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SLAP Lesion

Tear of the labrum around the biceps tendon attachment in the shoulder joint.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is SLAP Lesion?

A SLAP lesion is a tear of the superior portion of the labral ring attached to the glenoid that also involves the biceps tendon attachment. SLAP stands for 'Superior Labrum Anterior to Posterior.'

Four types are described: Type I degeneration, Type II detachment (most common), Type III bucket-handle tear, Type IV tear extending into the biceps tendon. Type II is the most prevalent form and frequently requires surgery.

It is particularly seen in sports that demand overhead throwing — tennis, baseball, swimming, volleyball — and after sudden falls.

Symptoms

Deep, poorly localized shoulder pain
Severe pain with overhead throwing
Clicking, locking, or popping with movement
Tenderness along the biceps tendon
Reduced arm strength
Pain when sleeping on the affected shoulder

Risk Factors

Throwing sports (baseball, softball, tennis)
Swimmers and gymnasts
Fall on an outstretched arm
Sudden heavy lifting
Repetitive overhead occupational activities
Degenerative changes over age 40

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Marked pain and weakness with overhead activity
  • No response to conservative therapy beyond 3 months
  • When SLAP tear is confirmed on MR arthrography
  • Active athletes — early evaluation

Treatment Methods

01
Conservative: rest, physiotherapy, scapular muscle strengthening
02
Anti-inflammatory medications and corticosteroid injection
03
Arthroscopic labral repair or biceps tenodesis
04
Different surgical approaches by Type I-III
05
6-9 month rehabilitation after surgery
06
Return-to-sport planning by criteria

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ortopedi ve Travmatoloji Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.