• Anterior Cruciate Ligament (ACL) Reconstruction and Revision ACL Reconstruction
  • Rotator Cuff Repair and Revision Rotator Cuff Repair
  • Shoulder Stabilization (Repair for Shoulder Dislocation/Instability)
  • Ulnar Collateral Ligament Reconstruction (Tommy John Surgery)
  • Sports Medicine Surgery of Knee, Shoulder, Elbow
  • Board Certified Orthopedic Surgeon
  • Subspecialty Certified in Orthopedic Sports Medicine
  • Fellow, American Academy of Orthopaedic Surgeons
  • Member of American Orthopaedic Society for Sports Medicine
  • Member of Arthroscopy Association of North America
  • Stem Cell Therapy
  • Platelet Rich Plasma (PRP)
  • Cartilage Restoration Surgery
  • Osteotomies about the Knee
  • Tendon Repair
  • Rotation Medical Collagen Patch for Rotator Cuff

SLAP Lesions

The shoulder joint is a ball and socket joint. A ‘ball’ at the top of the upper arm bone (the humerus) fits neatly into a ‘socket’, called the glenoid, which is part of the shoulder blade (scapula). The term SLAP (superior –labrum anterior-posterior) lesion refers to an injury of the superior labrum of the shoulder. The labrum is a ring of fibrous cartilage surrounding the glenoid for stabilization of the shoulder joint. The biceps tendon attaches inside the shoulder joint at the superior labrum of the shoulder joint. The biceps tendon is a long cord-like structure which attaches the biceps muscle to the shoulder and helps to stabilize the joint.

Conditions that cause SLAP tear include falling on an outstretched arm, repetitive overhead actions such as throwing, and lifting a heavy object. Overhead and contact sports may put you at a greater risk of developing SLAP lesions.

The most common symptom is pain at the top of the shoulder joint. In addition, catching sensation and pain most often with activities such as throwing may also occur.

Diagnosis is made based on the symptoms and physical examination. A regular MRI scan may not show up a SLAP tear and therefore an MRI with a contrast dye injected into the shoulder, is ordered. The contrast dye helps to highlight SLAP tears.

Your doctor may recommend anti- inflammatory medications to control pain. In athletes those wish to continue their sports, arthroscopic surgery of the shoulder may be recommended. Depending on the severity of the lesion, SLAP lesions may simply require debridement or some may need to be repaired. A SLAP repair can be done using arthroscopic technique that requires only two or three small incisions.

Regular exercises that make the shoulder muscles strong should be done. Adequate warm-up exercises before activities and avoiding high contact sports can help prevent injuries that cause instability.

  • Harvard University
  • Columbia University
  • Baylor College of Medicine
  • NYU Hospital for Joint Diseases
  •  American Orthopaedic Society for Sports Medicine (AOSSM)
  • American Academy of Orthopaedic Surgeons
  • Arthroscopy Association of North America – AANA
  • J. Robert Gladden Orthopaedic Society (JRGOS)
  • Texas Southern University