The fibrocartilaginous glenoid labrum contributes to shoulder stability and provides
attachment for the long head of biceps tendon and the glenohumeral ligaments. The
superior site of attachment of the long head of biceps (biceps anchor) represents
a site of injury to the superior labrum where tearing may extend into the biceps tendon
as well as anterior and/or posterior to the biceps anchor. Such tears are known as
superior labrum anterior and posterior (SLAP) tears and are a cause of both shoulder
instability and pain. SLAP tears are frequently seen in those undertaking repetitive
frequent overarm activity such as throwing athletes and swimmers. This article reviews
the mechanisms and types of SLAP tears and their imaging appearances. It also discusses
associated injuries and pitfalls in diagnosing these injuries.
Keywords
shoulder - MRI - MR arthrography - SLAP tear - internal impingement