Published online Oct 18, 2015. doi: 10.5312/wjo.v6.i9.660
Peer-review started: February 9, 2015
First decision: March 6, 2015
Revised: July 18, 2015
Accepted: August 4, 2015
Article in press: August 7, 2015
Published online: October 18, 2015
Core tip: Superior labral anterior posterior (SLAP) lesions often lead to painful shoulder impairment and especially in overhead athletes to restriction in sport specific activity. In the context of diagnostic examination, magnetic resonance arthrography is of particular importance, not only in detection of SLAP lesions and concomitent pathologic findings but also in differentiation from normal anatomic variants. Therapeutic options include-besides conservative treatment- arthroscopic SLAP repair and biceps tendon tenodesis. Decision-making in SLAP lesions remains challenging and requires a distinct evaluation of individual patient history, accurate examination and detailed analysis of imaging to meet the requirements of a personalized treatment.