Shoulder Labral Tear (SLAP)

A shoulder labral tear is an injury to the ring of cartilage (labrum) that supports the shoulder joint. Common types of labral tears include the SLAP tear and the Bankart tear, which are both significant for their potential impact on shoulder stability and function.

Symptoms

Symptoms of a labral tear depend on where the tear is located and may include:

1. A dull throbbing ache in the shoulder joint
2. Difficulty sleeping due to shoulder discomfort
3. "Catching" of the shoulder joint with movement
4. Pain with specific activities
5. Dislocations of the shoulder

Pain can be brought on by strenuous exertion or even household chores. Athletes may notice a loss of strength or a significant decrease in the ability to throw.

Diagnosing a Labral Tear

It is difficult to diagnose a labral tear because it mimics other conditions, such as arthritis, rotator cuff disorders, tendonitis, a shoulder that isn't stable or a compressed nerve.

To better understand the extent of your injury, we will:

1. Take a complete health history and conduct a physical examination to assess your tear, pinpoint the location, and check your range of motion, as well as consider any other medical conditions that might be related to your tear.
2. Take X-rays of the affected area to evaluate for any problems with the bones in your shoulder.
3. Possibly order a CT scan, MRI, and/or bone scan, if needed, to further evaluate your tear and check for additional injuries.
4. Possibly perform arthroscopic surgery to get a better look. The doctor may actually be able to repair the labrum at this time.

Treatment for a Labral Tear

Treatment usually starts with non-surgical methods such as medication, physical therapy, and rehabilitation. If these do not alleviate the symptoms, arthroscopic surgery might be considered to repair the labrum.

Contact Us

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