How is the diagnosis of a labral tear or SLAP lesion made?
The diagnosis of a labral tear or a SLAP lesion is made from the history, physical exam, and special studies. The patient’s history may provide the first clue that the labrum is injured. There are several physical exams findings that may also suggest that the labrum is injured. X-rays will not show a labral tear or SLAP lesion but are very important in the patient’s evaluation to rule out the other pathology. An MRI scan is the most sensitive non-invasive test to evaluate the shoulder for a labral injury or SLAP lesion. If the physician suspects an intra-articular injury, he may ask to have the radiologist inject a small amount of dye into the shoulder before the MRI scan in order to increase the diagnostic accuracy. How are labral tears initially treated? Initially, rest, ice, and gentle anti-inflammatory medicines are used. However, with repetitive use of the arm, it may be very difficult for a labral tear or SLAP lesion to heal. When this happens, surgery may be indicated. What does
