AANA19 Shoulder Access Pass-Master Series_ It's not a SLAP Tear’-Dr. William Ben Kibler, M.D.

Master Series_ It's not a SLAP Tear’-Dr. William Ben Kibler, M.D.

Video Transcription

Video Summary

The speaker challenges the traditional SLAP tear diagnosis and treatment in throwing athletes, emphasizing its rarity and inconsistencies in evaluation and surgery. He highlights that injuries in throwers often affect the posterior labrum, not the superior part, and that imaging frequently shows SLAP lesions in asymptomatic athletes. Instead, he proposes the term "clinically significant labral injury" (CSLI), focusing on labral dysfunction causing symptoms and instability. Diagnosis requires specific history, physical tests, and advanced imaging techniques. The speaker advocates for standardized criteria and treatment protocols, mentioning ongoing multicenter studies to improve outcomes and reduce failed repairs.

Keywords

SLAP tear

throwing athletes

posterior labrum injury

clinically significant labral injury

labral dysfunction diagnosis