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Extended SLAP Tear
Michael J. Tuite, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Abbreviations

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

            • Extended SLAP: Type V-XII SLAP tear
            • 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

                                  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. 142431, 2015
                                  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: Type V-XII SLAP tear
                                            • 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

                                                                  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. 142431, 2015
                                                                  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