SLAP tear - type IIa

Case contributed by Domenico Nicoletti , 12 Aug 2021
Diagnosis certain
Changed by Joachim Feger, 13 Aug 2021

Updates to Case Attributes

Age changed from 45 to 45 years.
Presentation was changed:
Tennis player with painful and limit movementlimited motion of the shoulder, especially overhead motions.
Body was changed:

A type II SLAP tear is the most common and clinically relevant SLAP lesion. This lesion consists of superior labral fraying or teartears 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

  • -<p>A type II SLAP tear is the most common and clinically relevant SLAP lesion. This lesion consists of superior labral fraying or tear 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 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).</p><p> </p><p>Radiographer: TSRM Fabio Imola</p>
  • +<p>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).</p><p> </p><p>Radiographer: TSRM Fabio Imola</p>

References changed:

  • 1. Modarresi S, Motamedi D, Jude CM. Superior labral anteroposterior lesions of the shoulder: part 2, mechanisms and classification. (2011) AJR. American journal of roentgenology. 197 (3): 604-11. <a href="https://doi.org/10.2214/AJR.11.6575">doi:10.2214/AJR.11.6575</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/21862802">Pubmed</a> <span class="ref_v4"></span>
  • 1. Modarresi S, Motamedi D, Jude CM. Superior labral anteroposterior lesions of the shoulder: part 2, mechanisms and classification. (2011) AJR. American journal of roentgenology. 197 (3): 604-11. <a href="https://doi.org/10.2214/AJR.11.6575">doi:10.2214/AJR.11.6575</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/21862802">Pubmed</a> <span class="ref_v4"></span>
  • AJR focus on: Superior Labral Anteroposterior Lesions of the Shoulder: Part 2, Mechanisms and Classification Shahla Modarresi1 Daria Motamedi2 Cecilia Matilda Jude3
  • Modarresi S, Motamedi D, Jude CM. Superior labral anteroposterior lesions of the shoulder: part 2, mechanisms and classification. (2011) AJR. American journal of roentgenology. 197 (3): 604-11. <a href="https://doi.org/10.2214/AJR.11.6575">doi:10.2214/AJR.11.6575</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/21862802">Pubmed</a> <span class="ref_v4"></span>

Updates to Study Attributes

Findings was changed:

Surgery report(translation from italianItalian)

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.

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