Labrum is a soft cartilage attached to the rim of the shoulder socket, which helps to keep the ball of the shoulder in the socket. The damage of this cartilage is known as a Labral Tear. This accounts for 5 to 10 % of shoulder injuries.
Traumatic injuries such as direct hit or fall, Bowlers in cricketing -overuse of shoulder such as throwing, weightlifting etc. results in a Labral tear. Other causes include ageing process.
There many variants of tear
SLAP Tear -Which means superior lateral anterior-posterior the tear occurs front to back.
BANKART Tear -The tear occurs in the lower half of the socket.
ALPSA – Anterior Labrum Periosteal Sleeve avulsion tear occurs in the anterior socket of the shoulder.
POLPSA – Posterior Labrocapsular periosteal sleeve avulsion tear occurs in the posterior socket of the shoulder
Labral tear causes severe pain, sense of instability of the shoulder, decreased range of motion, loss of strength and feels like popping/grinding of the shoulder joint.
The diagnostic CT scans and X- rays are performed after taking complete medical history physical examination. Your orthopaedic sports injury specialist may also perform arthroscopic examination by inserting a tiny camera through a small cut it gives a final diagnosis of a labrum tear.
Firstly the conservative approach by prescribing NSAIDs, rest and rehabilitative exercises to strengthen the muscles of the shoulder.
Majority will require arthroscopic surgery ( keyhole surgery) and the flap of Labrum will be repaired using anchors and non-absorbable sutures to reattach or repair the Labrum / Tendon.
Postoperative rehabilitation will be discussed by your surgeon at consultation.
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