A labral tear of the shoulder is a condition characterized by tearing of the cartilage tissue within the shoulder joint known as the labrum. Anatomy of the Shoulder Labrum. • The capsule is thin and lax, allowing a wide range of movement. Many people who have experienced a... Knee related injuries and surgeries are among the most common reasons for adult hospital treatment. The labrum deepens the socket of the shoulder joint making it a stronger fit for the head of the humerus. The injury is a painful one, with a long road to healing and recovery. Degeneration of the glenoid superior articular surface is evaluated in… "Surgeons should try to be as conservative as possible when treating a torn shoulder labrum," says Dr. Fealy. Athletes may require six months to one year for full recovery, with overhead throwing athletes taking the longest. Always seek the advice of qualified health providers with questions you may have regarding medical conditions. Arthroscopic procedures. The socket is deepened by the glenoid labrum. The cuff of cartilage increases the surface area of the shoulder joint, enabling the range of motion for the arm. Clinicans may reverse the 3 o'clock and 9 o'clock for left shoulder describing 3 o'clock at the back. 5 FIBROUS CAPSULE • The fibrous capsule surrounds the joint and is attached: Medially to the margin of the glenoid cavity outside the labrum; Laterally to the anatomic neck of the humerus. It coats the surface of the socket area with a soft cartilage, enabling the shoulder to move more freely and painlessly. Patients with SLAP tears may experience pain at the front of the shoulder near the biceps tendon. Surgeons will usually conduct a physical exam and order MRI or X-ray imaging, if necessary, to determine the severity of the injury and the appropriate treatment. Treasure Valley Hospital. for more anatomy content please follow us and visit our website: www.anatomynote.com. Surgery may be required if the tear gets worse or does not improve after physical therapy. Anatomy What is the labrum? Tears typically result from an injury and are common among athletes. "If physical therapy fails and the athlete still can’t complete overhead motions, or the shoulder continues to dislocate, surgical treatment might be required to reattach the torn ligaments and labrum to the bone," says Dr. Fealy. The labrum is the attachment site for the ligaments and supports the ball and socket joint along with the rotator cuff tendons and muscles. The labrum can tear a few different ways: 1) completely off the bone, 2) within or along the edge of the labrum, or 3) where the bicep tendon attaches. Normal Labral Anatomy. © SLAP tears occur at the front of the upper arm where the biceps tendon connects to the shoulder. Hundreds of thousands of knee replacements are done annually. This position makes your shoulder easy to move but also very unstable. The shoulder is primarily a ball and socket joint made up of the humerus (ball) and the glenoid (socket). The Shoulder Joint is considered as a 'ball and socket' joint. There are several types of shoulder labrum tear, including: Bankart lesions or tears ; superior labrum, anterior to posterior (SLAP) tears or lesions ; posterior shoulder instability Sudden, violent jerking and pulling motions, such as when attempting to lift a heavy object, can also lead to the injury. A cuff of cartilage called the labrum forms a cup for the ball-like head of the humerus to fit into. In some cases, the labrum can heal with rest and physical therapy, depending on the severity of the tear. Signs of a Bankart Tear When the labrum of the shoulder joint is torn, the stability of the shoulder joint may be compromised. Treatment will depend on the severity and location of the tear, but doctors will typically suggest taking anti-inflammatory medication and allowing the area to rest. What is the recovery time for shoulder labrum repair surgery. That makes your shoulder more unstable than it already is. The labrum is a cup-shaped rim of cartilage that lines and reinforces the ball-and-socket joint of the shoulder. To compensate for the shallow shoulder socket, the joint has a cuff of cartilage called a labrum that forms a cup for the end of the arm bone (humerus) to move within. When the ball slips toward the back of the body, it leads to "posterior instability.". The unique anatomy of the shoulder allows for a large degree of motion, but with reasonably good stability. Athletes are often prone to accidents due to their high level of strenuous activities. A 'ball' at the top of the upper arm bone (the humerus) fits neatly into a 'socket', called the glenoid, which is part of the shoulder blade (scapula). The labrum is described like a clock face with 12 o'clock being at the top (superior), 3 o'clock at the front (anterior), 6 o'clock at the bottom (inferior) and 9 o'clock at the back (posterior). The shoulder joint is composed of the glenoid (the shallow shoulder "socket") and the head of the upper arm bone known as the humerus (the "ball"). The top of the humerus is shaped like a ball. The ball can easily slip out of its socket. If the injury is a minor Bankart tear with a dislocation, the physician (or even a team coach or patient themselves) can usually pop the shoulder back into place – a process called reduction – and then follow up with physical therapy to strengthen the muscles. The labrum is pretty thick, but a hard-enough hit or fall can tear it. The capsule of the glenohumeral joint attaches to the glenoid labrum. We believe our patients deserve to know about how much their procedure will cost. The labrum surrounding the shoulder socket is called the the glenoid labrum. People who have painful arthritis are always looking for ways to get some relief. As the name suggests, SLAP tears occur in the front of the arm, where the bicep connects to the shoulder. Chronic trauma to the area or strain through repetitive motions, such as pitching in baseball, can cause damage to the glenoid labrum. Associate Attending Orthopaedic Surgeon, Hospital for Special SurgeryAssociate Professor of Orthopaedic Surgery, Weill Cornell Medical College. The shoulder joint is considered a ball and socket joint. This in turn creates instability because the breached labrum makes it easier for the shoulder to dislocate again. The glenoid labrum is a cartilage-like structure which sits within the shoulder joint (glenohumeral fossa). The most common symptoms of a torn shoulder labrum are: shoulder pain, instability and, in some cases, a feeling of grinding, locking or catching while moving the shoulder. Pain in the area, particularly when making an overhead or circular arm motion, is a strong indicator of a labral tear. Can labral tears of the shoulder be prevented? When the shoulder joint ball slips out of the socket, the joint capsule (fiberous tissues that surround and protect the joint) can pull on the lower portion of the labrum and tear it. In particular the glenoid labrum (GL), the proximal attachment of the joint capsule and the lateral glenohumeral ligament, is an important passive stabilizer in the human shoulder. It helps your shoulder to move and stay stable. However, in bony terms the 'socket' (the glenoid fossa of the Scapula) is quite shallow and small, covering only a third of the 'ball' (the head of the Humerus). Our hospital is committed to keeping our patients up-to-date with all the latest treatments and procedures. The shoulder socket is a shallow and unstable cavity. Can a shoulder labral tear heal without surgery? 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