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Slap lesion

With the term Slap Lesion it is usually understood the anatomic condition of a lesion of the anteriorsuperior part of the glenoid labrum associated with the detachment of the tendon of the long head of biceps.
This is an injury that can appear after a violent movement in throw sports or fall on the limb.

The arising of symptoms is rarely due to a definite trauma. More commonly the clinic history refers to various traumatic episodes during the “overhead” activity. Very often you can also be able to reproduce the dislocation voluntarily and it usually occurs in a throw position.

You probably feel pain when resting and it tends to worsen when performing overhead movements, being adjoined by the sensation of “joint” of the humeral head, laxity and articular noises.

In the slighter cases, surgery can be avoided through the total abolishment of the sports or working “overhead” movement that tend to distress the lesion. Rehabilitation has to emphasise the reinforcement of intrarotatory muscles, recovering in the shortest time possible the complete range of movement without forcing the extra-rotation. Stretching of the capsule and posterior cuff can mitigate symptoms.

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