0:01

So we've shown you, um, uh,

0:03

glenoid internal rotation deficit with a Bennet like lesion.

0:07

We talked about slap lesion,

0:08

showed you a SLAP lesion in a middle age to young-ish,

0:12

55-year-old volleyball player.

0:14

55. Seems really young now.

0:16

And uh, this time we have another SLAP lesion,

0:20

which you've seen before.

0:21

This is perhaps a better example,

0:23

and I'll be rather quick with this one.

0:25

Remember I said when you have a vertically oriented tear

0:30

that's just too wide, it, it's a cavern instead of a,

0:33

a crevice, uh, then you should think about, uh,

0:37

uh, slap three.

0:38

Uh, and this one demonstrates the cheerio sign

0:42

of slap three, which I mentioned yesterday.

0:45

I showed you the Oreo cookie sign and here's your cheerio.

0:49

And true to form, as Don described, the biceps comes back,

0:53

there's the superior tubercle of the glenoid,

0:56

and most of the time the biceps is in the back.

0:59

And when you have involvement, uh, of the undersurface

1:02

of the biceps, be it slap two or slap three,

1:05

or even a hypermobile biceps,

1:07

the patients are usually symptomatic.

1:09

And this patient certainly was.

SLAP III, Cheerio Sign

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0:01

So we've shown you, um, uh,

0:03

glenoid internal rotation deficit with a Bennet like lesion.

0:07

We talked about slap lesion,

0:08

showed you a SLAP lesion in a middle age to young-ish,

0:12

55-year-old volleyball player.

0:14

55. Seems really young now.

0:16

And uh, this time we have another SLAP lesion,

0:20

which you've seen before.

0:21

This is perhaps a better example,

0:23

and I'll be rather quick with this one.

0:25

Remember I said when you have a vertically oriented tear

0:30

that's just too wide, it, it's a cavern instead of a,

0:33

a crevice, uh, then you should think about, uh,

0:37

uh, slap three.

0:38

Uh, and this one demonstrates the cheerio sign

0:42

of slap three, which I mentioned yesterday.

0:45

I showed you the Oreo cookie sign and here's your cheerio.

0:49

And true to form, as Don described, the biceps comes back,

0:53

there's the superior tubercle of the glenoid,

0:56

and most of the time the biceps is in the back.

0:59

And when you have involvement, uh, of the undersurface

1:02

of the biceps, be it slap two or slap three,

1:05

or even a hypermobile biceps,

1:07

the patients are usually symptomatic.

1:09

And this patient certainly was.

Report

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Donald Resnick, MD

Professor Emeritus, Department of Radiology

University of California, San Diego

Shoulder

Rotator Cuff

Shoulder

Superior Labrum of the Shoulder

Shoulder

Glenohumeral Joint Instability

Shoulder

The Throwing Shoulder

SLAP III, Cheerio Sign