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Extended SLAP Tear
Michael J. Tuite, MD; Soterios Gyftopoulos, MD, MSc
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Abbreviations

            • Superior labrum anterior-posterior (SLAP) tear
          • Synonyms

            • Extended SLAP: types V-XII SLAP tears
            • Type IX: triple labral lesion, 360° labral tear
          • Definitions

            • Tear of superior labrum anterior to posterior, which also involves other ligaments or portions of labrum

          IMAGING

          • General Features

            • MR Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    • Staging, Grading, & Classification

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Reporting Tips

                                    Selected References

                                    1. Choi BH et al: Superior labral cleft after superior labral anterior-to-posterior tear repair: CT arthrographic features and correlation with clinical outcome. Radiology. 278(2):441-8, 2016
                                    2. Virk MS et al: Superior labrum anterior to posterior tears and glenohumeral instability. Instr Course Lect. 62:501-14, 2013
                                    3. Borrero CG et al: Magnetic resonance appearance of posterosuperior labral peel back during humeral abduction and external rotation. Skeletal Radiol. 39(1):19-26, 2010
                                    4. Holzapfel K et al: Inter- and intraobserver variability of MR arthrography in the detection and classification of superior labral anterior posterior (SLAP) lesions: evaluation in 78 cases with arthroscopic correlation. Eur Radiol. 20(3):666-73, 2010
                                    5. Lin E: Magnetic resonance arthrography of superior labrum anterior-posterior lesions: a practical approach to interpretation. Curr Probl Diagn Radiol. 38(2):91-7, 2009
                                    6. Chang D et al: SLAP lesions: anatomy, clinical presentation, MR imaging diagnosis and characterization. Eur J Radiol. 68(1):72-87, 2008
                                    7. Pandya NK et al: Physical examination and magnetic resonance imaging in the diagnosis of superior labrum anterior-posterior lesions of the shoulder: a sensitivity analysis. Arthroscopy. 24(3):311-7, 2008
                                    8. Jin W et al: MR arthrography in the differential diagnosis of type II superior labral anteroposterior lesion and sublabral recess. AJR Am J Roentgenol. 187(4):887-93, 2006
                                    9. Tuite MJ et al: Width of high signal and extension posterior to biceps tendon as signs of superior labrum anterior to posterior tears on MRI and MR arthrography. AJR Am J Roentgenol. 185(6):1422-8, 2005
                                    10. Waldt S et al: Diagnostic performance of MR arthrography in the assessment of superior labral anteroposterior lesions of the shoulder. AJR Am J Roentgenol. 182(5):1271-8, 2004
                                    11. Lee JH et al: Diagnosis of SLAP lesions with Grashey-view arthrography. Skeletal Radiol. 32(7):388-95, 2003
                                    12. Mohana-Borges AV et al: Superior labral anteroposterior tear: classification and diagnosis on MRI and MR arthrography. AJR Am J Roentgenol. 181(6):1449-62, 2003
                                    13. Jee WH et al: Superior labral anterior posterior (SLAP) lesions of the glenoid labrum: reliability and accuracy of MR arthrography for diagnosis. Radiology. 218(1):127-32, 2001
                                    14. Savoie FH 3rd et al: Anterior superior instability with rotator cuff tearing: SLAC lesion. Orthop Clin North Am. 32(3):457-61, ix, 2001
                                    15. Bencardino JT et al: Superior labrum anterior-posterior lesions: diagnosis with MR arthrography of the shoulder. Radiology. 214(1):267-71, 2000
                                    16. Tuite MJ et al: Superior labrum anterior-posterior (SLAP) tears: evaluation of three MR signs on T2-weighted images. Radiology. 215(3):841-5, 2000
                                    17. Chan KK et al: Superior labral anteroposterior lesions: MR arthrography with arm traction. AJR Am J Roentgenol. 173(4):1117-22, 1999
                                    18. Monu JU et al: MR diagnosis of superior labral anterior posterior (SLAP) injuries of the glenoid labrum: value of routine imaging without intraarticular injection of contrast material. AJR Am J Roentgenol. 163(6):1425-9, 1994
                                    19. Smith AM et al: SLAP lesions of the glenoid labrum diagnosed with MR imaging. Skeletal Radiol. 22(7):507-10, 1993
                                    20. Cartland JP et al: MR imaging in the evaluation of SLAP injuries of the shoulder: findings in 10 patients. AJR Am J Roentgenol. 159(4):787-92, 1992
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Superior labrum anterior-posterior (SLAP) tear
                                            • Synonyms

                                              • Extended SLAP: types V-XII SLAP tears
                                              • Type IX: triple labral lesion, 360° labral tear
                                            • Definitions

                                              • Tear of superior labrum anterior to posterior, which also involves other ligaments or portions of labrum

                                            IMAGING

                                            • General Features

                                              • MR Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Staging, Grading, & Classification

                                                        • Gross Pathologic & Surgical Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Reporting Tips

                                                                      Selected References

                                                                      1. Choi BH et al: Superior labral cleft after superior labral anterior-to-posterior tear repair: CT arthrographic features and correlation with clinical outcome. Radiology. 278(2):441-8, 2016
                                                                      2. Virk MS et al: Superior labrum anterior to posterior tears and glenohumeral instability. Instr Course Lect. 62:501-14, 2013
                                                                      3. Borrero CG et al: Magnetic resonance appearance of posterosuperior labral peel back during humeral abduction and external rotation. Skeletal Radiol. 39(1):19-26, 2010
                                                                      4. Holzapfel K et al: Inter- and intraobserver variability of MR arthrography in the detection and classification of superior labral anterior posterior (SLAP) lesions: evaluation in 78 cases with arthroscopic correlation. Eur Radiol. 20(3):666-73, 2010
                                                                      5. Lin E: Magnetic resonance arthrography of superior labrum anterior-posterior lesions: a practical approach to interpretation. Curr Probl Diagn Radiol. 38(2):91-7, 2009
                                                                      6. Chang D et al: SLAP lesions: anatomy, clinical presentation, MR imaging diagnosis and characterization. Eur J Radiol. 68(1):72-87, 2008
                                                                      7. Pandya NK et al: Physical examination and magnetic resonance imaging in the diagnosis of superior labrum anterior-posterior lesions of the shoulder: a sensitivity analysis. Arthroscopy. 24(3):311-7, 2008
                                                                      8. Jin W et al: MR arthrography in the differential diagnosis of type II superior labral anteroposterior lesion and sublabral recess. AJR Am J Roentgenol. 187(4):887-93, 2006
                                                                      9. Tuite MJ et al: Width of high signal and extension posterior to biceps tendon as signs of superior labrum anterior to posterior tears on MRI and MR arthrography. AJR Am J Roentgenol. 185(6):1422-8, 2005
                                                                      10. Waldt S et al: Diagnostic performance of MR arthrography in the assessment of superior labral anteroposterior lesions of the shoulder. AJR Am J Roentgenol. 182(5):1271-8, 2004
                                                                      11. Lee JH et al: Diagnosis of SLAP lesions with Grashey-view arthrography. Skeletal Radiol. 32(7):388-95, 2003
                                                                      12. Mohana-Borges AV et al: Superior labral anteroposterior tear: classification and diagnosis on MRI and MR arthrography. AJR Am J Roentgenol. 181(6):1449-62, 2003
                                                                      13. Jee WH et al: Superior labral anterior posterior (SLAP) lesions of the glenoid labrum: reliability and accuracy of MR arthrography for diagnosis. Radiology. 218(1):127-32, 2001
                                                                      14. Savoie FH 3rd et al: Anterior superior instability with rotator cuff tearing: SLAC lesion. Orthop Clin North Am. 32(3):457-61, ix, 2001
                                                                      15. Bencardino JT et al: Superior labrum anterior-posterior lesions: diagnosis with MR arthrography of the shoulder. Radiology. 214(1):267-71, 2000
                                                                      16. Tuite MJ et al: Superior labrum anterior-posterior (SLAP) tears: evaluation of three MR signs on T2-weighted images. Radiology. 215(3):841-5, 2000
                                                                      17. Chan KK et al: Superior labral anteroposterior lesions: MR arthrography with arm traction. AJR Am J Roentgenol. 173(4):1117-22, 1999
                                                                      18. Monu JU et al: MR diagnosis of superior labral anterior posterior (SLAP) injuries of the glenoid labrum: value of routine imaging without intraarticular injection of contrast material. AJR Am J Roentgenol. 163(6):1425-9, 1994
                                                                      19. Smith AM et al: SLAP lesions of the glenoid labrum diagnosed with MR imaging. Skeletal Radiol. 22(7):507-10, 1993
                                                                      20. Cartland JP et al: MR imaging in the evaluation of SLAP injuries of the shoulder: findings in 10 patients. AJR Am J Roentgenol. 159(4):787-92, 1992