Orthonotes
Orthonotes
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SLAP Tear — Management

SLAP = Superior Labrum Anterior to Posterior tear at the biceps anchor; pain is deep, activity‑related, with mechanical clicking. Snyder classification I–IV (and extensions V–VII); Type II detachment is most common clinically; Type IV extends into biceps. Provocative tests: O’Brien/Active Compression, Crank, Biceps Load II—helpful but not definitive. MRI arthrogram is investigation of choice; arthroscopy is the diagnostic gold standard and allows treatment. Treatment is age- and demand‑based: debridement (Type I/III), labral repair (young/athletes Type II), and biceps tenodesis/tenotomy (older/degenerative or revision).

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SLAP = Superior Labrum Anterior to Posterior tear at the biceps anchor; pain is deep, activity‑related, with mechanical clicking. Snyder classification I–IV (and extensions V–VII); Type II detachment is most common clinically; Type IV extends into biceps. Provocative tests: O’Brien/Active Compression, Crank, Biceps Load II—helpful but not definitive. MRI arthrogram is investigation of choice; arthroscopy is the diagnostic gold standard and allows treatment. Treatment is age- and demand‑based: debridement (Type I/III), labral repair (young/athletes Type II), and biceps tenodesis/tenotomy (older/degenerative or revision).
MCQs

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Question 1

What is the most clinically significant type of SLAP tear?

Question 2

Which provocative test is considered most specific for diagnosing a Type II SLAP tear?

Question 3

What is the preferred initial management for a Type I SLAP tear?

Question 4

In patients older than 35-40 years with a Type II SLAP tear, what is the recommended surgical management?

Question 5

Which imaging modality is considered the gold standard for diagnosing SLAP tears?

Question 6

What is a common associated injury found in patients with Type II SLAP tears?

Question 7

Which of the following is a common symptom of a SLAP tear?

Question 8

What does the 'peel-back mechanism' refer to in the context of SLAP tears?

Question 9

What is the primary goal of management for a Type IV SLAP tear?

Question 10

What is the most commonly used surgical technique for Type II SLAP repair?