Biceps anchor / SLAP classifications

1. SLAP lesions: Snyder classification
2. SLAP lesions: Maffet classification
3. Morgan classification
4.
Variations of Biceps anchor: Vangsness


SLAP LESIONS:  Snyder classification (1990), (Superior Labrum Anterior and Posterior)
In: Shoulder Arthroscopy, Edited by Snyder S J, 115-132, 1994
Type 1
  • fraying without frank tear or detachment, 21%
  • frequent incidental finding in middle aged or elderly patients
Type 2
  • traumatic detachment of biceps anchor without midsubstance tear, 55%. Middle gelnohumeral ligament may be included in the lesion
Type 3
  • bucket handle tear fragment, 9%
Type 4
  • as type 3 but the tear extends in to the biceps tendon,10%; Portion of the tendon is attached to the displaced fragment

Top

Maffet’s (1995) Subclassification of SLAP lesions.
Maffet et al, Am J Sports Med, 23:93-98, 1995

Types 1 – 4 : equivalent to the Snyder classification
Type 5 : Anteroinferior bankart lesion which continues superiorly to include separation of the biceps tendon
Type 6 : Unstable flap tear of the labrum with biceps tendon separation
Type 7 : SLAP lesion that extends antero-inferiorly along the labrum to below the MGHL


Top


SLAP Lesions : Morgan’s Classification
(Sub-classification of type 2 SLAP, Snyder)
Morgan CD et al, Arthroscopy, 14:553-565, 1998
  • Anterior SLAP
  • Posterior SLAP
  • Combined SLAP

Top

Variations of Biceps anchor: Vangsness
Vangsness et al, JBJS (b) 76: 951-954, 1994

Type 1: Biceps anchored all to posterior labrum

Type 2: Biceps anchored mainly to posterior labrum, small part to anterior labrum

Type 3: Biceps anchored equally to anterior and posterior labrum

Type 4: Biceps anchored mainly to anterior labrum, small part to posterior labrum
 
Top


This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.

ShoulderDoc.co.uk satisfies the INTUTE criteria for quality and has been awarded 'editor's choice'.

The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. Full Disclaimer