SLAP Lesion
By: Joanna Lule
Taylor Owens
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SLAP “Superior labrum anterior posterior” lesion is a tear near
the attachment of the long head of the biceps brachii tendon in
the superior glenoid labrum.
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Some of the different ways that a SLAP lesion can occur:
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Falling on an outstretched hand (FOOSH!!!)
Repetitive overhand activities such as throwing
Lifting a heavy object
Signs and symptoms
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Pain with movement
Catching sensation
May complain of pain deep within the shoulder or
in the back of the shoulder joint.
Hard to pinpoint symptoms unless the biceps
tendon is involved in which they may complain of
pain in the anterior portion of the shoulder.
Four types of SLAP lesions
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Type I: Superior labrum
markedly frayed but attached.
Type II: Has small tear and
instability of the labrial-biceps
complex. Most common
Type III: Bucket-handle tear of
labrum that may displace into
joint; labral biceps attachment
intact.
Type IV: Bucket-handle tear of
the labrum that extends to
biceps tendon, allowing
tendon to sublux into joint.
Special Test
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The O’Brien test
The Labral Crank test
Biceps Tension test
Slap Prehension test