Abstract
Superior labrum anterior to posterior (SLAP) tears have become an increasingly recognized source of shoulder pain. When a patient's history, physical exam, and imaging findings are consistent with a symptomatic SLAP tear, treatment of these lesions involves a period of nonoperative management. This includes therapy, injections, and other modalities. When nonoperative treatment fails in a younger patient, a SLAP repair can be offered as definitive management. This chapter discusses the workup of a patient with a suspected SLAP tear as well as the treatment options and a step-by-step guide to perform a SLAP repair. It should be noted that SLAP repairs are not indicated in all patients simply because they have a SLAP tear. While some patients will benefit from a SLAP repair, older patients often benefit more from a biceps tenodesis than from a SLAP repair. Attention to detail is paramount when performing a SLAP repair, as well as understanding when a SLAP repair vs. a biceps tenodesis is indicated.
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