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Superior labrum anterior to posterior injuries and impingement
1Thomas Jefferson University, Philadelphia, PA, USA.
Abstract:
Superior labrum anterior to posterior (SLAP) tears and subacromial impingement are discrete shoulder pathologies that most often occur separately; however, in some patients the conditions occur simultaneously. Each pathology has specific clinical and radiographic characteristics, but some aspects are shared. Nonsurgical treatment is an important initial option for both SLAP tears and subacromial impingement. Surgical treatment options for SLAP tears include débridement or repair, whereas subacromial impingement is managed with decompression. When these pathologies occur together, it is essential to determine the primary cause of disability for a particular patient and treat it accordingly. In some patients, SLAP tears and subacromial impingement may be equally involved and will require combined treatment.
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