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Semin Musculoskelet Radiol 2015; 19(03): 269-276
DOI: 10.1055/s-0035-1549320
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Superior Labrum Anterior to Posterior Lesions and the Superior Labrum

Emma L. Rowbotham
1   Department of Musculoskeletal Radiology, Leeds Teaching Hospitals, Leeds, United Kingdom
,
Andrew J. Grainger
1   Department of Musculoskeletal Radiology, Leeds Teaching Hospitals, Leeds, United Kingdom
2   Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Leeds, United Kingdom
3   Department of Musculoskeletal Radiology, Chapel Allerton Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
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Publikationsdatum:
28. Mai 2015 (online)

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Abstract

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
 

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