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% Document Info
\author{Jenna Ingola (jennaingola)}
\pdfinfo{
  /Title (glenoid-labrum-tears.pdf)
  /Creator (Cheatography)
  /Author (Jenna Ingola (jennaingola))
  /Subject (Glenoid Labrum Tears Cheat Sheet)
}

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        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Glenoid Labrum Tears Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Jenna Ingola (jennaingola)} via \textcolor{DarkBackground}{\uline{cheatography.com/165615/cs/35960/}}}
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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Jenna Ingola (jennaingola) \\
  \uline{cheatography.com/jennaingola} \\
  \end{tabulary}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 8th December, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
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  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
\raggedright
\raggedcolumns

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% www.emerson.emory.edu/services/latex/latex_169.html
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Pathophysiology}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Fibrocartilage of the shoulder joint, anchoring the joint capsule and shoulder ligaments} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Often by single trauma, or repeated microtrauma} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Plays a role in proprioception, aiding muscular control, and acts as a washer, spreading loads equally over the interface} \tn 
% Row Count 6 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Labrum is the primary attachment site for the shoulder capsule and glenohumeral lig} \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Epidemiology}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{From 35, the superior labrum is less firmly attached to the glenoid than people under 30} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{30-50: more chances of tears/defects in the superior and anterior-superior regions of the labrum} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{60 or older: circumferential lesions} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Common in volleyball, tennis, handball, and overhead activities} \tn 
% Row Count 7 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.4931 cm} x{3.4839 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Types}}  \tn
% Row 0
\SetRowColor{LightBackground}
SLAP & Superior labrum, four different types, stable or unstable \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Non-SLAP & Degenerative, flap, and vertical labral tears and unstable lesions (ex. Bankart - anteriorly) \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
Hill-Sachs lesion & Impression fracture on the posterior humeral head (not technically a labral tear but may be in conjunction with Bankart lesion) \tn 
% Row Count 12 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.29402 cm} x{3.68298 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{MOI}}  \tn
% Row 0
\SetRowColor{LightBackground}
SLAP & repetitive throwing (pulls the biceps tendon), hyperextension, fall on outstretched arm, heavy lifting, direct trauma \tn 
% Row Count 5 (+ 5)
% Row 1
\SetRowColor{white}
Bankart lesion & repeated anterior shoulder subluxations \tn 
% Row Count 7 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Prognosis}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{If conservative treatment successful, young athlete can expect full return to sport within 3-6 months} \tn 
% Row Count 3 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Subjective Markers}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Persistent deep seated shoulder pain} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Painful clicking, catching and grinding} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Sense of instability and distrust in the shoulder} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Pain localized to the posterior or posterior-superior joint line (especially in abduction)} \tn 
% Row Count 5 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.09494 cm} x{3.88206 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Objective Assessment}}  \tn
% Row 0
\SetRowColor{LightBackground}
\seqsplit{Observation} & ?Shoulder dislocation \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\seqsplit{Palpation} & Tenderness over anterior aspect of shoulder \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{AROM/PROM} & Pain on resisted biceps contraction \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\seqsplit{Strength} & No loss in strength, just pain \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Functional} & Throwing overhead (reproducing pain) \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.84609 cm} x{4.13091 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Types of SLAP lesion}}  \tn
% Row 0
\SetRowColor{LightBackground}
Type I & Attachment of the labrum to the glenoid is intact but there is evidence of fraying and degeneration \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Type II & Lesions involve detachment of the superior labrum and tendon of the long head of biceps from the glenoid rim \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
Type III & The meniscoid superior labrum is torn away and displaced into the joint but the tendon and its labral rim attachment are intact \tn 
% Row Count 11 (+ 4)
% Row 3
\SetRowColor{white}
Type IV & The tear of the superior labrum extends into the tendon, part of which is displaced into the joint along with the superior labrum \tn 
% Row Count 15 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Rehab}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Conservative management usually unsuccessful in all but the most minor SLAP lesions in younger sports people} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Bankart treated with arthroscopic fixation} \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{\textgreater{}50 surgical repair of SLAP lesion does not yield additional benefit over conservative treatment and therefore should be avoided} \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Physio: focuses on scapular stabilization exercises and stretching program for the posterior capsule} \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{With compressive injury - caution with weight-bearing exercises} \tn 
% Row Count 11 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{With traction injuries - heavy weights should be avoided} \tn 
% Row Count 13 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Goals: restore ROM, neuromuscular control, dynamic stability, and proprioception, full strength and endurance} \tn 
% Row Count 16 (+ 3)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{First step of conservative: abstain from aggravating activities to provide relief to pain and inflammation, NSAIDs or corticosteroid injections} \tn 
% Row Count 19 (+ 3)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Regaining GIRD is crucial, may be by stretching} \tn 
% Row Count 20 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Special Tests}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Biceps load test II (specific)} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{O'Brien test (sensitive)} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Anterior apprehension test (sensitive)} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Speeds Test (specific)} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Yergason's test (specific)} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Compression rotation test (sensitive)} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Dynamic labral shear test} \tn 
% Row Count 7 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Imaging}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{MRI arthrography - high degree of reliability} \tn 
% Row Count 1 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Common shoulder rehab}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{forward flexion in a side lying position} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{prone extension} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{seated rowing} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{serratus punch (protraction with elbow extended)} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{knee push-up plus} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{forward flexion in external rotation and forearm supination} \tn 
% Row Count 7 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{full can (elevation in the scapular plane in ER)} \tn 
% Row Count 8 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}