Current Non-operative Management of Shoulder Pathologies: A Narrative Review.

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Abstract

Conflict of interest statement: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. 8. SA J Radiol. 2023 Nov 28;27(1):2707. doi: 10.4102/sajr.v27i1.2707. eCollection 2023. Superior labrum anterior to posterior lesions: Part 2 - Classification with arthroscopic correlation. Mercouris P(1), Mercouris M(2). Author information: (1)Diagnotic Radiologist, Lake, Smit and Partners, Gateway Private Hospital, Durban, South Africa. (2)Department of Orthopaedic, Mitchell's Plain District Hospital, Cape Town, South Africa. The glenoid labrum deepens the glenoid fossa and allows for the attachment of the long head of the biceps tendon and glenohumeral ligaments, contributing to the stability of the glenohumeral joint. The superior labrum is a common site of labral injury. The acronym SLAP (superior labrum anterior to posterior or anteroposterior) lesion was introduced by Snyder and colleagues in 1990 to describe superior labral tears based on arthroscopic evaluation. This original classification has since been expanded, and there are currently 10 types of SLAP lesions. The article will describe and illustrate the 10 types of SLAP lesions by means of colour illustrations, MRI images and correlative arthroscopy images. A practical approach to the assessment of SLAP lesions will be recommended. CONTRIBUTION: The illustrated review functions as a crucial radiological guide for both radiologists and orthopaedic surgeons. The combination of illustrations, MR and correlative arthroscopic images enhances the comprehensive understanding of labral pathology. The value of the review lies in the presentation of imaging findings and classification, coupled with findings on arthroscopy. This understanding is vital in guiding orthopaedic management for patients, ensuring appropriate treatment strategies. © 2023. The Authors. DOI: 10.4102/sajr.v27i1.2707 PMCID: PMC10879901