# SLAP Labral Tear w/ partial-thickness tear at the biceps labral attachment

**URL:** https://forum.barbellmedicine.com/t/slap-labral-tear-w-partial-thickness-tear-at-the-biceps-labral-attachment/13145
**Category:** Pain & Rehab Forum \[Moderated\]
**Created:** [January 16, 2023, 9:23pm UTC](https://forum.barbellmedicine.com/t/slap-labral-tear-w-partial-thickness-tear-at-the-biceps-labral-attachment/13145 "2023-01-16T21:23:14Z")
**Posts on this page:** 1
**Page:** 1

<div class="post-metadata">

### Author: ![Paul\_Hernandez](https://sea1.discourse-cdn.com/flex001/user_avatar/forum.barbellmedicine.com/paul_hernandez/32/92_2.png) [@Paul\_Hernandez](https://forum.barbellmedicine.com/u/Paul_Hernandez)
#### Post date: [January 16, 2023, 9:23pm UTC](https://forum.barbellmedicine.com/t/slap-labral-tear-w-partial-thickness-tear-at-the-biceps-labral-attachment/13145/1 "2023-01-16T21:23:14Z")

</div>

Hello Rebab Team,

I really appreciate your opinion(s) as to whether you would recommend surgery or conservative “good” rehab for this injury. Here are the MRI results on the right shoulder post arthrogram on 1/12/2023.

Impression:

1. SLAP labral tear with intra-articular biceps tendinopathy and partial-thickness tear at the biceps labral attachment. There is no full-thickness tear, subluxation or avulsion

appreciated at this time though the functional integrity is in question.  
2. Insertional supraspinatus and infraspinatus tendinitis with subinsertional enthesopath

change, but no high-grade partial thickness or full-thickness rotator cuff tear.  
3. Mild hypertrophic/inflammatory AC joint arthropathy.

//electronically signed 01/12/2023

I have taken the time to read previous forum posts regarding SLAP tears (as well as the 4 part shoulder articles), but none of the previous posts also had a biceps tear. The MRI report does mention that the intra-articular component is diffusely frayed and heterogeneous in signal with a high grade partial thickness tear at the labral attachment.

Therefore, I really appreciate your thoughts! I have been in contact regarding a rehab consult, but I wanted to get some initial thoughts first.

Thank you and have a blessed day!  
-Paul