Shoulder Labral Tear

The Socket of the shoulder, called the glenoid, is covered with a layer of cartilage called the labrum which cushions and deepens the socket to help stabilize the joint.

Traumatic injuries and repetitive overhead shoulder movements may cause a tear in the labrum, leading to pain, limited motion, instability, and weakness in the joint. It is possible to have a tear in the labrum and have no pain or limitations to function as well. Asymptomatic tears generally are managed without significant intervention.

Symptoms of a labral injury

Symptoms of a labral injury include shoulder pain and a popping or clicking sensation when the shoulder is moved. Some people experience weakness and a restricted range of motion as well.

Diagnosing a labral injury

A labral tear is typically diagnosed through a physical examination, review of symptoms, and often involves imaging tests. While many labral tears can be treated by managing pain symptoms through medication and undergoing physiotherapy to help with strength and improve the functional mechanics of the shoulder, some cases require surgical treatment.

Labral repair procedure

The labrum can be surgically treated in an outpatient surgery often able to be performed through minimally invasive arthroscopy. Occasionally an open procedure is needed to adequately fix the labrum. After surgery, a sling is used to immobilize the shoulder and the patient undergoes fairly extensive rehabilitation. Use of the shoulder for low demand activities is generally allowed after a few weeks, but it can take several months for complete recovery and release to full use of the shoulder.