SLAP lesions are labral tears on the superior part of the labrum. They may include the “anchor” of the long biceps tendon and the superior part of the posterior labrum. They often occur when falling on an extended arm. Also, athletes who do sports where overhead throwing is common have these changes in their shoulders without any imminent trauma. MRIs reveal these types of changes often. Usually small SLAP tears do not need surgical treatment. The SLAP tears may be reattached the same way as other labral tears. However, a tenodesis of the long head of the biceps tendon may be necessary in conjunction with large SLAP tears for anatomical reasons.