Shoulder SLAP Tear: Symptoms, Causes & Treatment

by Administrator 24. June 2013 10:07

A ring made of solid tissue known as the “labrum” helps to stabilize the shoulder and make it function properly. It helps in keeping the arm bone fit in perfectly into the socket of the shoulder. When the top portion of labrum gets injured or tears apart, it is referred to as a SLAP injury. The full form of SLAP is ‘superior labrum, anterior to posterior’.
You must immediately visit an expert Joint Doctor or orthopedician in case of a SLAP injury. Read on to know more about the symptoms, causes and treatments for the same.


  • A SLAP injury shows the below mentioned symptoms:
  • Pain in the arm during overhead movements is one of the prominent symptoms of a SLAP tear.
  • Secondly, the affected person can also experience a crackling sound in the shoulder.
  • The injured person feels weakness in his shoulder along with continuous pain.


People suffering from SLAP injuries mostly tend to bear the stress of other shoulder injuries as well. An experienced orthopedic doctor can determine the exact condition of your shoulder and give you the requisite treatment.

A SLAP injury can be caused due to any of the following reasons:

  • If you fall with the whole pressure on your shoulder.
  • The injury can also result from a fall where your arm is stretched out completely.
  • Lifting heavy objects on a regular basis or with a sudden movement can also lead to a SLAP injury.
  • The labrum can also tear apart in a car accident wherein your arm is stretched out.
  • Playing sports such as baseball, wherein the overhead movement is too much can also cause the labrum to get injured.


Since pain in the shoulder can be a result of many factors, it becomes all the more hard to diagnose a SLAP injury. However, an orthopedic doctor can determine whether you have a SLAP tear or not by conducting a number of tests that check the movement of the shoulder joint. An MRI scan can also be conducted to diagnose a SLAP injury.

But the most reliable way to confirm a SLAP tear is by conducting an arthroscopic surgery. In this case, incisions in the shoulder are made by the doctor so as to clearly see inside the joint. This is done by inserting a small camera that is attached to a very slim tube. In this process, the tear can also be repaired simultaneously.

The doctor can also prescribe shoulder exercises to make the rotator cuff muscles stronger. However, if nothing works then the doctor goes in for arthroscopic surgery as mentioned above.

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Stress Fractures- Causes, Symptoms & Treatment

by Administrator 19. June 2013 10:00

Stress fractures are a form of bone injury caused by excessive use of a particular bone. These fractures occur when the usage of a bone exceeds its ability of natural repair, leading to cracks in the internal bone structure. The bones most prone to stress fractures are those of the legs, the pelvis, and the feet. This condition is commonly seen in sportspersons, and is brought about by excessive jumping or running, and other repetitive movements like bowling or rowing.


  • Overuse of bones in the lower extremities
  • Low estrogen levels in women
  • Lack of warming up before excessive physical activity
  • Decrease in bone density with age
  • Weakened bones due to osteoporosis
  • Long-term use of corticosteroids
  • Poorly cushioned shoes
  • Anatomical abnormalities like fallen arches
  • Poor-quality sports equipment


  • Dull pain around the affected area, which worsens with physical activity and resolves with rest.
  • Swelling around the site of the fracture.
  • Spot tenderness upon touching.
  • Pain that worsens at night is a typical symptom of stress fractures.
  • Ignoring these symptoms can cause the condition to worsen, leading to earlier onset of pain with light physical activity.


  • Home care for stress fractures follows the same regimen as that for most orthopedic disorders, constituting RICE (Rest, Ice, Compression, Elevation).
  • You might need to see a doctor if the pain gets worse with time or refuses to subside. OrthoTexas, a leading orthopedic clinic located in Plano and other areas in Texas offers medical treatment for the condition.
  • The treatment begins with the administration of anti-inflammatory medication, combined with analgesics.
  • If the condition does not subside with these medications orthopedic treatment consisting of casts, crutches, walking boots, or braces, all of which help to limit the movement.
  • A healing time of 1-3 months is recommended, before physical activity can be gradually reintroduced.
  • Physical therapy aimed at improving strength and flexibility is also recommended in the treatment of stress fractures. This can help to prevent recurrence of the stress fractures.
  • In case of extreme pain, patients might need to be administered with pain medications.
  • The final line of treatment that is opted for in severe cases of stress fractures is surgery. This is usually needed in case the fractures displace.

OrthoTexas, a group of Orthopedic Surgeons and Physicians serving various locations across North Texas offers advanced treatment for stess fractures.

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Adult Forearm Fractures

by Administrator 12. June 2013 14:37

Forearm fractures can be crippling for an adult, since most of the everyday activities, right from getting dressed up to picking grocery bags, involve forearm activity. Forearm fractures occur when either or both bones in the forearm, i.e. “radius” and “ulna”, get damaged. The damage can range from a slight crack to a complete shatter or a fracture which involves bone displacement. In severe cases, the fractured bone fragments can lead to infection when projected outward from the skin. In these cases it is important to immediately consult an Orthopedic.

Causes Of Forearm Fracture:

  • Direct blow or impact to the arm- This could be caused by a fall, automobile accident, sports accident, etc.
  • Forearm fractures are usually caused by impact on an outstretched arm.
  • The fracture results when the arm is stretched or twisted beyond its normal range of motion.

Symptoms OF Forearm Fracture in Adults:

  • Swelling
  • Localized bruising around the site of injury
  • Tenderness
  • Immediate pain upon injury/ impact
  • Obvious deformity- The affected arm is visibly bent or distorted
  • In rare cases, the fracture can be accompanied with numbness in the fingers or weakness in the wrist.
  • Difficulty in performing normal activities involving the forearm.


  • The treatment for sports-related adult forearm fractures starts with a detailed analysis of the extent of damage, by an orthopedic doctor.
  • Restricting movement of the affected bone is critical to the treatment of forearm fractures since moving the broken bone can cause injury to the surrounding tissues and blood vessels.
  • Anti-inflammatory drugs and pain-killers can be administered to get rid of pain and swelling.
  • For certain severe cases of forearm fractures, surgical treatment could be required. One of the most common surgical procedures adopted for adult forearm fractures is open reduction using screws and plates, in which the bone fragments are realigned into their original position and secured with screws. It is important for the realignment of the bones to be accurate during surgery for the injury to heal correctly.

OrthoTexas, a group of Orthopedic Surgeons and Physicians serving various locations across North Texas offers advanced treatment for adult forearm fractures.

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Bursitis: Symptoms, Causes, And Treatment

by Administrator 5. June 2013 13:31

As the name suggests, bursitis is a condition involving the inflammation of the bursa, which is a fluid-filled sac present between hard connective tissues, responsible for decreasing friction during movement. While there are 160 “bursae” in the body, the most commonly affected ones are those in the large joints like the hip, shoulders, knees, and elbows.


  • The most common cause of bursitis is repetitive motion of a particular joint. This is common in sportspersons, and is referred to as chronic bursitis. For instance, repetitively throwing a baseball could cause bursitis of the elbow, while prolonged kneeling could result in bursitis in the knee.
  • Acute bursitis is caused by major trauma, such as a direct blow on a particular joint, which is usually accompanied with swelling and bleeding.
  • Septic bursitis is caused by bacterial infection in the bursae close to the skin. Alcoholism, diabetes, cortisone medications, obesity, and certain kidney disorders are risk factors for this form of bursitis.
  • Crystal formation in the bursae could be caused by diseases like gout and rheumatoid arthritis, leading to bursitis.
  • Age is also a causative factor of bursitis, since the tendons become less elastic and more prone to stress with age.


  • Pain- Could either develop gradually, or suddenly (in case of calcium deposits)
  • Immobility- Referred to as frozen shoulder, this is commonly seen in shoulder bursitis.
  • Difficulty to support body pressure- This is usually experienced in hip bursitis, making it difficult to lay on the affected side.
  • Swelling accompanied with redness and warmth.
  • Fever could be a sign of septic bursitis and requires immediate medical attention.
  • Pain is often worse at night, and worsens with activity.


  • RICE- Rest, Ice, Compression, & Elevation, is recommended as the first line of self treatment for bursitis.
  • OTC anti-inflammatory medications can help to provide some relief.
  • You might need to see a Orthopedic if the condition does not subside within a week. The Orthopedic doctors at OrthoTexas shall evaluate your condition and suggest the appropriate line of treatment for you.
  • Corticosteroid injections can be used in case of severe pain and inflammation.
  • The orthopedic treatment at OrthoTexas includes range of motion exercises as a part of the physical therapy for bursitis.
  • Prolonged cases of bursitis that are non-responsive to the above-mentioned treatments might need surgery as a last resort.

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