SLAP tear - type IV

Case contributed by Utkarsh Kabra

Presentation

Pain and difficulty in moving right shoulder.

Patient Data

Age: 25 years
Gender: Male
mri

Hyperintensity is seen in superior labrum extending from approx. 10 to 1 o’clock position. Subtle hyperintensity is also seen in the intracapsular segment of the biceps tendon, starting from its attachment at the glenoid and extending proximally for approx. 8mm. Mild supraspinatus tendinosis is seen with no obvious tear.

Case Discussion

Findings are suggestive of a SLAP tear extending into an intracapsular segment of the biceps tendon (type IV). No arthrographic or arthroscopic correlation is available for confirmation.

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