5-c6 level. So this might have made the situation worse. What are the chance to rebuild some muscles in this area ever again?

[@roadpizza3470]

What an incredible and clear description!! Subscribe!

[@ClinicalPhysio]

Thank you so much!

[@EllenCPickle]

My mri showed the complete slap tear, but in surgery they found cysts and torn rotator cuff and torn bicep, 9 weeks out and pain is much worse! mri showed bicep tendon was intact, but my tear extended though the entire posterior labrum and adjacent paralabral cysts in soft tissue with superior bony cyst. and marginal osteophytes off the humeral head.....I walked around with this for over a year when original dr blew it off and said my bra was causing my pain...these injuries occurred from age??? When I finally had an mri after a year my ortho took me to surgery the next week...was better for several weeks but its now worse than before

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼

[@shannoncoppernoll5811]

Hey Ellen how are you doing?

[@EllenCPickle]

@@shannoncoppernoll5811 thank you for asking. My surgery stimulated an SLE Lupus episode. I had fever for 4 months that everyone kept dismissing, however with fever and a cough the PT refused to let me come in, so I did everything on my own per videos. They didnt even know I had lupus until I started documenting everything, saving all the hair that fell out, taking pics of my fever and what time everyday and along with any symptoms ...it was only a week ago the diagnosed me with lupus but feel I had it for years. Shoulder got better, they worse, they told me the operation I had was only temporary as my body is eating cartilage quickly. I now need a total shoulder replacement, my second hip replacement, and my opposite knee scoped from the beginning of the year. I had a rare reaction to gabapenten and legs swelled up about 15 lbs. I do have lympadema but this is different ...I could go on more and more but honestly its very depressing! I was doing ok until I got my 3 covid vac a few months back and the pain in my arm and shoulder are back to the same level, about an 8/10 at every moment. I dont take reg pain meds, im allergic to NSAIDS, so I just have to learn to live with the pain! My case is very extreme .I am only 53, my first him replacement was at age of 42, the dr said my case was the worse he had ever seen, my joints are like a woman in her 80s.....I keep going, but I do get sad often when pain last for hours.

[@shannoncoppernoll5811]

@@EllenCPickle I’m so sorry you’ve been through and are still going through all of this, I hope someone can eventually help you through all of this, are you seeing a rheumatologist for the lupus? It does sound like maybe you’ve had the lupus for longer than expected, possibly why you needed hip replacement so young.

[@EllenCPickle]

@@shannoncoppernoll5811 I am waiting for my referral for a rheumatologist , its a process and I need to change my main dr because he has ignored so much. I think I have had lupus for about 5 years but diagnosed only one SLE , I have something called alkaptonuria which gives me osteoarthritis and kidney stones, first diagnosed in 2011...thats when I had my first hip replacement. I make kidney stones all the time, gout, kidney failure stage 2, my back is laughable, I have 2 discs in my back that have no problems but they are in process of diagnosing me with a csf leak..I can hear it for two years now and nasal drainage shows spinal fluid, my dr didnt listen to that too because he said its too rare, my orthopedic listen to me and was one to confirm it....I have 22 conditions I battle everyday...and I dont take pain meds because I have been in recovery for 30 years...thats one of my biggest problems because when drs hear I used to be addicted to pain meds they think thats what I am there for until they run my rx history and see I dont take anything! I just want diagnosis, medical gaslighting is a real thing! so I keep on going! I try to keep a positive attitude but it is hard when the medical system doubts patients instead of doing investigations! I blame insurance companies as well! Almost every condition I have including diabetes I have self diagnosed before the drs do and I think that angers them! I do have 4 autoimmune diseases which I am convinced comes from mental health as well surviving 25 years of abusive marriage....so I am healing body mind and soul..one problem and one solution at a time....I have had a few medical papers written about my strange conditions ....lol I am the 1 out of a million patients it will happen too! Thank you for listening. I rarely talk to community about this except for self help recovery groups. Take care!

[@basharomary3728]

What about lifting weights again without undergoing surgery, I have no pain while sitting , only a slight discomfort while I do some specific mocment of my arm in a specific angle, I was diagnosed with slap type 2 lesion a year ago, can I go back to to lift heavy weights without surgery and also do weight body excerszies (pull ups , push ups) Thanks

[@TheFatKid128]

Hm thought I've been dealing with bicep tendonitis but it feels like everything you said I was positive for🤔

[@ClinicalPhysio]

As always would always encourage you to get properly assessed if you are unsure

[@amydunn9075]

Great video! Would you ever consider making a video on FAI and labral tear conservative physio management?

[@ClinicalPhysio]

Hi Amy! Thank you so much for your message! Yes absolutely, we have a long list of things to do and certainly hip related stuff is one of them!

[@Semaj.18272]

The biceps workout gives me pain though ! Arni press and the y raisss

[@marknicholson8464]

Brilliant!

[@ClinicalPhysio]

Thank you so much!

[@The42n8s1]

Great stuff. Thanks.

[@ClinicalPhysio]

Glad you enjoyed it! Thank you!

[@Frog_king11]

How long after your injury should you start exercising?

[@nijinokanata111]

so helpfully informative. Thank you!!

[@ClinicalPhysio]

You're so welcome!

[@ChrisZageL]

Thank you for your analytical explanations! One question: when someone is clinically diagnosed with a slap tear but the MRI doesn't show it, is it possible that this type of tair is type I or II, excluding the types III and IV? Thank you

[@yabutjjuan6055]

Doc how about nerve entrapment due to slap tear suprascapular nerve

[@Rdn55]

Thank you for detailed break down. I have two questions please. 1. If someone has a bicep tenodesis done, the labrum is still torn correct? if so, what happens to the labrum? Is there an issue having it still torn after a bicep tenodesis? 2)I am 40 yr old male with slap tear (grade 2?). I dont have much pain, my only issue is I probably have about ~90% arm strength, is it worth having surgery for this? I like to go to the gym and do karate.

[@deriangel]

Great video

[@ClinicalPhysio]

Thank you so much!

[@davidharr9963]

High Dr . Please comment the ability of MRA (arthrography to diagnose SLAP lesions) . Your comments are concerning plain MRI, thanks Radiologist here.

[@IB4UUB4ME]

I’m 57 and played football for years, also had a motorcycle wreck where I flew about 80 feet and landed on the pavement and it didn’t help my shoulders, now I’m About to have a 3rd repair on my supraspinatus full thickness tear and labrum tear. My left shoulder has been replaced 3 times and is now stainless steel. I don’t want to have another replacement on my right one but how many times to I try this repair? The other one got infected and was operated on 28 times and I got a blood problem and had a pic line in with daily meds for months. 🤦‍♂️ Then the rod part started trying to push out of my bone so they had to go in and replace it again with a longer shaft. I was averaging 1 surgery a month for 3 years and don’t wanna go through that again but maybe that was just a fluke but now my right one is seeming to go the same route. 🤦‍♂️🥴😞

[@ClinicalPhysio]

So sorry to hear this my friend, naturally your surgeon will be the best person to have these conversations with, and I wish you all the best

[@CymaticForm]

I had an injury wake boarding. Being pulled while my wake board was dragging. I think I over did the bicep muscles. I have been dealing with some pain for 5 months when I finally went in to the doctor to really figure it out. Got an MRI and doctor said I had a SLAP tear. He recommended tenodesis surgery. I basically have full range of motion but I do feel pain in extreme positions and I feel a bit of soreness still on the top of my bicep. Seemingly coming from the tendons. I tried to do the tests you showed on your video to myself and didn't experience pain. After what you stated about MRI tests I'm now a little sceptical that I have a SLAP tear. This injury has been more annoyance with sharp pains but it has gotten better over the 5 months. My surgery is scheduled in 5 days. And now I'm conflicted whether it's necessary. Would you recommend a second opinion or physical therapy before I do the surgery? I tried to do some of my own physical therapy after my injury but never did completely heal. Hard to know what to do.

[@erichkrauz2225]

Thank you for the video.

[@pawejuras4322]

Wow, good lecture.👌

[@ClinicalPhysio]

Thank you so much!

[@leelakrishna8243]

I've been dealing with a partial SLAP tear (12 to 3 o'clock position) in my shoulder for about 3 years now, which happened while playing badminton. Despite time passing, it still hasn't healed fully. I'm wondering if anyone here has experience with treating a SLAP tear without surgery and whether it's possible to recover completely and return to playing at full potential. Any insights would be really helpful! Thank you

[@Iceman766]

Cheers man, great teacher. Helped me understand what my specialist was saying lol.

[@ClinicalPhysio]

You’re very welcome! Thank you so much for watching!

[@despinak9942]

Incredible!!! WOW, so helpful!