Labral Tear

The labrum is a piece of fibro  cartilage (rubbery tissue) attached to the rim of the shoulder socket (cup) that help keep the ball of the joint in place.

 

When this cartilage is torn, it is called labral tear.

 

It can result from injury or somtimes as part of aging process. Labrum contribute the shoulder stability and, when torn, can lead to the partial or complete shoulder dislocation.

 

The two common types of labral injuries are:-

 

  • SLAP – (Superior labrum from anterior to posterior) tears.
  • Bankart tear
    • Slap tears occur at the front of the upper aim where the biceps tendon connects to the shoulder.
    • BANKART TEAR typically occur with shoulder dislocation in younger patients. Where the head of the humans either shifts towards the front of the body leading to ‘anterior instability’ or the back of the body called ‘posterior instability’.

 

Symptoms

 

Both types of tear are usually accompanied by aching pain and difficulty performing normal shoulder movements. With bankart  patient may feel apprehension that the shoulder may slip out of the place or dislocate in certain positions.

 

Patient with SLAP tears may experience pain at the front of the shoulder near the biceps tendon.

 

Athletes are more prone to labral tears but people who had a history of trauma or fall on the shoulder are also at risk of having a labral injury.

 

Treatment

 

SLAP Tear – SLAP tear are usually treated with rest, anti inflammatory and in some cases cortisone injection and physio. If symptoms persists even after 4-6 weeks of rehab & injection then it would need a surgical intervention.

 

Bankart Tear – A first time dislocator should be given a trial of rehab for 3 months but if the shoulder continues to dislocate a surgical treatment will be requires to reattach the torn tissue. The procedure is done arthroscopically with full range of movement and complete return to sports after 5-6 months.