
New Insight Into the Management of SLAP Lesions in the Throwing Athlete
Abstract:
Management and injury prevention of the throwing athlete is an ever-evolving area and often very challenging for most clinicians. SLAP lesions commonly occur in the throwing shoulder, however; the treatment and management of this injury is not well understood. New and existing evidence has recently been used to better understand the pathophysiology and biomechanics of SLAP lesions in throwers, in addition to suggesting a change in terminology to Clinically Significant Labral Injuries (CSLI). This information has challenged the existing treatment paradigm and could improve clinical outcomes following conservative and/or surgical treatment approaches.
Learning Objectives:
- Describe the pathophysiology and biomechanics of SLAP/CSLI lesions in throwing athletes, based on the latest evidence.
- Critically evaluate the existing treatment paradigm for SLAP lesions in throwing athletes, and understand how new data could challenge these approaches.
- Apply scientific discoveries into the management and treatment of SLAP/CSLI lesions in throwing athletes to improve clinical outcomes, whether through conservative or surgical treatment approaches.
- Replace the terminology of SLAP lesion with CSLI to better differentiate significant pathology that generates the clinical symptoms.
Level:
Advanced
Domain(s):
Domain 1: Risk Reduction Wellness and Health Literacy
Domain 4: Therapeutic Intervention
Orthopedic Domain(s):
Domain 2: Procedural Knowledge
CEUs:
1.0 Category A
Keywords:
Baseball, shoulder, labral injury
In order to earn your CEUs, you must watch the session video in its entirety and complete the assessment.
Course Expiration:
All sessions of the NATA 76th Symposia On-Demand must be completed by October 31, 2025 at 11:59 p.m. CDT.
For full details, refer to the expiration policy on our FAQ page.

John Kelly, MD
John D. Kelly IV, MD, attended Columbia University in New York where he received the Class of ’19 Football Cup for the varsity football player with the highest academic average. He graduated with Honors at the University of Cincinnati College of Medicine where he served as Commencement Speaker and received the Swain Award for ‘easing the burden of fellow students’, the Pharmacology Prize and the CIBA award for patient communication skills. He received his Orthopedic Training at the University of Pennsylvania and completed a Fellowship in Sports Medicine at Temple University where he remained as a faculty member for 19 years. He returned to Penn in 2008 where he serves as Professor of Orthopedic Surgery and Director of Shoulder Sports Med. He also is Director of the Throwing Clinic at Penn and recently received the Neer Award for his research in the throwing athlete. He has a profound interest in physician leadership development, well-being and he lectures and has written extensively on matters of wellness and personal balance. He also is a standup comedian and has appeared on ‘Oprah Radio’ and at the Keswick theatre.
Dr. Kelly has served various leadership positions including President of Penn Ortho Society, President Philadelphia Chapter Lumen Institute, President of Eastern Ortho Assoc., Board of Trustees Arthroscopy Journal, Board of Trustees OREF, Secretary of AANA, Chair of the Ortho Learning Center and First Vice President for AANA . He has received numerous awards for both teaching and clinical excellence. He serves as adjunct faculty in the McNulty Leadership Program at Wharton. He is also proud to be an Honorary Member of the NATA.
Dr. Kelly has been married to the love of his life, Marie S. Kelly for 37 years and are the proud parents of twin daughters Mary Elizabeth and Ann Marie, MD.
