Related Experiment Video
Updated: May 16, 2026
04:01
The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
Published on: August 8, 2025
Superior labrum anterior-to-posterior tear
1Clinical Physical Therapy, Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA.
The Journal of Orthopaedic and Sports Physical Therapy
|December 4, 2012
Summary
A young athlete with persistent right shoulder pain was initially misdiagnosed with bicipital tendinitis. Further evaluation revealed a superior labrum anterior-to-posterior tear, requiring a different treatment approach.
Area of Science:
- Orthopaedic Surgery
- Sports Medicine
- Diagnostic Imaging
Background:
- Persistent shoulder pain in young athletes can be challenging to diagnose.
- Initial misdiagnosis of bicipital tendinitis led to ineffective treatment.
- Lack of improvement prompted a second opinion and further investigation.
Observation:
- A 25-year-old male college student presented with right shoulder pain.
- Initial treatment for bicipital tendinitis for 4 weeks yielded no improvement.
- The patient's inability to return to pre-injury activity levels indicated a more significant issue.
Findings:
- Magnetic resonance arthrography confirmed a superior labrum anterior-to-posterior (SLAP) tear.
- The diagnostic findings contrasted with the initial clinical diagnosis.
- Accurate diagnosis is crucial for effective management of shoulder injuries.
Implications:
- SLAP tears require specific treatment protocols distinct from bicipital tendinitis.
- Early and accurate diagnosis is essential for optimal patient outcomes in sports-related shoulder injuries.
- This case highlights the importance of considering labral pathology in persistent shoulder pain unresponsive to conservative treatment.
