A 30-year-old weightlifter presents with shoulder pain and click on abduction. MRI arthrogram shows a tear of the superior labrum from anterior to posterior. This is best classified as:

• A Bankart lesion — inferior labral tear with anterior capsular detachment
• B Hill-Sachs lesion — posterolateral humeral head compression fracture
• C Rotator cuff tear involving the supraspinatus
• D SLAP lesion (Superior Labrum Anterior to Posterior tear) ✓

Explanation

A SLAP lesion is a tear of the superior glenoid labrum extending anterior to posterior to the biceps anchor. It is common in overhead athletes and weightlifters (due to compressive and traction forces). The O'Brien (active compression) test is the most sensitive clinical test. MRI arthrogram (with intra-articular gadolinium) is the preferred investigation. Type II SLAP tears (detachment of the biceps anchor) are most common and often require arthroscopic repair.

Reference: Maheshwari Essential Orthopaedics, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.