Which statement is true about Type I SLAP tears?

Which statement is true about Type I SLAP tears?

• A. Type I: Fraying of superior labrum without detachment; typically debridement; associated with age, RSI.
• B. Type II: superior labrum + biceps tendon; typically repaired; seen in overhead athletes.
• C. Type III: bucket handle tear without detachment.
• D. Type IV: bucket handle tear extending into the biceps.

Answer: (A)

The key idea is how SLAP lesion types differ in pathology and treatment. Type I involves fraying of the superior labrum with the biceps tendon still attached and no detachment from the glenoid. This pattern is commonly linked to aging and repetitive shoulder use, and the usual management is debridement of the frayed tissue rather than repair, since the labral-biceps attachment remains intact. The other types describe progressively more significant structural disruption: Type II shows detachment of the superior labrum with the biceps anchor from the glenoid and is typically repaired; Type III is a bucket-handle tear that flips into the joint but without detachment from the glenoid; Type IV is a bucket-handle tear that extends into the biceps tendon, which often necessitates addressing the biceps portion. Therefore, describing Type I as fraying without detachment, treated with debridement, and associated with age or repetitive strain correctly matches this classification.

The key idea is how SLAP lesion types differ in pathology and treatment. Type I involves fraying of the superior labrum with the biceps tendon still attached and no detachment from the glenoid. This pattern is commonly linked to aging and repetitive shoulder use, and the usual management is debridement of the frayed tissue rather than repair, since the labral-biceps attachment remains intact. The other types describe progressively more significant structural disruption: Type II shows detachment of the superior labrum with the biceps anchor from the glenoid and is typically repaired; Type III is a bucket-handle tear that flips into the joint but without detachment from the glenoid; Type IV is a bucket-handle tear that extends into the biceps tendon, which often necessitates addressing the biceps portion. Therefore, describing Type I as fraying without detachment, treated with debridement, and associated with age or repetitive strain correctly matches this classification.