Injuries to the glenoid labrum, including slap lesions

Abstract

The glenoid labrum of the shoulder has extensive anatomic variation but appears to be important for contributing to shoulder stability and for increasing the depth of contact between the glenoid labrum and the humeral head. Tears of the labrum are commonly seen in association with other pathologic entities, such as instability and rotator cuff tears, and treatment of the labral pathology may be incidental to treatment of the other more significant pathology. However, conditions isolated to the labrum do occur and can be a significant source of shoulder problems. Effective treatment of these lesions may result in significant improvement in the patient's symptoms. Labral lesions are difficult to diagnose, and special diagnostic studies and, frequently, arthroscopy are required. The recently described SLAP lesion is an uncommon but significant cause of shoulder disability that generally requires arthroscopic diagnosis. The arthroscopic treatment of this lesion depends on the type of SLAP lesion present. Recent techniques have permitted arthroscopic stabilization of the biceps labral detachment and type II SLAP lesions.