Shoulder Labral Tear

(Glenoid Labrum Tear; Labral Tear, Shoulder)

Pronounced: Lay-bral Tear, Shoulder

Definition

A shoulder labral tear is tear of the labrum. The labrum is the tissue that helps hold the end of the arm bone, known as the humerus, in place.

Shoulder Joint

Shoulder joint repair
The tool and arrow point to the labrum (cartilage) of the glenoid.
Copyright © Nucleus Medical Media, Inc.

Causes    TOP

Shoulder labral tears occur from an injury or through long-term wear and tear. Common causes include the following:

Risk Factors    TOP

Factors that may increase your chance of a labral tear include:

  • Participation in certain sports, such as:
    • Baseball (pitchers)
    • Golf
    • Weightlifting
    • Tennis
  • Falling onto your shoulder
  • Repetitive movements of the shoulder
  • Lifting heavy objects
  • Breaking a fall with your arms
  • Direct blow to the shoulder

Symptoms    TOP

Symptoms may include:

  • Shoulder and/or arm pain
  • Catching or loosening feeling of the shoulder
  • Loss of shoulder range of motion
  • Weakness of shoulder and/or arm
  • Pain with shoulder movement
  • Popping or grinding sensation
  • Achiness of the shoulder

Diagnosis    TOP

You will be asked about your symptoms and medical history. A physical exam will be done.

Imaging tests to evaluate the shoulder and surrounding structures may include:

Treatment    TOP

Talk with your doctor about the best treatment plan for you. You will likely be referred to a specialist such as an orthopedic surgeon. Treatment options include the following:

Medical Treatment

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Rest, heat, and/or ice
  • Physical therapy to strengthen muscles

Generally, this treatment is tried for several weeks. If there is no improvement, surgery is considered. Your doctor may also inject a steroid directly into your shoulder to decrease inflammation and pain.

Surgical Treatment

In a shoulder arthroscopy, a surgeon inserts a thin, lighted tube through a small incision to view the injury and fix it. Small instruments are threaded through this tube. The torn ligament/tissue may be removed or sewn together. Wires or tacks may also be used to reattach any torn tendons.

Rehabilitation     TOP

After surgery, you will be given a sling to wear for up to 4 weeks. When the sling is removed, you will work with a physical therapist to gradually strengthen your arm muscles and increase your motion.

Prevention    TOP

To help reduce your chance of a shoulder labral tear:

  • Use the proper technique when playing sports.
  • Avoid putting yourself at risk for trauma to the shoulder area.
  • Perform stretching and strengthening exercises that target the shoulder area.

RESOURCES:

Arthroscopy Association of North America
http://www.aana.org
Ortho Info—American Academy of Orthopaedic Surgeons
http://orthoinfo.org

CANADIAN RESOURCES:

Canadian Orthopaedic Association
http://www.coa-aco.org
Canadian Orthopaedic Foundation
http://www.canorth.org

References:

Labral Tears. Internet Society of Orthopaedic Surgery & Trauma website. Available at:
...(Click grey area to select URL)
Updated July 27, 2006. Accessed September 2, 2015.
Shoulder Joint Tear (Glenoid Labrum Tear). American Academy of Orthopaedic Surgeons website. Available at:
...(Click grey area to select URL)
Updated January 2001. Accessed September 2, 2015.
What is a labrum/labral tear? Johns Hopkins Medicine website. Available at:
...(Click grey area to select URL)
Accessed September 2, 2015.
Last reviewed September 2015 by Teresa Briedwell, PT, DPT, OCS, CSCS
Last Updated: 11/21/2013

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