The case demonstrates the superiority of the MR arthrography in detection of SLAP lesions. Bucket-handle tear of the anterior superior glenoid labrum associated with bicipital tendinosis. Associated tear of the anterior inferior labrum (Bankart lesion) with superior extension of the tear is seen and considered as SLAP V lesion. Mild subscapularis and supraspinatus tendinopathy as well as mild acromio-clavicular osteoarthritis. Superior labrum anterior cuff (SLAC) lesion is a SLAP lesion associated with partial thickness tear of the undersurface of the supraspinatus tendon with shoulder microinstability.