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KMID : 1037920150020020086
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Arthroscopy and Orthopedic Sports Medicine
2015 Volume.2 No. 2 p.86 ~ p.94
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Superior labrum anterior to posterior lesions in overhead athletes
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Park Jin-Young
Cho Hyoung-Weon
Jeon Seung-Hyub
Oh Kyung-Soo
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Abstract
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Superior labrum anterior to posterior (SLAP) lesion commonly presents in overhead athletes and results from the detachment of the superior aspect of the glenoid labrum. Of the overhead sports, the excessive external rotation or the anteroinferior maneuver of the shoulder required in the late cocking and the deceleration phase of a baseball player’s pitch is thought to be the principal cause of SLAP lesion-induced pain. SLAP lesions, initially described by Andrew, now have an increased repertoire of variations reported since. Radiological tests such as magnetic resonance arthrography and several physical examinations are used to diagnose SLAP lesions; however, a diagnostic SLAP test that is set apart from the rest in terms of sensitivity or specificity does not exist as of yet. Diagnostic accuracy of SLAP lesions may be enhanced by combining various diagnostic examination techniques. When diagnosing SLAP lesions, a differential diagnosis of SLAP lesions from the normal, anatomic variations of the superior labrum must be made. Generally, when a SLAP lesion is diagnosed, conservative methods such as rehabilitation is first employed before attempting an arthroscopic repair using suture anchors.
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KEYWORD
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Shoulder, Labrum, Superior labrum anterior to posterior, Overhead athlete
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