© 2019 Alexandra Touri
Background and Purpose: A superior glenoid labrum tear anterior to posterior (SLAP) is a common injury in the shoulder although they are less commonly seen in the workplace. There are many resources for SLAP lesions concerning overhead throwing athletes, however, there are not specific details on return to work rehabilitation activities for the workers’ compensation population. The purpose of this case report is to explore the post-operative physical therapy management of a workers’ compensation patient with a superior glenoid labrum lesion. Case Description: This patient was a 45-year-old Hispanic female diagnosed with a superior glenoid labrum lesion of the left shoulder requiring surgical repair. This was a work-related injury covered under Workers’ Compensation. The patient’s main concerns were the inability to lift, carry, reach, push, and pull with the left upper extremity. She had pain, weakness, and limited joint mobility. The interventions performed were joint mobilizations, manual therapy, therapeutic exercises, modalities, and a home exercise program under the direction of the surgeon’s rehabilitation protocol. Outcomes: The patient’s pain decreased from an 8/10 at worst at her initial evaluation to a 3/10 at discharge. Her DASH score improved; it went from a 70/100 initially to a 50/100. The SPADI score also improved it went from 112/130 to 54/130. Discussion: The plan of care appeared successful as the patient had decreased pain, increased strength and range of motion, and she was able to return to full-duty work. Further research is needed to determine the long-term benefits of this intervention program for this patient population. SLAP lesions are rare in the work-setting compared to those in overhead throwing athletes and more research is needed to find additional and optimal treatment methods.
Touri, Alexandra, "Treatment Of A Work-Related Superior Glenoid Labral Repair: A Case Report" (2019). Case Report Papers. 107.