0:41

Now you can see he's

0:42

poking his instrument right into that hole.

1:45

Let me see if I can stop it for you

1:47

right at the right moment, right there.

1:48

So he's pulling on the inside of the bucket,

1:50

the other part of it is over here.

1:52

So you're on top of the glenoid right there,

1:54

this is just a huge gap.

1:55

Here's the bucket handle fragment,

1:57

not only being pulled away from the glenoid,

2:00

but also being pulled down.

2:02

So, sometimes these fragments can sag down into the joint.

2:06

Let's watch as he pulls on that a little bit more

2:11

and then we'll transition into the SLAP 4 here in a moment.

2:16

There he is pulling on it.

2:17

Wow, that's a huge gap.

2:20

Now, here's your SLAP 4.

2:21

There's a huge longitudinal tear in the biceps

2:25

and one portion of the biceps comes up

2:28

with a big labral fragment attached to it.

2:30

The glenoid is, kind of, on the edge of the film right here.

2:34

This is the humerus over here.

2:41

the whole thing is abraded and eroded.

2:44

This is the labrum right here,

2:45

there's a huge gap between the labrum

2:48

and the underlying glenoid.

2:49

Let me stop it for a minute.

2:51

This is just a completely bare anterior glenoid rim.

2:54

There's the labrum right here.

2:56

Here's a huge hole.

2:58

There's the humerus over here.

3:00

So let's look at our SLAP 5

3:01

which goes all the way down into the inferior quadrant

3:04

and this is often associated with instability.

3:08

Sometimes this occurs from a dislocation

3:11

with a preexisting SLAP lesion, so-called collision lesion.

3:14

Sometimes it's all one contiguous lesion.

3:17

So that's a video demonstration of SLAPS one through five.