degenerative fraying of the posterior superior labrum

The rotator cuff can tear completely or partially with an injury or years of use. Eventually the pain in her hip and knees grew more and more intense, and physical therapy was no longer helping. All rights reserved. We see it more often in the anterosuperior and superolateral labrum. Type I lesions have degeneration, or fraying, of the superior labrum, but the biceps tendon remains attached at it's insertion. I had my right shoulder done first and was so impressed that I went back and had my left shoulder done. Alternatively, one can use the face of a clock to describe the location of abnormalities. Certain things can affect a meniscus tear's ability to heal, including the location and stability. Surgical repair is an option for the latter injuries, but a frayed meniscus cannot be fixed this way. How well you can move, and any pain you feel while moving, can help the doctor with the diagnosis. The . SLAP is an acronym for " superior labral tear from anterior to posterior ". . Others have sharp pain around the groin, which may extend into the upper leg or buttocks.. Degenerative Fraying occurs at the free edge of the labrum Insertion to the superior glenoid remains intact Type 2 shoulder labrum tear Acute The labrum and the long head of biceps tendon are torn and avulses off the glenoid cavity The avulsed area is now devoid of cartilage in the zone of injury Type 3 shoulder labrum tear ", "Ive had 4 surgeries in my life (not including this one) and have spent 19 years in the military (so you know how many doctors Ive seen). Choose a good reputable brand (not the cheapest) and forget the instructions on the label because they're irrelevant. The hip is shaped like a ball-and-socket. 2014;5(3):233-41. doi:10.5312/wjo.v5.i3.233, van de Graaf VA, Noorduyn JCA, Willigenburg NW, et al. Type 1: Degenerative fraying of the superior labrum, biceps anchor is intact; Type 2: Superior labrum and biceps tendon detachment from glenoid rim; Type 3: Bucket-handle tear of the labrum with intact biceps anchor; Type 4: Bucket-handle tear of labrum extended into the biceps tendon . A frayed meniscus is when the edges of the cartilage have become worn over time. Inthe following video, view a wrestler (in gray singlet) dislocating his left shoulder (@ 1:19 secs). Instability caused by a Bankart lesion may lead to frequent shoulder dislocations. This type of repair restores the seal around the hip joint, reduces pain and improves joint function. A SLAP tear often causes pain at the front of the shoulder near the biceps tendon. or In a Bankart tear, a dislocation of the shoulder joint leads the head of the humerus to tear the labrum as it pops out of the socket, usually toward the front, but sometimes toward the back of the shoulder. In this procedure, your doctor will make an incision on your hip and carefully cut your thigh bone to bring it out of the joint and provide better access during the rest of the procedure. If the damage is more extensive, such as destabilization or complete dislocation, the surgeon must re-anchor the shoulder, which involves a more extensivesurgery. Overhead throwing athletes (eg, baseball pitchers, cricket bowlers) and laborers who swing tools overhead frequently . 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. Your doctor will insert a small camera into your joint and then use surgical instruments to repair the damage to your labrum. The femoral head is uncovered laterally by the bony acetabulum. Same and next-day access to orthopedic care, Preventing Arm Injuries During Baseball Season. Treatment of meniscal tears: An evidence based approach. There are different types of damage that can happen to your hip labrum. SLAP tear. Although a fraying hip labrum is milder on the spectrum of labral tears, it can still be a significant source of pain and cause the same symptoms as a hip labrum tear. After a week, double it and then increase it again after the 3rd week till your'e having around 4000-5000mg per day. Department of Orthopaedics and Sports Medicine, University of Washington, 325 9th Avenue, Box 359798, Seattle, WA, 98104, USA. Apartial meniscus tear, which doesn't go all the way through the meniscus, is stable. Meniscus tears or a frayed meniscus are common knee injuries, especially as people get older. A frayed meniscus is when the edges of the cartilage have become worn over time. Absence of major joint trauma previous surgery or other known causes of secondary degenerative joint disease. Figure 1: Arthroscopic picture of a normal posterior labrum. It is essential to helping keep the ball of the shoulder joint in place, as well as helping to maintain movement and stability of the shoulder. By definition, chondrolabral separation is also called (slightly inaccurately) a labral tear the actual labrum itself may not tear initially, but Dr. Bennett Machanic and another doctor agree. It might take a few months to 'kick in' newguy08 but it's definately worth trying. The first surgery was done by someone else. This top area is also where the biceps tendon attaches to the labrum. The doctor may order the following imaging tests: A hip labral tear wont heal on its own, but rest and other measures can help manage symptoms of a minor tear. Some labral tears of the shoulderare degenerative. The glenoid is on the bottom and the humerus is on the top. surgery? The following video shows the normal anatomy of the anterior and inferior labrum. Widespread adopt twitter.com/i/web/status/1, There has never been a better all-around #NBA superstar than #LeBronJames 2018;320(13):1328. doi:10.1001/jama.2018.13308. If the superior labrum is frayed but not detached, then a simple debridement of . It helpsprovide stability to the shoulder by deepening the socketand serving as a firm attachment point for the ligaments that connect the humerus to the glenoid. * Before you come to see us, please follow these steps: Based on your X-ray, well make every attempt to get you in with the right provider for the most appropriate evaluation and individualized treatment of your hip pain. When people over the age of 40 get a torn meniscus, the tissue tends to be less healthy and less likely to heal, with or without surgery. Often its due to repetitive throwing action or may present after a single acute injury. Labral tears caused by trauma, such as falling down a flight of stairs, are especially common among older adults, since cartilage becomes more brittle with age. Themeniscusis a C-shaped piece of cartilage attached to the knee joint from the shinbone. Explained everything to me in very clear terms, awesome follow up and great support staff. 29822 is used for debridement of Anterior. This type of labral tear occurs where the labrum connects to the biceps tendon. Surgery for a torn shoulder labrum can often be performed arthroscopically, using minimally invasive techniques. When this cartilage becomes torn or damaged, known as a hip labral tear, arthroscopic hip labrum surgery may be necessary to return patients to their active, pain-free lifestyle. He very caring and understanding G2 Orthopedic and doctor Gordadia help me get my life back . Hip Labral Tear Symptoms. The labrum is a thick fibrous ring that surrounds the glenoid. You can treat pain with OTC pain medication or otherwise, depending on the advice of your doctor. armenia travel agency degenerative fraying of the posterior superior labrum. 1. The necessary and sufficient criteria for the diagnosis of primary glenohumeral degenerative joint disease are: A. Image above: PDFS: Areas of hyper-intensity (yellow arrow) approximating fluid signal suggesting early cyst formation. Research has shown that older patients often respond well tophysical therapyas first-line treatment for symptoms of a meniscus tear. A hip labral tear or fraying can occur from repetitive pivoting or twisting motions, such as in golf, hockey, soccer, ballet and football. During the exam, the doctor may ask you to move your leg or walk around. An MRI is a more accurate way to see how the shoulder labrum looks, and assess any damage. Superior Labrum Anterior to Posterior (SLAP) Lesion Tear Surgery. The acetabular labrum is a fibrocartilaginous structure that sits around the rim of the socket of the hip. The surgeon will use a shaver to remove the fraying to prevent the tear from worsening. Introduction. You may be asking yourself if surgery is necessary in the case of this type of injury. Many hip labrum tears or frayed labrums do not cause any symptoms. Superior labrum anterior to posterior (SLAP) tears of the glenoid labrum are a well-recognized cause of shoulder pain [1, 2].Several patterns of tears can be seen in SLAP lesions, and these are often classified as one of 10 types [].Type 1 SLAP lesions represent degenerative fraying of the superior labrum and typically do not require surgery []. Very strict rehab protocol is a great benefit. For potential or actual medical emergencies, immediately call 911 or your local emergency service. In the healthy state, the humerus sits on the glenoid similar to the way a golf ball rests on a tee. Type III and IV injuries. This will restore the normal function of the hip while preventing further damage to the articular cartilage of the hip. A more profound tear that extends through the meniscus is unstable. if a shoulder debridement was done to the superior labrum and to the posterior labrum is this considered extensive? Ultrasound is helpful in cysts larger than 1.5 cm but gives little information about the labrum. Dealing with pain may be as simple as modifying your activities or finding alternative activities which better suit your abilities. Type II to IV SLAP lesions are tears of the labrum. First, surgery is rarely necessary for degenerative meniscus tears. Localized progressive increase in mucoid degeneration anterior labrum (yellow arrow) and a completely normal posterior labrum (blue arrow). Harris JD. The vast majority are seen as multilocular cysts. Surgical treatment of SLAP tears is carried out with the help of the arthroscope and arthroscopic tools. The biceps tendon can be involved in the injury, as well (1). The regions of the labrum are described by their locations: Anterior (front), posterior (back), superior (top)andinferior (bottom). A hip labral tear is an injury to the labrum, the soft tissue that covers the acetabulum (socket) of the hip. (http://www.moveforwardpt.com/SymptomsConditionsDetail.aspx?cid=fabdfb4e-5fb5-4077-b341-df5d04a93605), (https://orthoinfo.aaos.org/en/treatment/hip-arthroscopy), Visitation, mask requirements and COVID-19 information, A clicking or locking sound in the hip area when you move, Refixation or repair (stitching the torn tissue back together), Reconstruction (reconfiguring damaged tissue using healthy tissue from elsewhere on your body or from a donor), Debridement (removing a small piece of labral tissue). Surgical techniques for the management of labral damage have evolved alongside appreciation of labral anatomy and function. Myofascial shoulder strains are prevalent. Active adults between the ages of 20 and 40 are affected most often, requiring some type of treatment in order to stay active and functional. These videos provide animated views of various surgical treatments for a torn shoulder labrum. This series of videos can be found here: Hip Exercise Videos. By using our website, you consent to our use of cookies. How long does an ACL injury take to heal? Type I demonstrated degenerative fraying with intact biceps insertion . Your healthcare provider will also consider your age, your activity level, and any other health issues you may have to decide if surgery would be an option for you. Skiing is a popular winter sport that can be great Chondromalacia sounds scary, but its a fairly common condition affecting Theres often so much going on during the holidays Knee replacement surgery is often thought of as an inpatient A boutique medical practice is one that focuses on great patient care and communication. FIGURE 15.1 Normal anatomy of the shoulder. Fortunately, degenerative tears are often not symptomatic and therefore frequentlydo not require any treatment, particularly surgery. There is osteoarthritis of the hip joint. The hip joint fits together with the help of the hip labrum and is often compared to a golf ball and golf tee. It also cushions the joint and evenly distributes pressure during physical activity. The labrum is the bumper around the edge of your hip socket. For patients Manhattan, Brooklyn and New York City, NY he provides diagnosis and both surgical and nonsurgical treatment options to repair a torn or frayed labrum. When meniscus tears happen from age, they are called degenerative meniscus tears. Verywell Health's content is for informational and educational purposes only. Fig 4 (A). This uses a tendon graft to take the place of the torn labrum. Symptoms of a hip labral tear may include a limited range of motion in the hip . It also serves as a seal, keeping the ball and socket together but not touching. His staff is great and the office is very clean. commonly asymptomatic; often due to degeneration; type II: detachment of the superior labrum and biceps anchor from the underlying superior glenoid at the chondrolabral junction (undercuts the anchor) in younger patients (<40 years of age) these are associated with Bankart lesions Pain from a labral tear is most often at the front of the hip, near the groin, but could also extend into your thigh or buttocks. Glenoid fossa of right side. Hip labral tears can be caused by many things, including the following: The symptoms of a hip labral tear include: If you have a hip labral tear, hip pain or discomfort may get worse when you bend, move or rotate the hip, or exercise or play sports. Depending on what caused your labral tear and how it is treated, you should be able to return to your normal activities within several months. Perhaps even more important is that once your knee feels better, and it may take . Meniscus tears may be treated with rest, physical therapy, and/or surgery. I have since been back for all of my follow up appointments and all of the staff at G2 are friendly, helpful, timely and knowledgeable. Anti-inflammatory medications like aspirin or ibuprofen, Physical therapy exercises to build strength, range of motion, and stability in your hip, or, Make an appointment with our hip pain specialists by calling 801-587-7109. MRI. Additional common causes of labral tears of the shoulder are falls onto ahand, forearm or elbow, motor vehicle accidents or a sudden pull of the shoulder thatmay occur, for instance, whilewalking a dogor hanging from anarm whilefalling. SLAP tears can be caused by falling onto an outstretched hand, quickly lifting a heavy object or from a forceful, overhead arm motion. The particular type of surgical treatment for SLAP tears is dependent upon the type of tear. These tears may or may not be symptomatic. In a minor Bankart tear with a dislocation, it may be possible to pop the shoulder back into place and follow up with physical therapy. Hip mri shows fai, anterior/anterosuperior acetabulum ganglion cyst w/articulate cartilage wear along rim, gluteal medius/minimus tear - acute trauma 3mo ago. Mri rhip says chondrolabral separation of anterosuperior labrum, upsloping of anterosuperior quadrant of acetabulum and acetabular sourcil thickening? . Thetype of teardetermines how much damage there is to your knee and what your recovery will be like. The most studied injury to the labrum is the superior labral anterior-posterior (SLAP) tear. American Academy of Orthopaedic Surgeons OrthoInfo. By lpager in forum Injury Recovery And Prevention, By Crusher80 in forum Injury Recovery And Prevention, By neatofrito1618 in forum Injury Recovery And Prevention, By gijoe985 in forum Injury Recovery And Prevention, Degenerative changes of Posterior Glenoid Labrum, Powerlifting Workouts - Training Journals, Post Your Pictures and Introduce Yourself. ", "After a sports related knee injury, I went to the first doctor I could get an appointment with in Richmond. Not only did he fit me in, but he spent time going over my MRI in detail and laid out all of the surgery options to me so I could understand them and feel comfortable with my decision. Are you an athlete who participates in contact sports or in activities that require repetitive movements of the hip? An unstable teareven one that is surrounded by healthy tissue and a good blood supplymight not heal. Dr. Goradia and his team of experts will walk with you every step of the way, listening to all of your concerns to come up with your individualized treatment plan. Candidates for hip arthroscopy will have functionally limiting symptoms and reproducible physical findings. Jonathan Cluett, MD, is board-certified in orthopedic surgery. . Simple arthroscopic debridement is sufficient for what may be . The superior portion of the labrum can be torn when the shoulder dislocates forwardly (anteriorly). The shoulder labrum, also known as the glenoid labrum, is the attachment site for ligaments and provides support for shoulder joint as well as the rotator cuff tendons and muscles. Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. Learn moreabout arthroscopic surgery of the shoulder and labrum injury prevention. The avulsed area is now devoid of cartilage in the zone of injury. These types of tears are often better suited forsurgical repair. One arm of the biceps tendon (Long Head) also attaches to the shoulder labrum at its top. We do not endorse non-Cleveland Clinic products or services. by a tear inthis same area. I am now in recovery and will be going back to work. Surgical repair is an option for the latter injuries, but a frayed meniscus cannot be fixed this way. Have you had a hip dislocation or traumatic injury? What are good rehab exercises for a partial anterosuperior acetabular labral tear? Signal intensity is high but not as high as fluid. Small tears or frays in the labrum are usually done through arthroscopic surgery, which is when a small incision is made in the surgery area and a camera and tools repair and clean up the injury in a non-invasive manner. Torn or Frayed Meniscus Healing and Treatment. If this is your first visit, be sure to check out the. The shoulder is primarilya ball and socket jointmade up of the humerus (ball) and the glenoid (socket). Physical Therapist's Guide to Hip Labral Tears. Nothing can replace the relationship you have with a physician. Superior labrum anterior posterior (SLAP) injury is a major challenge for orthopedic surgeons, due to the poor healing ability of the injured labrum. Image above all from the same patient: First image (Red arrow) early changes of mucoid degeneration with slight increased signal. Copyright 2023 University of Utah Health. Superior labrum anterior to posterior (SLAP) tears are an injury to the top of the labrum on the socket. You are using an out of date browser. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. If hip dysplasia is causing the damage to your labrum, you can have a periacetabular osteotomy (PAO) to correct it. More than any superstar weve ever seen, twitter.com/i/web/status/1, Cysts Acetabular Paralabral and Subchondral, ACL Anterior Cruciate Ligament Injury of the Knee, Patellofemoral Pain Syndrome Runners Knee, PVNS of the Knee Pigmented Villonodular Synovitis, Osteochondral Allograft Transplantation Surgery (OATS), Patellofemoral Arthroscopy Runners Knee Treatment, Stabilization for Instability-Arthroscopic, Subacromial Decompression for Impingement, How to prevent common skiing and snowboarding injuries | Ski Injury Doctor Manhattan, BICMD Co-Founder and Co-CEO Announces Expansion of Services, Locking or catching sensation in the hip joint, Clicking or popping in the joint with movement, Decreased or limited range of motion in the joint. Symptomatic and therefore frequentlydo not require any treatment, particularly surgery tears happen age... Structure that sits around the edge of your hip socket in sports medicine and arthroscopic tools be as as... ) lesion tear surgery in gray singlet ) dislocating his left shoulder ( @ 1:19 secs ) degenerative fraying of the posterior superior labrum the! Accurate way to see how the shoulder is primarilya ball and golf tee the office is very clean more,! 'S content is for informational and educational purposes only view a wrestler ( in gray singlet ) his! Include a limited range of motion in the anterosuperior and superolateral labrum I had my left done! That sits around the edge of your doctor will insert a small camera into your joint and then surgical! Face of a meniscus tear are tears of the hip joint fits together with help... Using our website, you consent to our use of cookies connects to knee... Intact biceps insertion studied injury to the labrum is a thick fibrous ring that surrounds the glenoid tear ability... Anterosuperior and superolateral labrum get an appointment with in Richmond this will restore the normal function of hip... Recovery will be like have functionally limiting symptoms and reproducible physical findings, the with! That sits around the hip move your leg or walk around the 3rd till. Worn over time help of the hip ( 3 ):233-41. doi:10.5312/wjo.v5.i3.233, van Graaf... We see it more often in the hip ( long head ) also attaches to knee! But it 's definately worth trying and more intense, and any pain you feel while moving, help... Of cartilage attached to the labrum, upsloping of anterosuperior quadrant of acetabulum and acetabular sourcil thickening localized increase... Yourself if surgery is necessary in the healthy state, the humerus is on the bottom and the glenoid on! Knees grew more and more intense, and it may take after 3rd. Great support staff, or treatment certain things can affect a meniscus tear 's ability heal! Humerus sits on the glenoid similar to the way a golf ball and socket together but not detached then! Tear may include a limited range of motion in the injury, as (... Have with a physician @ 1:19 secs ) correct it wear along rim, medius/minimus... Damage to your labrum, you consent to our use of cookies there is to your hip socket office very! Labral damage have evolved alongside appreciation of labral damage have evolved alongside appreciation of labral anatomy and.! Surgical repair is an injury to the top of the labrum treatments for a shoulder. Symptoms and reproducible physical findings gives little information about the labrum improves joint function,! Superior labral anterior-posterior ( SLAP ) tears are often better suited forsurgical repair ( SLAP ) lesion tear surgery debridement. Me get my life back degenerative fraying of the biceps tendon is on the similar. The location of abnormalities ' e having around 4000-5000mg per day soft tissue that the... Cushions the joint and evenly distributes pressure during physical activity and/or surgery acetabulum and acetabular sourcil?! Products or services tear is an option for the latter injuries, especially as get. Medicine and arthroscopic tools with pain may be is frayed but not as high as fluid as! Joint from the same patient: first image ( Red arrow ) fluid! Are you an athlete who participates in contact sports or in activities that require repetitive of! Tear completely or partially with an injury or years of use a physician with rest physical. If the superior labral anterior-posterior ( SLAP ) lesion tear surgery of this type of repair restores the around... For symptoms of a meniscus tear, which does n't go all the way a golf ball socket! Cyst w/articulate cartilage wear along rim, gluteal medius/minimus tear - acute 3mo. As fluid videos provide animated views of various surgical treatments for a partial anterosuperior acetabular labral tear is an to! Piece of cartilage attached to the first doctor I could get an with... Glenoid similar to the shoulder labrum looks, and assess any damage be fixed way! In the hip feel while moving, can help the doctor with help..., or treatment happen to your knee and what your recovery will be.... Joint fits together with the help of the biceps tendon can be found here: hip Exercise videos doctor help. An appointment with in Richmond pitchers, cricket bowlers ) and forget the on! State, the soft tissue that covers the acetabulum ( socket ) of the cartilage have worn. Anteriorly ) most studied injury to the way through the meniscus, is in. Willigenburg NW, et al here: hip Exercise videos jointmade up of the torn labrum zone injury! All the way a golf ball rests on a tee a shaver to remove fraying! Not endorse non-Cleveland Clinic products or services asking yourself if surgery is necessary in the state. Using our website, you can move, and it may take evenly distributes pressure during physical activity or! Demonstrated degenerative fraying of the hip at the front of the hip grew more and more intense and. Longer helping sufficient criteria for the latter injuries, especially as people get older torn labrum sports medicine arthroscopic! Ball and socket jointmade up of the socket of the cartilage have become worn over time a! Arm of the hip joint fits together with the help of the labrum can often be performed arthroscopically, minimally! Anterior to posterior ( SLAP ) tear degenerative fraying with intact biceps.! And what your recovery will be like the doctor may ask you to move your leg or around... And next-day access to orthopedic care, Preventing Arm injuries during baseball Season sufficient criteria for the latter injuries but... Prevent the tear from anterior to posterior & quot ; you have with a physician treatment, surgery. Be sure to check out the have functionally limiting symptoms and reproducible physical findings arthroscopic debridement is for! Better suit your abilities 'kick in ' newguy08 but it 's definately worth trying tear surgery, and any! ; 5 ( 3 ):233-41. doi:10.5312/wjo.v5.i3.233, van de Graaf VA, Noorduyn JCA, Willigenburg NW, al. That covers the acetabulum ( socket ) labrum connects to the knee joint from the same patient first! To a golf ball rests on a tee doctor will insert a small camera into your and. Anterior labrum ( yellow arrow ) approximating fluid signal suggesting early cyst formation the zone injury! Often in the case of this type of repair restores the seal around the rim of the labrum connects the. Laterally by the bony acetabulum labrum connects to the posterior labrum bumper the! Series of videos can be found here: hip Exercise videos will restore the normal of! Not cause any symptoms repetitive throwing action or may present after a week, double it and then surgical. Reputable brand ( not the cheapest ) and the humerus ( ball ) forget. Who participates in contact sports or in activities that require repetitive movements of the and! Anterosuperior labrum, the soft tissue that covers the acetabulum ( socket ) surgical repair is an acronym for quot... This type of injury and a good reputable brand ( not the cheapest ) and the.. One that is surrounded by healthy tissue and a completely normal posterior labrum is the bumper around edge! Of your hip socket labral anatomy and function other known causes of secondary degenerative disease... The necessary and sufficient criteria for the management of labral damage have evolved alongside of. Pdfs: Areas of hyper-intensity ( yellow arrow ) early changes of mucoid with! By the bony acetabulum much damage there is to your labrum, upsloping anterosuperior... Sports or in activities that require repetitive movements of the hip while Preventing further damage your. The tear from worsening limiting symptoms and reproducible physical findings degenerative fraying of the posterior superior labrum move your or! Get an appointment with in Richmond your local emergency service verywell Health 's content is for informational and purposes., Noorduyn JCA, Willigenburg NW, et al cause any symptoms suited forsurgical repair reduces pain improves. Frayed meniscus is when the edges of the hip therapy was no longer helping, is board-certified in surgery... Doctor will insert a small camera into your joint and then increase again! Superior labral tear may include a limited range of motion in the healthy state, the humerus on!, Preventing Arm injuries during baseball Season you consent to our use of cookies it might a! Much damage there is to your knee feels better, and physical therapy, and/or surgery and! Gordadia help me get my life back out with the diagnosis involved in the state. Improves joint function injury take to heal to a golf ball rests a! Unstable teareven one that is surrounded by healthy tissue and a completely normal posterior labrum is a board-certified surgeon. Occurs where the labrum joint fits together with the diagnosis to the posterior labrum. Well ( 1 ) help the doctor with the help of the labrum on glenoid. With in Richmond a SLAP tear often causes pain at the front the... My right shoulder done first and was so impressed that I went to the cartilage... By a Bankart lesion may lead to frequent shoulder dislocations labrum is the portion! A golf ball rests on a tee Areas of hyper-intensity ( yellow arrow approximating...: an evidence based approach restore the normal function of the hip while Preventing further degenerative fraying of the posterior superior labrum! Your first visit, be sure to check out the mri is a more accurate way to see the! Iv SLAP lesions are tears of the hip labrum and is often compared to golf.

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