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© 2012-2024 Isokinetic Medical Group Srl
P.Iva 03740671205 – Cap. Soc. Int. Vers. Euro 10.400 – Reg. Imp. n.03696800378 – R.E.A. n.309376
The shoulder complex is one of the most elaborated joints of our body, as it is formed by several bones (clavicle, scapula, humerus and sternum) that constitute different joints (sternoclavicular, acromioclavicular, glenohumeral, scapulothoracic). The glenohumeral joint is constituted by the humerus and the glenoid (cavity of the scapula). The shoulder is the most mobile joint of our body, and its stability is maintained by passive (e.g.: capsule, ligaments, labrum, etc.) and active-dynamic (muscles) stabilisers. Multiple injuries to the shoulder complex can be reported, including the Superior Labral Anterior to Posterior (SLAP) lesions. This type of injury has a multifactorial aetiology including both traumatic and atraumatic/overuse injuries. SLAP lesions are especially common in overhead sports in which explosive forceful upper-limb actions are performed (e.g.: baseball, volleyball, etc.). Based on the severity of the injury and the extent of the labrum and biceps tendon involvement, SLAP injuries are typically graded from I to IV with the latest being the most compromised presentation. Patients affected by this condition typically present deep pain localised inside the shoulder that can radiate to other structures, clicking, catching, locking, potential instability, loss of confidence, apprehension, weakness, and impacted shoulder-arm functioning.
The management of patients affected by SLAP injury is influenced by several factors, such as the presence of associated shoulder injuries, injury grade (I-IV), degree of laxity, reported instability, number of previous dislocations, and the characteristics of the affected patients (e.g.: age, activity level, etc). Conservative treatment typically consists of a period of extensive rehabilitation, which generally yields positive outcomes in minor injury grades. In case of more severe injuries, surgical treatment may be deemed necessary, and the specifics of the operation are always discussed between the patient and the medical-surgical staff. After surgery, a period of immobilisation/protection with the use of a sling is typically recommended and rehabilitation should start as soon as indicated by the medical team. After being thoughtfully visited by one of our specialised doctors, your recovery process will be structured in different stages and take place in four different environments, the pool, the gym, the movement analysis and retraining room and the pitch. In the early stages, the main goals are to restore homeostasis by reducing pain and gradually restoring upper limb functioning. In the mid-stage of rehabilitation, shoulder strength, endurance and stability recovery become the priority, together with the optimisation of the general movement quality to learn how to integrate the shoulder back into activities of daily living and sports. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to safely and effectively return to participate in their favourite activities and sports that require the utilisation of the upper limb (e.g.: throwing-, rackets-, falling-, lifting- related sports), maximising the recovery outcomes and reducing the likelihood of complications.
© 2012-2024 Isokinetic Medical Group Srl
P.Iva 03740671205 – Cap. Soc. Int. Vers. Euro 10.400 – Reg. Imp. n.03696800378 – R.E.A. n.309376