Ace the PT Ortho Specialist Exam 2026 – Step Up to Specialist Success!

Understanding SLAP lesion types starts with how the superior labrum and the biceps tendon are involved. In a Type II SLAP lesion, the superior labrum is detached from the glenoid along with involvement of the biceps anchor, disrupting the labral–biceps attachment and stability of the top of the glenoid. This pattern is often treated with arthroscopic repair to reattach the labrum and secure the biceps anchor, and it is commonly seen in overhead athletes who place high rotational and tensile demands on the shoulder. By contrast, a frayed superior labrum without detachment describes the Type I pattern; a bucket-handle tear that remains attached to the rim defines Type III; and a bucket-handle tear extending into the biceps tendon defines Type IV. Thus, the description of detachment with biceps involvement and a repair-focused approach best matches Type II.