Fig. 9

Bucket-handle SLAP tear (Type 3) with Perthes lesion in a 23-year-old male athlete with a one-month history of right shoulder pain after a fall onto outstretched arm. a Coronal and c axial fat-suppressed T1-weighted MR arthrography with correspondent b coronal and d axial CT arthrography images. Presence of a Bucket handle tear of the labro-bicipital complex extending across the bicipital attachment (white plain arrows) and to the anteroinferior labrum (11–6 o’clock). The anteroinferior labrum is avulsed (black curved arrow) with medial stripping of an intact scapular periosteum (white arrowhead) consistent with a Perthes lesion. There is a cartilage defect of the anteroinferior labrum (dashed arrow). These findings can be classified either as a SLAP III (with regard to the bucket handle tear) with Perthes lesion, or SLAP V (with regard to the anteroinferior extension of the labral tear)