Treatment for a SLAP Tear

Diagnostic Approach

Initial evaluation should include standard radiographs with at least three views: anteroposterior (AP) views in internal and external rotation and an axillary or scapula-Y view 2
MR arthrography is considered the gold standard for imaging labral tears, particularly in patients under 35 years of age 2, 1
MRI without contrast is appropriate for suspected labral tears with negative or indeterminate radiographs 1
CT arthrography may be appropriate if MRI is contraindicated 2, 1

Physical therapy should focus on strengthening of the rotator cuff and periscapular muscles 3
Physical therapy should also focus on core musculature strengthening 3
Physical therapy should include capsule flexibility exercises 3

After SLAP repair, throwing athletes should avoid throwing for a minimum of 6 weeks 3
A strengthening phase of rehabilitation should follow for an additional 6 weeks (total of at least 3 months rest from throwing) 3
Return to sports should be based on functional testing rather than arbitrary time points 4

The treatment for a Superior Labrum Anterior to Posterior (SLAP) tear should begin with conservative management, including physical therapy, activity modification, and anti-inflammatory medications, with surgical intervention reserved for cases that fail to respond to non-operative treatment 1