Which SLAP tear type is the bucket handle tear extending into the biceps?

Which SLAP tear type is the bucket handle tear extending into the biceps?

• A. Type IV
• B. Type II
• C. Type I
• D. Type III

Answer: (A)

The key idea is recognizing the pattern of a SLAP lesion where the bucket-handle tear not only involves the labrum but also extends into the long head of the biceps tendon. That involvement of the biceps tendon is what sets this pattern apart. In this scenario, the torn flap can extend into the biceps anchor, reflecting a more extensive lesion. Other patterns differ: a frayed but largely attached labrum without biceps involvement; a detachment of the labrum with the biceps anchor from the glenoid; or a bucket-handle tear where the biceps tendon remains uninvolved. Therefore, when the bucket-handle tear extends into the biceps tendon, it defines the specific pattern described here.

The key idea is recognizing the pattern of a SLAP lesion where the bucket-handle tear not only involves the labrum but also extends into the long head of the biceps tendon. That involvement of the biceps tendon is what sets this pattern apart. In this scenario, the torn flap can extend into the biceps anchor, reflecting a more extensive lesion. Other patterns differ: a frayed but largely attached labrum without biceps involvement; a detachment of the labrum with the biceps anchor from the glenoid; or a bucket-handle tear where the biceps tendon remains uninvolved. Therefore, when the bucket-handle tear extends into the biceps tendon, it defines the specific pattern described here.