SLAP lesions: Current controversies

▪ Knowledge of the pertinent anatomy, pathogenesis, clinical presentation and treatment of the spectrum of injuries involving the superior glenoid labrum and biceps origin is required in treating the patient with a superior labrum anterior and posterior (SLAP) tear. ▪Despite the plethora of literature regarding SLAP lesions, their clinical diagnosis remains challenging for a number of reasons. • First, the diagnostic value of many of the available physical examination tests is inconsistent and ambiguous. • Second, SLAP lesions most commonly occur concomitantly with other shoulder injuries. • Third, SLAP lesions have no specific associated pain pattern.▪ Outcomes following surgical treatment of SLAP tears vary depending on the method of treatment, associated pathology and patient characteristics. ▪Biceps tenodesis has been receiving increasing attention as a possible treatment for SLAP tears.