IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

SLAP lesion type II with paralabral cyst

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Window washer with right shoulder pain without trauma

Patient Data

Age: 60 years
Gender: Male

Coronal oblique T2-weighted magnetic resonance imaging shows a superior labral anterior posterior tear SLAP lesion located at the 11- to 1-o’clock position of the glenoid labrum with fraying and degenerative aspect of the free edge of the upper labrum with a loculated paralabral cyst extending to the suprascapular notch. Partial insertional supraspinatus tendon tear and glenohumeral arthritis with damage to the articular surfaces of the humeral head and glenoid. No sign of entrapment of the infraspinatus branch of the suprascapular nerve. The subscapularis tendon and the long head of the biceps tendon are normal.

Case Discussion

A type II SLAP tear is frequently caused by repetitive overhead motion. Sometimes ganglion cysts of the spinoglenoid notch are secondary to a one-way valve mechanism from labral tears.

Case courtesy of Dr.ssa Laura Braccaioli

Radiographer: TSRM Fabio Imola

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.