Understanding SLAP Lesion/Tear: A Guide for Shoulder Health

Written by: The Joint Preservation Center

Woman holding her painful shoulder with visible discomfort, illustrating common symptoms of a SLAP lesion (superior labrum tear)

If you’ve recently been diagnosed with a SLAP lesion or SLAP tear, you’re likely wondering what it is, why it matters, and how it can be treated.

In this article, we want to help you understand your condition, recognize the symptoms, and explore your treatment options—including the highly effective Arthroscopic SLAP Repair procedure. Early understanding and care can make a significant difference in restoring your shoulder function and preventing long-term discomfort.

What Is a SLAP Lesion/Tear?

A SLAP lesion, short for Superior Labrum Anterior to Posterior tear, is an injury to the top part of the cartilage ring (labrum) that surrounds your shoulder socket. The labrum helps stabilize your shoulder joint, acting like a bumper to keep your arm bone securely in place.

When the labrum is torn, it can cause pain, instability, and weakness in your shoulder—especially during overhead movements like throwing, lifting, or reaching. Recognizing a SLAP lesion early is important because untreated tears can lead to ongoing pain, reduced shoulder strength, and increased risk of further injuries.

Symptoms: How to Know You Might Have a SLAP Tear

SLAP lesions can be tricky because the symptoms often overlap with other shoulder injuries. Common signs include:

  • Shoulder pain, particularly at the top of the joint or deep inside the shoulder.
  • Clicking, popping, or catching sensations during movement.
  • Weakness or loss of strength, especially when lifting your arm overhead or behind your back.
  • Limited range of motion and discomfort with specific activities, such as throwing a ball or reaching overhead.
  • Feeling of instability, as if your shoulder could “slip” out of place.

If you notice these symptoms, it’s important to consult an orthopedic specialist promptly. Early evaluation can prevent further damage and improve treatment outcomes.

How Is a SLAP Lesion Diagnosed?

Diagnosing a SLAP tear requires a careful combination of physical examination and imaging studies.

Physical Exam

During a consultation, your orthopedic specialist will assess:

  • Shoulder strength and range of motion.
  • Pain triggers—for example, certain arm positions that reproduce discomfort.
  • Specialized tests that gently stress the labrum to pinpoint the tear.

Imaging Tests

Imaging helps confirm the diagnosis and determine the severity of the tear:

  • MRI (Magnetic Resonance Imaging): Provides detailed images of soft tissues, including the labrum.
  • MR Arthrogram: Involves a contrast dye to improve visualization of labral tears.
  • X-rays: While they don’t show the labrum, X-rays can rule out bone injuries or arthritis that could mimic symptoms.

Accurate diagnosis is critical because treatment depends on the tear’s size, location, and impact on your shoulder function.

Treatment Options for SLAP Lesions

The right treatment depends on your age, activity level, and severity of the tear. Treatment approaches fall into non-surgical and surgical categories.

Non-Surgical Treatment

For minor tears or patients who don’t engage in high-demand shoulder activities:

  • Rest and activity modification: Avoid movements that trigger pain.
  • Physical therapy: Focuses on strengthening shoulder muscles, improving stability, and restoring range of motion.
  • Anti-inflammatory medications: Can help reduce pain and swelling.
  • Corticosteroid injections: Sometimes used for short-term pain relief if conservative measures aren’t enough.

While non-surgical treatment can help many patients, it may not fully restore shoulder function for active adults or athletes. In these cases, Arthroscopic SLAP Repair is often the most effective solution.

Arthroscopic SLAP Repair: A Modern Surgical Solution

If conservative treatments haven’t relieved your symptoms or if the tear is more significant, Arthroscopic SLAP Repair can restore your shoulder function and reduce pain with excellent results.

How the Procedure Works

Arthroscopic SLAP Repair is a minimally invasive surgery performed through small incisions:

  1. Small incisions (portals) are made around the shoulder.
  2. A tiny camera (arthroscope) is inserted to visualize the labrum and surrounding structures.
  3. Sutures and anchors are used to reattach the torn labrum securely to the shoulder socket.
  4. The surgeon checks shoulder stability and ensures proper repair before closing the portals.

Because it’s minimally invasive, this procedure typically results in less pain, smaller scars, and quicker recovery compared to traditional open surgery.

Benefits of Arthroscopic SLAP Repair

  • High success rates: Most patients regain strength and range of motion within months.
  • Reduced risk of long-term instability: Repairs the labrum, preventing further injuries.
  • Return to sports or physically demanding activities: Many patients can resume overhead or throwing activities after recovery.
  • Minimally invasive approach: Less tissue disruption and faster healing.

Who Is an Ideal Candidate?

Arthroscopic SLAP Repair is often recommended for:

  • Active adults under 65 with persistent pain or weakness.
  • Athletes involved in throwing sports or overhead activities.
  • Patients with significant labral tears confirmed by MRI or arthroscopy.
  • Those who haven’t responded to non-surgical treatments.

Choosing an Expert Orthopedic Specialist Matters

Successful treatment of a SLAP lesion depends not only on the procedure but also on the expertise of the orthopedic surgeon. Selecting a surgeon experienced in Arthroscopic SLAP Repair ensures:

  • Accurate diagnosis and repair technique.
  • Minimally invasive approach for faster recovery.
  • Customized rehabilitation plan for your shoulder and lifestyle.
  • Clear guidance and support throughout your recovery journey.

Take the First Step Toward Shoulder Recovery

A SLAP lesion can affect your daily life, but modern treatments like Arthroscopic SLAP Repair offer highly effective, long-lasting results. Early diagnosis and expert care make a significant difference in restoring shoulder strength, stability, and function.

If you’re experiencing persistent shoulder pain, clicking, or weakness, scheduling a consultation with an orthopedic specialist is the first step toward relief. With the right evaluation and treatment, you can regain confidence in your shoulder and return to the activities you love.

Female orthopedic specialist evaluating a patient’s shoulder during consultation for a suspected SLAP lesion (labrum tear)

Take action today—consult an experienced orthopedic specialist and explore how Arthroscopic SLAP Repair can help you reclaim a strong, pain-free shoulder.

Don’t let pain control your life
— Get Expert Orthopedic Care

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