Management of Squeaking Hardware After SLAP Tear Repair

Diagnostic Approach

Initial evaluation should include magnetic resonance imaging (MRI), MR arthrography, or ultrasonography to identify the exact position of hardware and assess for associated pathology, as recommended by the American College of Radiology 1
CT arthrography may be considered if MRI is contraindicated, as it can effectively evaluate both bony lesions and soft-tissue injuries, according to the American College of Radiology 1, 2
Physical examination should focus on identifying mechanical symptoms, range of motion limitations, and pain patterns associated with specific movements, as suggested by the American Academy of Orthopaedic Surgeons 3

The presence of associated pathology, such as rotator cuff tears or glenohumeral arthritis, may influence treatment choice, as noted by the American Academy of Orthopaedic Surgeons 3, 4

Early mobilization is recommended to prevent stiffness, as advised by the American Academy of Orthopaedic Surgeons 4
Supervised physical therapy focusing on rotator cuff strengthening, scapular stabilization, and gradual return to activity is recommended, according to the American Academy of Orthopaedic Surgeons 4
Return to sports should be based on functional testing rather than arbitrary time points, as recommended by the British Journal of Sports Medicine 5