SLAP tears may be caused by overuse such as in an overhead athlete. Conversely, SLAP tears may be the result of a traction or traumatic compression injury. Oftentimes, SLAP tears are identified in patients with no history of overuse or trauma. For many patients, initial conservative treatment consisting of rest, anti-inflammatory medication, and physical therapy is appropriate. Patients who do not respond to these conservative measures should be considered for surgery. Patients with high-demand work or athletic activities may be considered for early surgical treatment. SLAP tears with superior labrum and/or biceps anchor detachment from the glenoid rim should be arthroscop-ically repaired. SLAP lesions without labrum or biceps detachment may be treated with debridement.
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