o'clock to 1 o'clock. Tear of biceps labral complex Type IIa - 11 o'clock to 3 o'clock. Primarily anterior. Type IIb - 9 o'clock to 11 o'clock. Primarily posterior. Type IIc - 9 o'clock to 3 o'clock. Combined anterior and posterior. Type III - 11 o'clock to 3 o'clock. Bucket-handle tears of the superior portion of the labrum without involvement of the biceps brachii (long head) attachment. Type IV - 11 o'clock to 1 o'clock. Bucket-handle tears of the superior portion of the labrum extending into the biceps tendon. Type V - 11 o'clock to 5 o'clock. Anteroinferior Bankart lesion that extends upward to include a separation of the biceps tendon. Type VI - 11 o'clock to 1 o'clock. Unstable radial flap tears associated with separation of the biceps anchor. Type VII - 11 o'clock to 3 o'clock. Anterior extension of the SLAP lesion beneath the middle glenohumeral ligament. Type VIII - 7 o'clock to 1 o'clock. Extension into posterior labrum, more extension than type IIb. Type IX - 7 o'clock to 5 o'clock. Circumferentially abnormal labrum. Type X - 11 o'clock to at least 1 o'clock. Extension into rotator cuff interval. Type XI - Extends into superior glenohumeral ligament Type XII - Superior labrum anterior cuff lesion Treatment There is evidence in literature to support both surgical and non-surgical forms of treatment. In some, physical therapy can strengthen the supporting muscles in the shoulder joint to the point of reestablishing stability. Surgical treatment of SLAP tears has become more common in recent years. The success rate for repairing isolated SLAP tears is reported between 74-94%. While surgery can be performed as a traditional open procedure, an arthroscopic technique is currently favored being less intrusive with low chance of iatrogenic infection. Associated findings within the shoulder joint are varied, may not be predictable and include: SLAP lesion – labrum/glenoid separation at the tendon of the biceps muscle Bankart lesion – labrum/glenoid separation at the inferior glenohumeral ligament Biceps Tendon - exclusion of pulley injury Bone – glenoid, humerus — injury or degenerative change involving joint surface Anatomical variants — sublabral foramen, Buford Complex (these are important to differentiate, as operating on them can lead to iatrogenic stiffness) Although good outcomes with SLAP repair over the age of 40 are reported, both age greater than 40 and Workmen's Compensation status have been noted as independent predictors of surgical complications. This is