{"id":12493,"date":"2022-11-03T16:33:07","date_gmt":"2022-11-03T15:33:07","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=12493"},"modified":"2022-11-03T16:33:07","modified_gmt":"2022-11-03T15:33:07","slug":"slap-lesion-cluster","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/slap-lesion-cluster\/","title":{"rendered":"SLAP lesion cluster"},"featured_media":11355,"template":"","class_list":["post-12493","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":11352,"background_image_alt_text":"SLAP Lesion Cluster"},"heading":"SLAP Lesion Cluster","subheading":"Shoulder Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

SLAP Lesion Cluster 1 | Shoulder Assessment<\/h2>\nAccording to a study done by Schlechter et al. (2009)<\/a>, a combination of the Active Compression Test and the Passive Distraction test yields a positive likelihood ratio of 7.0 for 2 positive tests and a negative likelihood ratio of 0.33 for two negative tests.\nThis test cluster therefore has moderate clinical value to confirm or rule out SLAP lesions.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=cbHRPFJ5jm8&t=36s[\/embed]\n\n<\/div>\nPassive Compression Test<\/strong>\n\nTo perform this test, have your patient in supine-lying position at the edge of the table. Then elevate the affected arm to 150\u00b0 in the coronal plane with the elbow in extension and the forearm in supination and the upper arm stabilized to prevent humeral rotation. Then gently pronate the forearm.\n\nThis test is considered positive if the pain is reported deep inside the glenohumeral joint either anteriorly or posteriorly.\n\nIt is postulated that this maneuver rotates the radial tuberosity, placing traction on the biceps, which in turn tensions the proximal head long head of the biceps anchor at the superior labrum, causing a \u201cpeel back\u201d or \u201cfishing mouthing\u201d of the labrum.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=qkDvVBi0gg8&t=38s[\/embed]\n\n<\/div>\nActive Compression Test by O'Brien<\/strong>\n\nTo perform the test, ask your patient to flex his shoulders to 90\u00b0, bring the shoulders into 10 degrees of adduction and the first testing position is with your patient\u2019s shoulders in complete internal rotation. Then ask your patient to resist downward pressure.\n\nSubsequently, ask your patient to fully laterally rotate his shoulders and resist downward pressure again.\n\nThis test is positive for SLAP lesion if the pain that is provoked during the first testing position is lessened or disappears in the second testing position.\n\n[cta]\n\nOther orthopedic tests to assess biceps pathology & SLAP lesions are:\n