The most common symptoms of a torn labrum are: shoulder pain, instability and, in some cases, a feeling of grinding, locking or catching while moving the shoulder. These symptoms may vary depending on the type of labral tear a person has.
The labrum is the attachment site for the shoulder ligaments and supports the ball-and-socket joint as well as the rotator cuff tendons and muscles. It contributes to shoulder stability and, when torn, can lead to partial or complete shoulder dislocation.
Common causes of Laberal Tear in the shoulder include:
- Trauma, such as a fracture or dislocated shoulder.
- Repetitive motion.
Diagnosis of Torn Labrum
Diagnosing a Torn labrum by the Orthopedic Specialist may include:
- A physical examination
- CT scan
- Arthroscopy of the shoulder
Treatment of Torn Labrum
Treatment varies depending on type, severity and location of the labrum tear. Following proper diagnosis procedure Specialist go for the best treatment suitable for your shoulder problem. Orthopedic Surgeon at Shreya Hsopital always keep in mind the comfort and satisfaction of the Patient. Bringing back your regular shoulder movement and vanishing pain and discomfort in movement is our aim.
The treatment depends upon which kind of tear there is in the labrum. Tears that are due to instability of the shoulder, either subluxation or dislocations, require that the labrum be reattached to the rim of the socket. This can be done with an incision on the front of the shoulder, or it can be done with arthroscopic techniques through smaller incisions. There are advantages and disadvantages of each approach. At this institution we favor an open operation with an incision until arthroscopic techniques become more perfected.
If the labrum is frayed, usually no treatment is necessary since it doesn’t usually cause symptoms. However, if there is a large tear of the labrum, the torn part should either be cut out and trimmed, or it should be repaired. Which treatment is used depends upon where the tear is located and how big it is. This type of tear requiring repair without instability of the shoulder is rare.
Tears of the labrum near the biceps tendon attachment (SLAP lesions) may be just trimmed or may need to be reattached to the top of the socket. The best way to do this is with arthroscopic surgery since this area is difficult to reach with an open operation through a large incision. Using the arthroscope and small incisions for other instruments, the labrum can be reattached to the rim of the socket using either sutures or tacks.