The report says (paraphrased): - nondisplaced tear of the posterior aspect of the glenoid labrum and ending from about posterior margin of the bicipital labral complex posteriorly downward to about 4:00 position of glenoid labrum. The surfaces of these bones, where they meet to form the joint. Posterior Inferior Labral Tear. Glenoid Labrum Tear. motor vehicle accident). Patients that are treated in outpatient or hospital environments may receive different surveys, and the volume of responses will vary by question. The rotator cuff and labrum are pinched together in the back of the shoulder. Bankart tear. rumfield1959 New. Evaluations are performed by board-certified, fellowship-trained physicians. B, Axial intermediate-weighted (A) and sagittal T1-weighted (B) fat-saturated MR arthrographic and arthroscopic (C) images show posterior labral tear (solid arrow), acetabulum (single asterisk, C), labrum (double asterisks, C), and femoral head (triple asterisks, C). He also has significant experience with arthroscopic shoulder. for the systematic evaluation of MRI to diagnose SLAP lesions involves first evaluating the biceps-labral complex. A SLAP tear occurs both in front (anterior) and back (posterior) of this attachment point. The symptoms of a shoulder labrum (or labral) tear are pain and reduced range of motion and strength. Specificity and sensitivity of the anterior slide test in throwing athletes with superior glenoid labral tears. Active adults between the ages of 20 and 40 are affected most often, requiring some type of treatment in order to stay active and functional. 89 Other dorsalgia M54. These tears can present with a wide variety of symptoms and there are multiple physical exam tests of undetermined significance. The Patient Satisfaction Rating is an average of all responses to the care provider related question shown below from a 3rd party vendor, Press Ganey and as of 7/01/21, our internal platform, PMX Feedback. Piotr Obara: Small tear: The labrum is rim of cartilage around the acetabulum which. Suzuki described the. The most common variant was. This case report examines 2 cases of superior labral anterior-posterior (SLAP) tears in association with nondisplaced fractures of the proximal humerus. A lot depends on your activity level and age. 7 = Superior glenoid labrum lesion. More details. Tears can be located either above (superior) or below (inferior) the middle of the glenoid socket. SLAP is an acronym for Superior Labral Anterior to Posterior. The tibial spine can break straight across, which is known as a transverse fracture. They can check for fractures and for structural abnormalities. A SLAP lesion (superior labrum, anterior [front] to posterior [back]) is a tear of the rim above the middle of the socket that may also involve the biceps tendon. Shear forces created by the movement of the humeral head anteriorly and superiorly must be resisted by the anterior joint capsule, which inserts partially into the superior anterior labrum. Posterior shoulder instability tears occur in the back of the glenoid socket and are the least common type of labrum tear. There are two common causes of labral tears. Most commonly, the labrum wears out over time and becomes frayed and more susceptible to tearing. Our Approach to Glenoid Labrum Tear. 36 Superoposterior subluxation. 0-T MRI for labral tears has also been explored. If you are here reading this article you have likely been to a doctor, a specialist/surgeon, and have been told that that catching/locking, popping/clicking noise in your hip is a result of a hip labrum tear. (personal communication, January 9, 2015). Glenoid labrum tear is a split in the fibrocartilaginous structure surrounding the glenoid, also known as the shoulder joint socket. Labral abnormalities include partial tears of the labrum or labral detachments at the labral-chondral junction(5), with detachments more common than tears, with up to 90% of cases representing labral detachments. trauma showed a large posterior capsular tear and a cam-type morphology with an alpha angle of 58 (Figure 3). please correlate with level of clinical suspicion of labral tear as further evaluation with mr anthography may be performed. This case report examines 2 cases of superior labral anterior-posterior (SLAP) tears in association with nondisplaced fractures of the proximal humerus. ppt 1/13/2016 10:16:14 AM GIRD •18 yo posterior labral tear with. •Displaced vs nondisplaced •Presence/absence of chondral injury. com - id: 5a1266-MGVlY. These are rare and make up only 5 to 10 percent of all shoulder injuries. There many different variations of SLAP tears, which have different levels of severity and treatment strategies. An MRI can provide detailed images of your hip's soft tissues. T treatment (active release) for the last two weeks and it has seemed to help, but I haven't returned to any high-impact activity, yet. Blaine Andrew Green Jennie Garver Louis U. The tear is often nondisplaced, and the adjacent glenoid articular cartilage remains intact. Posterior malleolus fracture is not common, but it does occur in some cases. Labral and cartilage injury (bankart lesion, humeral avulsion of the GHL, glenoid labral articular defect, anterior labral periosteal sleeve avulsion). Nerve injury (axillary nerve). Glenoid labrum tear is a split in the fibrocartilaginous structure surrounding the glenoid, also known as the shoulder joint socket. The posterior wall fractures involve the rim of the acetabulum, a portion of the retroacetabular surface, and a variable segment of the articular. 2018 Jul 31;12:303-313. posterior labrum tear: Injuries to the back of the shoulder joint can cause a posterior labrum tear. The treatment for labral tears and chondral damage will depend on the severity of the patient’s symptoms and damage to the hip joint. The MRI features of posterior glenoid internal impingement have been described, and include supraspinatus and anterior infraspinatus partial undersurface tears, bony cystic changes at the posterosuperior humeral head, glenoid chondral wear, and labral pathology, including posterior SL tears and type II SLAP tears. This cyst can also cause posterior shoulder pain, and when it is large, it can compress the suprascapular nerve, causing weakness of shoulder rotation. Recovery from a labral tear doesn’t usually require surgery, but in some instances, an operation will help restore maximum arm and shoulder function. However, if they do not experience 2-3 h of pain relief after the arthrogram injection, then the hip joint and labral tear are not the source of their "hip pain. These are superior labral tears orientated in the anterior-to-posterior direction. Evaluations are performed by board-certified, fellowship-trained physicians. The SLAP tear can continue posteriorly and can contribute to posterior shoulder pain. When the tear is at the back of the shoulder ( posterior ) (6 o'clock to 11 o'clock), it is a Reverse Bankart tear :. then it is a tear. In contact sports, rotator cuff lesions (22), it is now rec- with glenoid rim deficiency, CT and MR dislocation also results from forced ognized as improving the detection of have been shown to generate compa- ABER or a direct posterior blow to the nondisplaced anteroinferior labral tears rable quantitative measurements (22). What DX code do you use? golymom Networker. a finding that represents a posterior labral tear. This case report examines 2 cases of superior labral anterior-posterior (SLAP) tears in association with nondisplaced fractures of the proximal humerus. Both of these tests are relatively good at defining a labrum tear due to a subluxation or dislocation, but they. A very common labral injury is a tear that occurs on the top of the labrum, extending from the front to the back of the cartilage. SLAP is an acronym for Superior Labral Anterior to Posterior. Baptist Health is known for advanced, superior care for patients with orthopedic conditions and the diagnosis, treatment and management of a glenoid labrum tear. Both types of tears are usually accompanied by aching pain and difficulty performing normal shoulder movements. ) In andrewwolffmd. Labral abnormalities include partial tears of the labrum or labral detachments at the labral-chondral junction(5), with detachments more common than tears, with up to 90% of cases representing labral detachments. Sharp catching pain with or without a "click" will be an indication for a posterior labral tear. Initial treatment is nonsurgical and includes physical therapy to strengthen the posterior rotator cuff and scapular muscles, especially the infraspinatus, teres minor, and posterior deltoid. rotator cuff tear After relocation 39 12/10/2016 XR Ice /NSAIDS period of immobilisation PT Surgery Generally for recurrent dislocators Anatomic repairs focus on repairing disrupted structure • Labral repair Bankart repair Posterior labral repair SLAP repair Latarjet for recurrent dislocations with bone loss. Evaluations are performed by board-certified, fellowship-trained physicians. Entitlement to an initial rating in excess of 10 percent for service connected right shoulder superior labral anterior-posterior tear with arthritis from February 27, 2013 to March 18, 2013, and in excess of 10 percent since May 1, 2013 is remanded. Hip Labral Tear. Your doctor will do a physical exam and may order imaging studies, including an MRI or a simple surgical procedure called arthroscopy. These are common for contact sports like football and hockey. ; Treatment for a labral tear can include restricted rest, physical therapy or surgery, depending on the needs of the individual and. They frequently occur in individuals in European countries and the United States. SLAP stands for "superior labrum from anterior to posterior. Anterior superior labral pathology is commonly accompanied by anterior superior chondral degeneration. Depending on the type of tear, you may also have a dislocated shoulder.   Posterior Labral Tears: Posterior labral tears are less common, but sometimes seen in athletes in a condition called internal. Glenoid labrum tear is a split in the fibrocartilaginous structure surrounding the glenoid, also known as the shoulder joint socket. Platelet-rich plasma (PRP) injections have been effective in the treatment of labral tears with a reduction of pain and improved function. Plain radiographs showed acetabular overcoverage with excessive lateralization of the acetabular rim. Messages 6 Best answers 0. Doc places an anchor about 8:00 position. Labral tears are injuries to the disc of cartilage that surrounds the socket of the shoulder joint. Posterior Horn Medial Meniscus Tears. These typically happen to those 15-35 years of age and can be caused by an impact, fall, or overloading the shoulder. People who undergo surgery to repair a shoulder ligament tear participate in physical therapy afterward to regain full function of the joint. McCarthy et. Non-displaced means less than 1cm of displacement and less than 45° of angulation 2. In the first case, the patient fell from a jet ski, causing a traction injury to his arm. In a Bankart tear, a dislocation of the shoulder joint leads the head of the humerus to tear the labrum as it pops out of the socket, usually toward the front, but sometimes. The treatment for labral tears and chondral damage will depend on the severity of the patient’s symptoms and damage to the hip joint. Injuries Associated with Labral Tear or Detachment • Chondral defects - occur in up to 30% of patients with labral lesion • Para-labral Cyst - may be seen with labral tear, especially with labral detachment - ↑ prevalence in OA, DDH & post-traumatic injury 4 Doris Wenger, M. A comprehensive review of hip labral tears.   Posterior Labral Tears: Posterior labral tears are less common, but sometimes seen in athletes in a condition called internal. What DX code do you use? golymom Networker. 1 Pain in thoracic spine M54. Nondisplaced or minimally along the posterior aspect of the abdominal wall with occult 24 The diagnosis of acetabular labral tear is generally considered in patients. 6 Pain in thoracic spine 724. The posterior wall fractures involve the rim of the acetabulum, a portion of the retroacetabular surface, and a variable segment of the articular. You've read your MRI report, and naturally, you're concerned. In other cases, surgery will be recommended only after nonsurgical interventions have been tried. The labral tear is further characterized as nondisplaced or displaced. clefts, in about 38% to 61% of the normal labral segments, with a mean. The term SLAP stands for Superior Labral tear Anterior to Posterior. More details. Below you will find the types of labral tears, as well as common symptoms and causes of this sports. The most widely publicized is undoubtedly an acute trauma to an athlete or weightlifter. [Google Scholar] 15 Fedoriw WW, Ramkumar P, McCulloch PC, Lintner DM. Posteosuperior labral irregularity at around 9 to 10 o'clock is suggestive of focal tear versus labral fraying. Any dislocation of or injury to the hip joint as a result of car accident or other traumatic injuries can cause the tear. That research showed the sensitivity for anterior and posterior labral tears to be 89% and 86% and specificity as 100% and 100%. The lesion occurred at the antipodes of the extended rim. " This type of tear occurs at the front of the upper arm where the biceps. 1 - 3 The patient subsequently underwent. It can be either the part that attaches to the tibia or it can be the entire capsule, with some studies also reporting that red-red zone tears close to the edge of the capsule may also be qualified as a ramp lesion. The MRI features of posterior glenoid internal impingement have been described, and include supraspinatus and anterior infraspinatus partial undersurface tears, bony cystic changes at the posterosuperior humeral head, glenoid chondral wear, and labral pathology, including posterior SL tears and type II SLAP tears. For instance, our doctors may surgically reshape the bones in the hip joint so that they fit smoothly. Page 41 xxx00. The pain resulting from a labral tear can vary across the spectrum, from being painless to quite debilitating. Femoroacetabular impingement is a clinical syndrome associated with labral tears. Symptoms include pain in the hip or stiffness. Plain radiographs showed acetabular overcoverage with excessive lateralization of the acetabular rim. Acquired Posterior Capsular Contracture in throwing athletes leads to high torsional and shear stress on the posterosuperior labral in the late-cocking phase of throwing, which can. SLAP lesions are classiified by the extent of the injury, and also on the involvement of the bicepts tendon. 2,16,23 This is the location commonly affected by. Baptist Health is known for advanced, superior care for patients with orthopedic conditions and the diagnosis, treatment and management of a glenoid labrum tear. Return to play after treatment of superior labral tears in professional baseball players. Anterior labral tears-• Instability, recurrent dislocations LabralTears Superior labral tear (SLAP) tear • Pain with overhead activity in young pt (<45) • Treated with PT and surgery if fails conservative treatment Degenerative labral tears in older pts (>50) are common • Likely incidental finding Weakness - not correlated with labral. As a shoulder moves around inside the socket, the tissue surrounding it can tear and become. Sharp catching pain with or without a "click" will be an indication for a posterior labral tear. Posterior labral tear. 431A might also be used to specify conditions or terms like anterior to posterior tear of superior glenoid labrum of right shoulder or glenoid labrum tear. Labral tears can be painful, but also may be found incidentally on imaging studies. A SLAP tear occurs when the labrum is detached off the top of the glenoid, especially when it involves the insertion of the biceps tendon. 7 = Superior glenoid labrum lesion. Olecranon Stress Fractures are rare elbow injuries that predominately affects throwing athletes. A hip labral tear is a common injury that may cause hip and groin pain as well as other symptoms, such as hip locking or instability, depending on the severity and location of the tear. Some meniscus tears are age-appropriate. A comprehensive review of hip labral tears. ANATOMY Glenohumeral stability depends on the integrity of static and dynamic components. 211 Spontaneous rupture of extensor tendons, right shoulder. Posterior Labral Tears: Less common injury, but seen in people with an internal impingement condition.   Posterior Labral Tears: Posterior labral tears are less common, but sometimes seen in athletes in a condition called internal. The pain can occur if the labrum is torn, frayed, or damaged. Labral abnormalities include partial tears of the labrum or labral detachments at the labral-chondral junction(5), with detachments more common than tears, with up to 90% of cases representing labral detachments. Platelet-rich plasma (PRP) injections have been effective in the treatment of labral tears with a reduction of pain and improved function. I was told if it were not for the posterior. The 2 Common Types of Labral Tears. If the tear involves only a flap of tissue torn from the labrum without detachment of. Otherwise known as SLAP (Superior Labrum Anterior and Posterior) injuries because they occur to the top of the labrum, these injuries are typically the result of long-term wear and occur in patients over the age of 40. It is a common sports injury, especially in overhead athletes. A number of problems can lead to a labral tear. Treatment of the labral tears in these scenarios involves treatment of the shoulder dislocation and stabilising the shoulder. Treatment is generally rest from pitching, pain control, and brief period of immobilization. 14,25,55,59 McCarthy et al55 reported that 15% (76 out of 436) of his hip arthroscopic cases had dysplasia, with 49% having anterior and 4. A SLAP tear is a labral tears that is located in the superior labrum, that runs front to back, or anterior to posterior. Structural abnormalities: You may develop a hip labral tear due to wear. 439 - the user would recognize this code to be a superior glenoid labrum lesion of unspecified shoulder. 9 Dorsalgia, unspecified 726. This is known as a SLAP tear ("SLAP" is an acronym for superior labral anterior to posterior tear). Elementary posterior wall fractures are the most common acetabular fractures and account for approximately 24% of acetabular fractures. That research showed the sensitivity for anterior and posterior labral tears to be 89% and 86% and specificity as 100% and 100%. Inferior posterior labral small nondisplaced tear eithsmall paralabral cyst. Labral tears are further characterized as either non-displaced or displaced. T treatment (active release) for the last two weeks and it has seemed to help, but I haven't returned to any high-impact activity, yet. Active adults between the ages of 20 and 40 are affected most often, requiring some type of treatment in order to stay active and functional. Return to normal function and motion may require 3 to 4 months 5. 22 The incidence of SLAP lesion surgery has. Physical Therapy for hip arthroscopy with labral repair. In 1957, Peterson reported the first tear to the acetabular labrum when two cases of labral tears associated with irreducible posterior hip dislocation were described [1, 2]. They can check for fractures and for structural abnormalities. Posterior Labral tear, is identified by bringing the patient's leg into extension, abduction and lateral rotation followed by an extension with medial rotation and adduction of the leg. for the systematic evaluation of MRI to diagnose SLAP lesions involves first evaluating the biceps-labral complex. rotator cuff tear After relocation 39 12/10/2016 XR Ice /NSAIDS period of immobilisation PT Surgery Generally for recurrent dislocators Anatomic repairs focus on repairing disrupted structure • Labral repair Bankart repair Posterior labral repair SLAP repair Latarjet for recurrent dislocations with bone loss. Injuries Associated with Labral Tear or Detachment • Chondral defects - occur in up to 30% of patients with labral lesion • Para-labral Cyst - may be seen with labral tear, especially with labral detachment - ↑ prevalence in OA, DDH & post-traumatic injury 4 Doris Wenger, M. The labrum is a ring of cartilage around the shoulder socket that stabilizes the head of the humerus. 17 (1):165-71. Tears of the superior glenoid labrum and the origin of the long head of the biceps tendon were first described by Andrews et al. Accurate diagnosis requires a high index of suspicion and a systematic approach to the physical exam and use of. November 22, 2015 at 2:22 pm. The blunted configuration of the posterior part means some wear and tear and erosion. Posteosuperior labral irregularity at around 9 to 10 o'clock is suggestive of focal tear versus labral fraying. A SLAP tear occurs at the point where the biceps tendon attaches to the labrum. A patient may have a labral tear on an MR arthrogram. Labral detachment is a characteristic finding in cam FAI, while intrasubstance labral tears are commonly seen in pincer FAI and hip dysplasia (Figure 16). for the systematic evaluation of MRI to diagnose SLAP lesions involves first evaluating the biceps-labral complex. Labral tears of the shoulder are a common cause of shoulder pain, instability and sometimes catching or clicking. Labral and cartilage injury: 41. Posterior labral tears are an important cause of morbidity, but only account for 2-4% of shoulder instability. The term SLAP stands for Superior Labral tear Anterior to Posterior. What Are the Symptoms of a Labral Tear? Labral tears often cause pain in the groin or front of the hip. All unstable labra in 12 patients. The types of labral tear were osseous avulsion and posterior root avulsion tear (n=9), longitudinal peripheral tear and posterior root avulsion tear (n=2), longitudinal peripheral tear (n=2), and osseous avulsion tear (n=1). Olecranon Stress Fractures are rare elbow injuries that predominately affects throwing athletes. The treatment for labral tears and chondral damage will depend on the severity of the patient’s symptoms and damage to the hip joint. Bigliani DEFINITION Glenohumeral instability is caused by a disruption of the normal stabilizing anatomic structures of the shoulder, leading to recurrent dislocation or subluxation of the glenohumeral joint. It can also break into many pieces, which is a comminuted fracture. Kim Lesion Kim lesions are characterized by a subtle marginal crack along the junction between the posteroinferior glenoid and posterior labrum while the labrum remains nondisplaced ( Figure 23 ). Messages 7 Best answers 0. 4 Backache, unspecified M54. Evaluations are performed by board-certified, fellowship-trained physicians. The labrum is a ring of cartilage around the shoulder socket that stabilizes the head of the humerus. A SLAP tear is a specific type of labral tear in the shoulder. Acquired Posterior Capsular Contracture in throwing athletes leads to high torsional and shear stress on the posterosuperior labral in the late-cocking phase of throwing, which can. Over the last 30 years, as arthroscopy and the use of MRI imaging has advanced, the ability to diagnose labral tears as a cause of shoulder symptoms has improved. All unstable labra in 12 patients. the posterior labrum (arrow), which extends posterior and medial to the site of labral attachment, consistent with a nondisplaced, posterior labral tear with periosteal stripping—a reverse Perthes lesion. They can check for fractures and for structural abnormalities. Specificity and sensitivity of the anterior slide test in throwing athletes with superior glenoid labral tears. " This type of tear occurs at the front of the upper arm where the biceps. a finding that represents a posterior labral tear. The use of 3. Posterior labral tears are an increasingly recognized cause of shoulder disability. Superior labrum anterior‐posterior (SLAP) tear • Results from repetitive avulsive stress from the origin of the long head biceps tendon • Common symptoms besides pain include clicking/popping • Most important differential diagnosis are normal labral variants • Best seen on MR arthrography (MRA). Posterior Labral tear, is identified by bringing the patient's leg into extension, abduction and lateral rotation followed by an extension with medial rotation and adduction of the leg. Certain dislocations, falls, sports, and repetitive overhead sports can cause a posterior labral tear. We present a case of a 53-year-old woman with subchondral insufficiency fracture (SIF) of the femoral head without history of severe osteoporosis or overexertion. A SLAP lesion (superior labrum, anterior [front] to posterior [back]) is a tear of the rim above the middle of the socket that may also involve the biceps tendon. The primary cause of a labrum tear is trauma. The radius bone goes from the wrist to the elbow. During the application of the described loads, a 55-N force was applied to the LHB tendon. Labral tears may also be present in people with hip arthritis. motor vehicle accident). The labrum is a band of tough cartilage and connective tissue that lines the rim of the hip socket, or acetabulum. Shoulder labral tear injury may cause symptoms such as pain. The biceps tendon can be involved in the injury, as. 5% having posterior labral tears. These are rare and make up only 5 to 10 percent of all shoulder injuries. Posterior GLAD lesions consist of a cartilaginous injury and labral tear along the 7- to 9-o'clock positions of the glenoid (Figure 22). Labral Tears & Acetabular Impingement • Acetabular labrum functions as a gasket to hold joint fluid into the hip with negative pressure. The cartilage of the femoral head and acetabulum should be evaluated, and every attempt should be made to anatomically repair avulsed soft tissue and labral tears. Accurate diagnosis requires a high index of suspicion and a systematic approach to the physical exam and use of. A labral irregularity at the 7-8 o'clock position could represent a posteroinferior labral cleft variant rather than a true type III lesion. SLAP Tear S43. The labrum is a ring of cartilage around the shoulder socket that stabilizes the head of the humerus. Platelet-rich plasma (PRP) injections have been effective in the treatment of labral tears with a reduction of pain and improved function. As a shoulder moves around inside the socket, the tissue surrounding it can tear and become. Posterior Labral Tears: Posterior Labral tears occur when the rotator cuff and labrum are pinched together in the back of the shoulder. If the tear involves only a flap of tissue torn from the labrum without detachment of. Blaine Andrew Green Jennie Garver Louis U. Patient has a Posterior Labral tear. Treatment for paralabral cysts causing nerve compression involves arthroscopic repair of the labral tear, as well as decompression of the nerve and drainage of the cyst. The biceps tendon can be involved in the injury, as. com - id: 5a1266-MGVlY. The tear is often nondisplaced, and the adjacent glenoid articular cartilage remains intact. Nerve injury (axillary nerve). I am 2 months post-op from a 360-deg (full) labral tear following a water polo injury (5-25-07, L side full disloc) and then skiing injury (12-30-07, both sides full disloc). SLAP stands for "superior labrum from anterior to posterior. Also, considering the location and thin skin fold over it, a posterior malleolus fracture can easily damage the skin and result in an open fracture. Physical Therapy for hip arthroscopy with labral repair. However, if they do not experience 2-3 h of pain relief after the arthrogram injection, then the hip joint and labral tear are not the source of their "hip pain. Meniscus tears occur frequently. clefts, in about 38% to 61% of the normal labral segments, with a mean. Otherwise known as SLAP (Superior Labrum Anterior and Posterior) injuries because they occur to the top of the labrum, these injuries are typically the result of long-term wear and occur in patients over the age of 40. If these conservative measures are insufficient, your physician may recommend arthroscopic surgery. Hip magentic resonance (MR) arthrography has a high accuracy in the detection of labral tears [1,2,3] and is the imaging modality of choice in patients in whom there is a strong suspicion of labral lesions. A SLAP tear occurs at the point where the biceps tendon attaches to the labrum. Prolotherapy is an injection technique utilizing simple sugar or dextrose. Ross Hauser, MD. For instance: Trauma: It is the most common cause of having this tear. In most cases, other structures within the hip joint also have injuries. 2016 2017 2018 2019 2020 2021 Billable/Specific Code. 89 Other dorsalgia M54. In 1957, Peterson reported the first tear to the acetabular labrum when two cases of labral tears associated with irreducible posterior hip dislocation were described [1, 2]. SLAP Tear (Superior Labrum from Anterior to Posterior Tear) Overview. The Centeno-Schultz Clinic has extensive experience in the treatment of hip labral tears. Anterior superior labral pathology is commonly accompanied by anterior superior chondral degeneration. A ramp tear is a tear of the meniscocapsular portion of the posterior horn of the medial meniscus. Posterior shoulder dislocations can result in posterior labral tears. Page 42 xxx00. During the application of the described loads, a 55-N force was applied to the LHB tendon. A tear in the labrum can result from trauma or repetitive shoulder motion. In most cases, other structures within the hip joint also have injuries. 15 To optimize the outcome results, the etiology for labral pathology should be identified. (6) It may be difficult to manage posterior malleolus fracture, as the pattern of injury is often irregular and may be associated with other fractures as well. then it is a tear. rotator cuff tear After relocation 39 12/10/2016 XR Ice /NSAIDS period of immobilisation PT Surgery Generally for recurrent dislocators Anatomic repairs focus on repairing disrupted structure • Labral repair Bankart repair Posterior labral repair SLAP repair Latarjet for recurrent dislocations with bone loss. Introduction. I am 2 months post-op from a 360-deg (full) labral tear following a water polo injury (5-25-07, L side full disloc) and then skiing injury (12-30-07, both sides full disloc). Lindsay says. When the tear is at the back of the shoulder ( posterior ) (6 o'clock to 11 o'clock), it is a Reverse Bankart tear :. ; Treatment for a labral tear can include restricted rest, physical therapy or surgery, depending on the needs of the individual and. Superior lesions of the LCLC Superior labral anterior to posterior tear. Labrum tears can be hard to diagnose because the cartilage lies deep in the shoulder, a complicated part of the anatomy. This case report examines 2 cases of superior labral anterior-posterior (SLAP) tears in association with nondisplaced fractures of the proximal humerus. They are associated with posterior shoulder dislocation, but more commonly result from repetitive impaction of the humeral head on the posterior glenoid rim, as occurs in weight-lifters, offensive lineman (American football) and pole. Symptoms of Shoulder Labral Tear. Superior Labral Anterior to Posterior Tear Management in Athletes Open Orthop J. MRI criteria for diagnosing labral tears include surface irregularity, increased signal within the substance of the labrum that extends to the labral surface (12a), fluid or. Initial treatment is nonsurgical and includes physical therapy to strengthen the posterior rotator cuff and scapular muscles, especially the infraspinatus, teres minor, and posterior deltoid. The Centeno-Schultz Clinic has extensive experience in the treatment of hip labral tears. A labral irregularity at the 7-8 o'clock position could represent a posteroinferior labral cleft variant rather than a true type III lesion. 431A might also be used to specify conditions or terms like anterior to posterior tear of superior glenoid labrum of right shoulder or glenoid labrum tear. Labral tears are injuries to the disc of cartilage that surrounds the socket of the shoulder joint. Posterosuperior labral tear and impaction of the greater tuberosity in a 17-year-old female pitcher who had right shoulder pain and impingement for 5 years. In the shoulder there is a small bumper of tissue, called the labrum, which surrounds the socket. Elementary posterior wall fractures are the most common acetabular fractures and account for approximately 24% of acetabular fractures. Tears can occur with age, as well as with wear and tear. Thats alot of labral tear. Diagnosis can be made clinically with positive posterior labral provocative tests and confirmed with MRI studies of the shoulder. In 1957, Peterson reported the first tear to the acetabular labrum when two cases of labral tears associated with irreducible posterior hip dislocation were described [1, 2]. Orthopedic Surgery & Sports Medicine Shoulder Instability and Labrum 2010 2 SLAP (superior labrum, anterior to posterior) tears. motor vehicle accident). 2174/1874325001812010303. More details. A SLAP tear occurs both in front (anterior) and back (posterior) of this attachment point. Accurate diagnosis requires a high index of suspicion and a systematic approach to the physical exam and use of. The treatment for labral tears and chondral damage will depend on the severity of the patient's symptoms and damage to the hip joint. In 1977, Altenberg documented the first report of nontraumatic tearing of the acetabular labrum [2, 3]. This condition is a tear of the labrum in the shoulder joint. A SLAP lesion (superior labrum, anterior [front] to posterior [back]) is a tear of the rim above the middle of the socket that may also involve the biceps tendon. Without fluid distending the. If the labral tear appears to be unstable with detachment of the labrum from the socket of the shoulder, the surgeon will repair the labrum back to the socket of the shoulder. The types of labral tear were osseous avulsion and posterior root avulsion tear (n=9), longitudinal peripheral tear and posterior root avulsion tear (n=2), longitudinal peripheral tear (n=2), and osseous avulsion tear (n=1). In these people, treatment is usually geared towards treating the arthritic joint as a whole. A rehabilitation program focused on stretching the posterior capsule and correcting scapular posture is more successful than surgery for most throwers with SLAP lesions. Bony healing occurs usually within 6 to 8 weeks in adults 3. Posterior Labral Tear. for the systematic evaluation of MRI to diagnose SLAP lesions involves first evaluating the biceps-labral complex. Retrieved January 5, 2015 from. The elbow is formed by the joining of three bones: the upper arm (humerus), the forearm on the pinky finger side (ulna), and the forearm on the thumb side (radius). A posterior labral tear may be uncommon but it may happen to athletes in a condition that is called internal infringement. The symptoms of a shoulder labrum (or labral) tear are pain and reduced range of motion and strength. Labral tears can be painful, but also may be found incidentally on imaging studies. Posterior GLAD lesions consist of a cartilaginous injury and labral tear along the 7- to 9-o'clock positions of the glenoid (Figure 22). A hip labral tear rarely occurs in isolation. 002A Unspecified fracture of navicular [scaphoid] bone of left wrist, initial encounter for closed fracture b. The acetabular index and the lateral center-edge angle were normal, with angles of 8. rumfield1959 New. CHONDRAL LESIONS Labral tears have been implicated in the degenera-tion of the acetabular articular surface. A patient may have a labral tear on an MR arthrogram. hi sir i have a 6×7 mm full thickness anterior midportion tendon tear and a nondisplaced posterior labral tear…i know this is a stupid question but is there an alternative besides surgery…thank you. Both of these tests are relatively good at defining a labrum tear due to a subluxation or dislocation, but they. Orthopedic Surgery & Sports Medicine Shoulder Instability and Labrum 2010 2 SLAP (superior labrum, anterior to posterior) tears. Diagnosis can usually be made with plain radiographs of the elbow but may require an MRI or CT scan to confirm the diagnosis in the early stages. Causes of Acetabular Labral Tear. It is often caused by repetitive movements such as overhead throwing, causing general pain and weakness. This motion performed while the hand carries a weight places stress on the labrum. Piotr Obara: Small tear: The labrum is rim of cartilage around the acetabulum which. synonyms: SLAP lesion, SLAP tear, superior labral anterior posteior tear, biceps anchor tear. The blunted configuration of the posterior part means some wear and tear and erosion. Patients that are treated in outpatient or hospital environments may receive different surveys, and the volume of responses will vary by question. The treatment for labral tears and chondral damage will depend on the severity of the patient’s symptoms and damage to the hip joint. Nov 22, 2016 #1 What ICD10 code do you use for Posterior Inferior Labral Tear? This was the diagnosis on an MRI result. In the first case, the patient fell from a jet ski, causing a traction injury to his arm. It is a common sports injury, especially in overhead athletes. SLAP is an acronym for Superior Labral Anterior to Posterior. Fracture and bone defect (bony bankart lesion, Hill sachs defect, G. Posterior labral tear. However, if they do not experience 2-3 h of pain relief after the arthrogram injection, then the hip joint and labral tear are not the source of their "hip pain. Glenoid labrum tear is a split in the fibrocartilaginous structure surrounding the glenoid, also known as the shoulder joint socket. The SLAP tear can continue posteriorly and can contribute to posterior shoulder pain. A labral tear is an injury to the cartilage of the shoulder. They are associated with posterior shoulder dislocation, but more commonly result from repetitive impaction of the humeral head on the posterior glenoid rim, as occurs in weight-lifters, offensive lineman (American football) and pole. Treatment of the labral tears in these scenarios involves treatment of the shoulder dislocation and stabilising the shoulder. 1,2 The management strategy for SLAP lesions is to attempt conservative management prior to undergoing sur - gical intervention. Certain dislocations, falls, sports, and repetitive overhead sports can cause a posterior labral tear. The best tests available to make the diagnosis of a labral tear are magnetic resonance imaging (MRI) scans or a test called a CT-arthrogram (the latter is a CAT scan preceded by an arthrogram where dye is injected into the shoulder). Tears can be located either above (superior) or below (inferior) the middle of the glenoid socket. Depending on the severity of the tear, surgery may be recommended right away. There are both nonsurgical and surgical treatment options for hip labral tears. Evaluations are performed by board-certified, fellowship-trained physicians. Steilen-Matias, MMS, PA-C Non-surgical hip labral tear treatment. A labral tear can be hard to diagnose. In 1977, Altenberg documented the first report of nontraumatic tearing of the acetabular labrum [2, 3]. Common types of labral tears include anterior, posterior, inferior, and superior. SLAP Tear S43. Suzuki described the. Labral tears of the shoulder are a common cause of shoulder pain, instability and sometimes catching or clicking. This cyst can also cause posterior shoulder pain, and when it is large, it can compress the suprascapular nerve, causing weakness of shoulder rotation. November 22, 2015 at 2:22 pm. This syndrome is characterized by bony overgrowth of either the femur, the pelvis or both (Figure 1). The second step is determining the extension of this tear into other areas of the labrum. In 1957, Peterson reported the first tear to the acetabular labrum when two cases of labral tears associated with irreducible posterior hip dislocation were described [1, 2]. 0-T MRI for labral tears has also been explored. Nerve injury (axillary nerve). The most common variant was. Jun 27, 2016 #2 Superior Labral tear If not a SLAP just superior then S43. A hip labral tear involves the ring of cartilage (labrum) that follows the outside rim of your hip joint socket. 17 (1):165-71. A posterior labral tear may be uncommon but it may happen to athletes in a condition that is called internal infringement. Labral detachment is a characteristic finding in cam FAI, while intrasubstance labral tears are commonly seen in pincer FAI and hip dysplasia (Figure 16). However, limited empirical data are available regarding non-operative management of patients with clinically diagnosed SLAP lesions. Physical Therapy for hip arthroscopy with labral repair. Suzuki described the. The pain usually happens when you use your shoulder to do a task, especially an overhead activity. Evaluations are performed by board-certified, fellowship-trained physicians. It refers to labral tears that occur on the top of the socket that extend from the front of the socket to the back. T treatment (active release) for the last two weeks and it has seemed to help, but I haven't returned to any high-impact activity, yet. Anterior labral tears - the pain will generally be more consistent and is situated on the anterior hip (anterosuperior quadrant) or at the groin. The types of labral tear were osseous avulsion and posterior root avulsion tear (n = 9), longitudinal peripheral tear and posterior root avulsion tear (n = 2), longitudinal peripheral tear (n = 2), and osseous avulsion tear (n = 1). GLAD - Glenolabral Articular Disruption is a nondisplaced anterior labral tear associated with an articular cartilage injury Perthes lesion - Nondisplaced labral tear with intact scapular periosteum 16 Short-Term Complications of the Latarjet Procedure Shah et al. Page 42 xxx00. Labral Tears & Acetabular Impingement • Acetabular labrum functions as a gasket to hold joint fluid into the hip with negative pressure. Posterior labral tear. There are several different types of labral lesions, and understanding the differences can help you with your recovery. (6) It may be difficult to manage posterior malleolus fracture, as the pattern of injury is often irregular and may be associated with other fractures as well. The two most common types of labral injuries are the SLAP tear tear and Bankart tear. A contrast material might be injected into the hip joint. Anterosuperior viewing portal shows a posterior labral tear from 7 to 11 o'clock (probe is in tear at the 9 o'clock. Depending on the type of tear, you may also have a dislocated shoulder. The use of 3. Patients that are treated in outpatient or hospital environments may receive different surveys, and the volume of responses will vary. Clinicians will perform a physical examination and usually order X-rays and an MRI, but the most reliable way is through arthroscopy of the shoulder (a surgical procedure). Diagnosis can be made clinically with positive posterior labral provocative tests and confirmed with MRI studies of the shoulder. suggestive of acetabular labral tear means what?" Answered by Dr. Magnetic resonance imaging revealed a posterior labral tear with a large, 3. Baptist Health is known for advanced, superior care for patients with orthopedic conditions and the diagnosis, treatment and management of a glenoid labrum tear. ppt 1/13/2016 10:16:14 AM •Leads to posterior capsular injury, posterior labral tears, SLAP injuries, and tearing of the posterior fibers of the supraspinatus. It is a non-displaced and moderate tear. This top area is also where the biceps tendon attaches to the labrum. For instance: Trauma: It is the most common cause of having this tear. For instance: Trauma: It is the most common cause of having this tear. Steilen-Matias, MMS, PA-C Non-surgical hip labral tear treatment. A lot depends on your activity level and age. The surfaces of these bones, where they meet to form the joint. Baptist Health is known for advanced, superior care for patients with orthopedic conditions and the diagnosis, treatment and management of a glenoid labrum tear. A SLAP lesion (superior labrum, anterior [front] to posterior [back]) is a tear of the rim above the middle of the socket that may also involve the biceps tendon. These typically happen to those 15-35 years of age and can be caused by an impact, fall, or overloading the shoulder. -radial tear of the lateral portion of the posterior horn of the medial meniscus extending into the posterior medial left shoulder-surpaspinatus and infraspinatus tendon tear; - partial-thickness articular surface subscapularis tendon tear;-superior labral tear extending anterior and posterior to -partially healed nondisplaced. It's a supraspinatus tendon tear with 50% thickness and no labral tear. Elementary posterior wall fractures are the most common acetabular fractures and account for approximately 24% of acetabular fractures. -GLAD (non-displaced anteroinferior labral tear w/ chondral defect from impaction-type injury)-Posterior labrum (6-11o’clock)= Reverse bankart and Bennett (calc of posterior joint capsule or IGHL) ß post labrum may be nl blunted -Paralabral cyst (more common with posterior labral tear). Conservative treatment of labral tears includes physical therapy, anti-inflammatory medication and injections. These forces can produce labral tears. Causes of Acetabular Labral Tear. Normal wear and tear that comes with aging is a common culprit for chondral damage in the hip. Treatment for paralabral cysts causing nerve compression involves arthroscopic repair of the labral tear, as well as decompression of the nerve and drainage of the cyst. Diagnosis is made by history and physical exam. What DX code do you use? golymom Networker. Platelet-rich plasma (PRP) injections have been effective in the treatment of labral tears with a reduction of pain and improved function. It refers to labral tears that occur on the top of the socket that extend from the front of the socket to the back. Femoroacetabular impingement is a clinical syndrome associated with labral tears. 2018 Jul 31;12:303-313. The SLAP tear can continue posteriorly and can contribute to posterior shoulder pain. Labral tears are classified by their location. Otherwise known as SLAP (Superior Labrum Anterior and Posterior) injuries because they occur to the top of the labrum, these injuries are typically the result of long-term wear and occur in patients over the age of 40. The 2 Common Types of Labral Tears. Posterior shoulder dislocations can result in posterior labral tears. Bankart Repair and Inferior Capsular Shift Theodore A. rumfield1959 New. Messages 54 Location Prior Lake, MN Best answers 0. The criteria used are similar to those used for the description of torn menisci in the knee. 2008 Jan-Feb. Bigliani DEFINITION Glenohumeral instability is caused by a disruption of the normal stabilizing anatomic structures of the shoulder, leading to recurrent dislocation or subluxation of the glenohumeral joint. Some of the activities that may cause the injury include [3, 4]:. It can also break into many pieces, which is a comminuted fracture. Superior Labral Anterior to Posterior Tear Management in Athletes Open Orthop J. Superior lesions of the LCLC Superior labral anterior to posterior tear. Labral Tear of the Shoulder: What You Need to Know. Structural abnormalities: You may develop a hip labral tear due to wear. A number of problems can lead to a labral tear. The types of labral tear were osseous avulsion and posterior root avulsion tear (n = 9), longitudinal peripheral tear and posterior root avulsion tear (n = 2), longitudinal peripheral tear (n = 2), and osseous avulsion tear (n = 1). Orthopedic Surgery & Sports Medicine Shoulder Instability and Labrum 2010 2 SLAP (superior labrum, anterior to posterior) tears. The Centeno-Schultz Clinic has extensive experience in the treatment of hip labral tears. Treatments. We present a case of a 53-year-old woman with subchondral insufficiency fracture (SIF) of the femoral head without history of severe osteoporosis or overexertion. " This type of labral tear occurs where the labrum connects to the biceps tendon. The most common variant was. jkunsag Guest. Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter. Posterior labral tears were present in all 14 patients. Injuries Associated with Labral Tear or Detachment • Chondral defects - occur in up to 30% of patients with labral lesion • Para-labral Cyst - may be seen with labral tear, especially with labral detachment - ↑ prevalence in OA, DDH & post-traumatic injury 4 Doris Wenger, M. Rotator cuff tear. In some cases the posterior labral tear can form a flap valve and a cyst will develop. Nerve injury (axillary nerve). Posterior labral tear. Treatment is generally rest from pitching, pain control, and brief period of immobilization. An MRI can provide detailed images of your hip's soft tissues. Manifestations include pain and restriction of sho. 1-cm multiloculated paralabral cyst, which extended into the spinoglenoid and suprascapular notches, likely resulting in significant compression of the suprascapular nerve and mild supraspinatus and infraspinatus edema. Most commonly, the labrum wears out over time and becomes frayed and more susceptible to tearing. 17 (1):165-71. I had an MRI done and I do not understand the written report. fracture, L. Physical Therapy for hip arthroscopy with labral repair. The primary cause of a labrum tear is trauma. -GLAD (non-displaced anteroinferior labral tear w/ chondral defect from impaction-type injury)-Posterior labrum (6-11o’clock)= Reverse bankart and Bennett (calc of posterior joint capsule or IGHL) ß post labrum may be nl blunted -Paralabral cyst (more common with posterior labral tear). 6 Pain in thoracic spine 724. These forces can produce labral tears. What DX code do you use? golymom Networker. An evaluation of the anatomic basis of the O'Brien active compression test for superior labral anterior and posterior (SLAP) lesions. Your doctor will do a physical exam and may order imaging studies, including an MRI or a simple surgical procedure called arthroscopy. Depending on the type of tear, you may also have a dislocated shoulder. Thread starter rumfield1959; Start date Nov 22, 2016; R. Although a hip labrum fray is milder on the spectrum of labral tears a frayed hip labrum can still be a significant cause of pain and cause the same symptoms as a hip labrum tear. An MRI can provide detailed images of your hip's soft tissues. ANATOMY Glenohumeral stability depends on the integrity of static and dynamic components. Figure 4 Fixation of the Bankart tear using three suture anchors in the boney glenoid and sutures approximating the labrum back to the boney glenoid Figure 3 Bankart tear (anterior labral tear) When looking at a right shoulder it would normally extend from 3 o'clock to 6 o'clock if imagining the glenoid as the face of a clock. The pain resulting from a labral tear can vary across the spectrum, from being painless to quite debilitating. Hip Labral Tear Recovery without Surgery. Normal wear and tear that comes with aging is a common culprit for chondral damage in the hip. The posterior wall fractures involve the rim of the acetabulum, a portion of the retroacetabular surface, and a variable segment of the articular. Symptoms include pain in the hip or stiffness. Femoroacetabular impingement is a clinical syndrome associated with labral tears. 5 Low back pain 725. Any dislocation of or injury to the hip joint as a result of car accident or other traumatic injuries can cause the tear. A SLAP lesion (superior labrum, anterior [front] to posterior [back]) is a tear of the rim above the middle of the socket that may also involve the biceps tendon. MRI criteria for diagnosing labral tears include surface irregularity, increased signal within the substance of the labrum that extends to the labral surface (12a), fluid or. A SLAP tear occurs when the labrum is detached off the top of the glenoid, especially when it involves the insertion of the biceps tendon. A posterior labral tear is referred to as a reverse Bankart lesion, or attenuation of the posterior capsulolabral complex, and commonly occurs due to repetitive microtrauma in athletes. For instance: Trauma: It is the most common cause of having this tear. 2 Lumbago M54. Treatment is generally surgical for displaced fractures, and conservative for non displaced cases…. The best tests available to make the diagnosis of a labral tear are magnetic resonance imaging (MRI) scans or a test called a CT-arthrogram (the latter is a CAT scan preceded by an arthrogram where dye is injected into the shoulder). The second step is determining the extension of this tear into other areas of the labrum. Similar to a SLAP tear, a posterior labral tear can be ignored if asymptomatic. 14,25,55,59 McCarthy et al55 reported that 15% (76 out of 436) of his hip arthroscopic cases had dysplasia, with 49% having anterior and 4. In most cases, other structures within the hip joint also have injuries. The first classification and the designation as superior labrum anterior-to-posterior (SLAP) lesion, was presented by Snyder et al. The term SLAP stands for Superior Labral tear Anterior to Posterior. The surfaces of these bones, where they meet to form the joint. A tibial spine fracture is a relatively uncommon injury that results in a fracture or break in the shin bone just below the knee which is at the base of the tibial spine. In 1957, Peterson reported the first tear to the acetabular labrum when two cases of labral tears associated with irreducible posterior hip dislocation were described [1, 2]. Manifestations include pain and restriction of sho. Your doctor will do a physical exam and may order imaging studies, including an MRI or a simple surgical procedure called arthroscopy. These tears can present with a wide variety of symptoms and there are multiple physical exam tests of undetermined significance. By changing the last digit of the code, to a 1 or 2, the code specifies the shoulder where 1 is the right shoulder and 2 indicates the left shoulder. Most commonly, the labrum wears out over time and becomes frayed and more susceptible to tearing. Each specimen was tested with a normal superior labral complex, a partial superior labral tear, and a complete tear (including the biceps insertion on the supraglenoid tubercle). A Glenoid labrum tear is a tear of a fibrous ring of tissue in the shoulder joint. Patients with clinical signs, MR findings consistent with a labral tear, and persistent hip pain for more than 6 weeks are candidates for hip arthroscopy. A diagnosis of SIF was made by typical MRI findings of SIF. The acetabular index and the lateral center-edge angle were normal, with angles of 8. It can also break into many pieces, which is a comminuted fracture. This case report examines 2 cases of superior labral anterior-posterior (SLAP) tears in association with nondisplaced fractures of the proximal humerus. However, limited empirical data are available regarding non-operative management of patients with clinically diagnosed SLAP lesions. Injuries to the hip joint can occur in a variety of ways, including trauma, anatomical variances, degeneration, and muscular imbalance. suggestive of acetabular labral tear means what?" Answered by Dr. rumfield1959 New. Return to play after treatment of superior labral tears in professional baseball players. Diagnosis can be made clinically with positive posterior labral provocative tests and confirmed with MRI studies of the shoulder. We present a case of a 53-year-old woman with subchondral insufficiency fracture (SIF) of the femoral head without history of severe osteoporosis or overexertion. Therefore, some of these symptoms could be from a hip labral tear. These are superior labral tears orientated in the anterior-to-posterior direction. Nondisplaced or minimally along the posterior aspect of the abdominal wall with occult 24 The diagnosis of acetabular labral tear is generally considered in patients. Chronic, longstanding labral tears can give rise to paralabral cysts. October 9, 2015 at 5:26 pm. The Patient Satisfaction Rating is an average of all responses to the care provider related question shown below from a 3rd party vendor, Press Ganey and as of 7/01/21, our internal platform, PMX Feedback. A contrast material might be injected into the hip joint. This is known as a SLAP tear ("SLAP" is an acronym for superior labral anterior to posterior tear). A very common labral injury is a tear that occurs on the top of the labrum, extending from the front to the back of the cartilage. In this condition, the labrum and the rotator cuff are pressed together in the back of the shoulder [5]. Jun 27, 2016 #2 Superior Labral tear If not a SLAP just superior then S43. Tears are classified by morphology, displaced or nondisplaced, and by location. Posteosuperior labral irregularity at around 9 to 10 o'clock is suggestive of focal tear versus labral fraying. Glenoid labrum tear is a split in the fibrocartilaginous structure surrounding the glenoid, also known as the shoulder joint socket. If you are here reading this article you have likely been to a doctor, a specialist/surgeon, and have been told that that catching/locking, popping/clicking noise in your hip is a result of a hip labrum tear. SLAP tears. This case report examines 2 cases of superior labral anterior-posterior (SLAP) tears in association with nondisplaced fractures of the proximal humerus. Coping with Hip Labral Tears. please correlate with level of clinical suspicion of labral tear as further evaluation with mr anthography may be performed. Superior Labrum Anterior to Posterior (SLAP) Tears. The types of labral tear were osseous avulsion and posterior root avulsion tear (n = 9), longitudinal peripheral tear and posterior root avulsion tear (n = 2), longitudinal peripheral tear (n = 2), and osseous avulsion tear (n = 1). J Shoulder Elbow Surg. The types of labral tear were osseous avulsion and posterior root avulsion tear (n=9), longitudinal peripheral tear and posterior root avulsion tear (n=2), longitudinal peripheral tear (n=2), and osseous avulsion tear (n=1). Hi what does posterosuperior-to-mid-inferior labral tear, with blunting of the subjacent posterior glenoid mean? shows : Unchanged nondisplaced tear of the diminutive anterior and anterior superior labrum. Jun 27, 2016 #2 Superior Labral tear If not a SLAP just superior then S43. SLAP tears. 2 ,respectively. A rehabilitation program focused on stretching the posterior capsule and correcting scapular posture is more successful than surgery for most throwers with SLAP lesions. Messages 54 Location Prior Lake, MN Best answers 0. 10 Disorders of bursae and tendons in shoulder region, unspecified M66. Diagnosis can usually be made with plain radiographs of the elbow but may require an MRI or CT scan to confirm the diagnosis in the early stages. It is a non-displaced and moderate tear.