Presentation
Non-traumatic persistent shoulder pain and failed physiotherapy
Patient Data







Intermediate T2 signal cleft extends from the undersurface of the superior glenoid labrum and into the long head of biceps insertion, suggestive of a SLAP tear.
Acromioclavicular arthropathy and distal supraspinatus tendinopathy.
Mild distension with fluid of the SASD bursa.
Small amount of fluid in the superior subscapularis recess.
Case Discussion
A superior labral anterior to posterior tear (SLAP), can be distinguished from a sub-labral sulcus as the fluid cleft will be perpendicular to the normal contour of the attachment, sometimes extending into the LHB tendon itself.
The finding of a SLAP tear was confirmed surgically.