What it is
A SLAP tear affects the top of the labrum where the biceps tendon anchors. It is often seen in throwing athletes and after a fall onto an outstretched arm, and it can cause deep, hard-to-place shoulder pain.
How it usually presents
- Deep pain in the shoulder, difficult to point to
- Clicking or catching with overhead movement
- Loss of power or accuracy in throwing sports
How it is assessed
Examination with labral provocation tests and an MR arthrogram.
Treatment options
- Rehabilitation targeting the cuff and shoulder blade
- Arthroscopic repair or biceps tenodesis depending on age, sport and tear pattern
Non-surgical treatment is considered first wherever it is reasonable. Which option suits you depends on your symptoms, your goals and what you want from treatment, which is exactly what we discuss in clinic.
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