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Superior Labral Tears Clinical Examination - SLAP Tear Test These two tests are both excellent at detecting peel-back SLAP lesions, specifically in overhead throwing athletes, but are useful for any population I share these two tests because I know that there is a lot of confusion regarding the “best” test
What is the peel-back mechanism? I’ve heard it used to . . . - eOrthopod The peel-back sign refers to what is seen using an arthroscope to diagnose a SLAP lesion of the shoulder A SLAP lesion is a tear of the riangular-shaped piece of cartilage on the rim of the shoulder socket The rim is called the labrum The biceps muscle is divided into two main parts
Labral Tension Test | SLAP lesions | Shoulder Assessment As we know that the labrum acts as a passive stabilizer to deepen the glenoid and prevent subluxation of the humeral head, mechanisms of injury are often related to traction, acute traumatic (often overhead-) events, the ‘peel-back’ mechanism, or heavy lifting
SLAP Lesion - Physiopedia At the moment of the impact the glenohumeral contact point is shifted posterosuperiorly and increased shear forces are placed on the posterior-superior labrum, which results in a peel-back effect and eventually in a SLAP lesion
Resisted Supination External Rotation Test (RSERT) | 2025 The Resisted Supination External Rotation Test (RSERT) stands as a crucial diagnostic tool in orthopedic examination, specifically designed to evaluate Superior Labrum Anterior and Posterior (SLAP) lesions
THE RECOGNITION AND TREATMENT OF SUPERIOR LABRAL (SLAP) LESIONS IN THE . . . A wide variety of potentially useful special test maneuvers have been described to help determine the presence of labral pathology in an overhead thrower, including: the active compression test, the biceps load test, 43 the biceps load test II, 33 the pain provocation test 44 and the resisted supination and external rotation test, 45 and the
SLAP Lesions - Musculoskeletal Key We base the arthroscopic diagnosis of a SLAP lesion on five specific findings: 1 Drive through sign 2 Superior sublabral sulcus >5 mm 3 Bare sublabral footprint 4 Displaceable biceps root 5 Positive peel-back sign
Quantifying the extent of a type II SLAP lesion required to cause peel . . . The peel-back of the labrum was graded 0, 1, or 2 The labrum was sequentially detached from the glenoid in the following order: biceps anchor only, 1 o'clock, 2 o'clock, 11 o'clock, and 3 o'clock positions After each labral cut, the peel-back test was performed
Diagnosis and management of superior labrum anterior posterior lesions . . . The pathological cascade which results in the SLAP lesion consists of a combination of posterior inferior capsular tightness and scapular dyskinesis, resulting in a ‘peel back’ phenomenon at the biceps anchor and leading to the SLAP tear