The recognition and treatment of superior labral (slap) lesions in the overhead athlete.
作者： Leonard C Macrina , Kevin E Wilk , Jeffrey R Dugas , E Lyle Cain , James R Andrews
DOI:
关键词: Evidence-based medicine 、 Postoperative rehabilitation 、 Physical therapy 、 Medicine 、 Labrum 、 Rehabilitation 、 Overhead (computing) 、 Glenoid labrum 、 Physical examination 、 Range of motion
摘要: UNLABELLED The overhead athlete presents with a unique profile that may predispose them to specific pathology. Injury the superior aspect of glenoid labrum (SLAP lesions) poses significant challenge rehabilitation specialist due complex nature and wide variety etiological factors associated these lesions. A thorough clinical evaluation proper identification extent labral injury is important in order determine most appropriate non-operative and/or surgical management. Postoperative based on procedure has been performed, as well extent, location, mechanism pathology Emphasis placed protecting healing while gradually restoring range motion, strength, dynamic stability glenohumeral joint. purpose this paper provide an overview anatomy pathomechanics SLAP lesions review examination techniques used identify athlete. Furthermore, current management postoperative guidelines provided. LEVEL OF EVIDENCE 5.
参考文章(66)
Ronald P. Karzel, Wilson Del Pizzo, Richard D. Ferkel, Marc J. Friedman, Stephen J. Snyder, Arthroscopy classics. SLAP lesions of the shoulder. Arthroscopy. ,vol. 26, pp. 1117- ,(2010) , 10.1016/J.ARTHRO.2010.06.004
Gary M. Gartsman, Steven M. Hammerman, Superior Labrum, Anterior and Posterior Lesions. When and How to Treat Them Clinics in Sports Medicine. ,vol. 19, pp. 115- 124 ,(2000) , 10.1016/S0278-5919(05)70299-4
TAE KYUN KIM, WILLIAM S. QUEALE, ANDREW J. COSGAREA, EDWARD G. MCFARLAND, Clinical features of the different types of SLAP lesions: an analysis of one hundred and thirty-nine cases. Journal of Bone and Joint Surgery, American Volume. ,vol. 85, pp. 66- 71 ,(2003) , 10.2106/00004623-200301000-00011
Jacquelin Perry, Normal Upper Extremity Kinesiology Physical Therapy. ,vol. 58, pp. 265- 278 ,(1978) , 10.1093/PTJ/58.3.265
Seung-Ho Kim, Kwon-Ick Ha, Jin-Hwan Ahn, Sang-Hyun Kim, Hee-Joon Choi, Biceps load test II: A clinical test for SLAP lesions of the shoulder. Arthroscopy. ,vol. 17, pp. 160- 164 ,(2001) , 10.1053/JARS.2001.20665
Kou Mimori, Takeshi Muneta, Teruhiko Nakagawa, Kenichi Shinomiya, A New Pain Provocation Test for Superior Labral Tears of the Shoulder American Journal of Sports Medicine. ,vol. 27, pp. 137- 142 ,(1999) , 10.1177/03635465990270020401
D E Cooper, S P Arnoczky, S J OʼBrien, R F Warren, E DiCarlo, A A Allen, Anatomy, histology, and vascularity of the glenoid labrum. An anatomical study. Journal of Bone and Joint Surgery, American Volume. ,vol. 74, pp. 46- 52 ,(1992) , 10.2106/00004623-199274010-00007
Edward G. McFarland, Tae Kyun Kim, Richard M. Savino, Clinical Assessment of Three Common Tests for Superior Labral Anterior-Posterior Lesions American Journal of Sports Medicine. ,vol. 30, pp. 810- 815 ,(2002) , 10.1177/03635465020300061001
Rabindra L. Pradhan, Eiji Itoi, Yuji Hatakeyama, Masakazu Urayama, Kozo Sato, Superior Labral Strain during the Throwing Motion: A Cadaveric Study American Journal of Sports Medicine. ,vol. 29, pp. 488- 492 ,(2001) , 10.1177/03635465010290041801
William B. Stetson, Kevin Templin, The Crank Test, the O’Brien Test, and Routine Magnetic Resonance Imaging Scans in the Diagnosis of Labral Tears American Journal of Sports Medicine. ,vol. 30, pp. 806- 809 ,(2002) , 10.1177/03635465020300060901