2023 Annual Meeting Wrist & Elbow Access Pass-Opinion_ SLAP Is a Four-Letter Word_ When Should I Fix in 2022

Opinion_ SLAP Is a Four-Letter Word_ When Should I Fix in 2022_

Video Transcription

Video Summary

Dr. John Kelly discusses SLAP (superior labrum anterior to posterior) tears, emphasizing careful diagnosis and treatment. He warns against fixing every SLAP tear seen on imaging, as many are degenerative and asymptomatic, and overtreatment can harm athletes, especially throwers who need a stretched labrum for performance. Kelly highlights the importance of differentiating "good" (clinically significant) from "bad" SLAP tears, particularly those involving the inferior labrum and PIGHL, which often require surgery. He stresses addressing kinetic chain issues post-op and preserving the biceps tendon, which stabilizes the shoulder. Kelly advocates for surgical precision to restore function without overtightening or over-fixing.

Asset Caption

John D. Kelly IV, M.D., FAANA

Keywords

SLAP tears

shoulder labrum

diagnosis and treatment

athlete shoulder injuries

surgical precision