In a SLAP tear, the top most part of labrum is Injured or torn. This is where the biceps tendon attaches to the glenoid labrum.
A SLAP tear occurs both in front (anterior) and back (posterior) of this attachment point.
The SLAP tear can be result due to accident/injury or it may develop over time due to repetitive movements.
There are several type of SLAP classified according to the extent of the tear
Type 1 – Which involves the fraying of the top rim of the labrum, but the labrum is still attached to the glenoid (cup of the shoulder). This can be due to degeneration seen in middle aged or older patients and mostly the patient does not have any symptoms.
Type 2 -It is a most common type of SLAP tear. In this type the labrum & biceps detach from the top of the glenoid. It needs anthroscopic repair. In some cases patient does not have much symptoms, This is where a conservative approach with rehab for 6-8 weeks can be tried.
Type 3 – Consist of bucket handle tear where the torn labrum droop into the shoulder joint.
Type 4 -There is a bucket handle tear to the top of labrum extending into the biceps tendon.
Symptoms of SLAP tear