How Do Doctors Diagnose SLAP Tears?
Published: Mar 19, 2024
Diagnosing a SLAP tear can be tricky due to its complex nature and overlapping symptoms with other shoulder issues. Let's uncover the methods doctors use to pinpoint this condition.
Contents
The Role of Physical Exams
Doctors start with a physical exam to assess shoulder movement and stability. They may perform specific tests to provoke pain at the tear site or check the biceps tendon, which is often involved in SLAP tears. These tests help determine the need for further imaging or surgical intervention.
Diagnostic Imaging Options
Imaging techniques like MRI and MRA (Magnetic Resonance Arthrogram) are used to visualize the SLAP tear. While MRA provides more accurate results, it's not always necessary unless surgery is considered. Plain X-rays can reveal other shoulder issues that might accompany a SLAP tear.

When to See a Specialist
If SLAP tears are suspected, consulting an orthopedic specialist is often recommended before undergoing advanced imaging. This is especially important for patients who might not be good candidates for surgery, ensuring that imaging is both necessary and useful.
Frequently Asked Questions
Diagnosis involves physical exams and imaging tests like MRI or MRA.
X-rays are not useful for detecting SLAP tears but can identify other shoulder issues.
Consult a specialist if a SLAP tear is suspected, especially if surgery might be needed.
MRA is the most accurate imaging technique for diagnosing SLAP tears.
The Bottom Line
Accurate diagnosis is crucial for effective treatment of SLAP tears.
References
- Kim YJ, Choi JA, Oh JH, et al. Superior labral anteroposterior tears: accuracy of multidetector CT arthrography for diagnosis. Radiology 2011; 260:207.
- Amin MF, Youssef AO. The diagnostic value of magnetic resonance arthrography of the shoulder in detection and grading of SLAP lesions. Eur J Radiol 2012; 81:2343.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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