Presentation
Tennis player with painful and limited motion of the shoulder, especially overhead motions.
Patient Data
MRI Arthrogram
Superior labral tear of the labrum of the superior glenoid rim without a biceps tendon tear, located at the 11-to 3-o’clock position (type IIA). The labrum is not completely detached. The tendons of the rotator cuff and the long head of the biceps are normal.
Surgery report (translation from Italian)
Patient in lateral decubitus, posterior inferior and anterior inferior and anterior lateral access portals. there is anterior superior capsule-labral detachment and degenerative SLAP. With special instruments, the anterior labral capsule complex is prepared and fixed with 1Y-Knot Pro flex. No alteration of the posterior labral complex. No pathology of the supraspinatus. Wide bursectomy.
Case Discussion
A type II SLAP tear is the most common and clinically relevant SLAP lesion. This lesion consists of superior labral fraying or tears and stripping of the labrum and biceps tendon from the superior glenoid rim without a biceps tendon tear. A type II SLAP lesion is located at the 11- to the 1-o’clock position of the labrum, but it may extend anteriorly from the 11- to 3-o’clock position (type IIA), posteriorly from the 9- to 11-o’clock position (type IIB), or anteriorly and posteriorly from the 9- to 3-o’clock position (type IIC).
Radiographer: TSRM Fabio Imola
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