SLAP Tears
A SLAP tear is an injury to the top of the superior labrum of the shoulder that can be caused by sudden trauma or by wear and tear.
About Superior Labrum Anterior and Posterior (SLAP) Tears
The labrum of the shoulder is the ring of cartilage that surrounds the socket of the shoulder joint. A superior labrum anterior and posterior (SLAP) tear is an injury to both the front and back of this cartilage. SLAP tears can be caused by acute trauma or by repetitive shoulder motions that result in wear and tear. Early treatment can prevent your pain and other symptoms from worsening.
Depending on the severity of your injury and your activity level, nonsurgical treatment may be the best option to relieve pain and improve function, however, if improvement does not occur surgical treatment may be required. Our orthopedic surgeons and sports medicine providers work with you on developing a specialized treatment plan with your goals in mind with a team dedicated to helping you every step of the way.
Symptoms of SLAP Tears
Symptoms of SLAP tears may vary based on the severity of your injury and can worsen over time.
Symptoms of SLAP tears may include:
- A feeling that the shoulder is going to “pop out of joint”
- A sensation of locking, popping, catching, or grinding
- Decrease in shoulder strength
- Decreased range of motion
- Pain with movement of the shoulder or with holding the shoulder in specific positions
- Pain with lifting objects, especially overhead
- Pitchers may notice a decrease in their throw velocity, or the feeling of having a “dead arm” after pitching
Risk Factors for SLAP Tears
Certain people are at greater risk of sustaining a SLAP tear.
Risk factors for SLAP tears may include:
- Personal history: People in sports or professions requiring repetitive overhead arm movements are more likely to sustain SLAP injuries from wear and tear
Treating SLAP Tears at UT Medicine
Upon evaluation of your shoulder, your medical provider will discuss nonsurgical treatment option as an initial approach to healing the tear and improving function. These options often include activity modifications and rest, non-steroidal anti-inflammatory medication such as ibuprofen, physical therapy and strengthening exercises and in some cases steroid injections. In rare cases, arthroscopic surgery may be suggested as a treatment option if your shoulder pain and function do not improve. Your care team will walk you through the risks and benefits as well as what to expect throughout your recovery process.
