Specialized Shoulder Care in Colorado Springs

Shoulder Labral Tear

Colorado Springs Orthopaedic Group

Your shoulder is one of the body's most mobile joints, allowing you to reach, lift, rotate, and perform countless everyday movements. Because of this mobility, the shoulder can also be susceptible to injuries, overuse, arthritis, and other conditions that cause pain and limit movement.

CSOG provides comprehensive evaluation and treatment for a wide range of shoulder conditions, from sports injuries and tendon problems to arthritis, instability, and fractures. Depending on your condition, treatment may include physical therapy, activity modification, medications, injections, minimally invasive procedures, or surgery.

Our shoulder specialists take the time to understand your symptoms, activity level, and goals so you can receive treatment designed to reduce pain, improve function, and help you get back to the activities that are important to you.

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What is Anatomy of the Shoulder?

The shoulder joint is a ball and socket joint. A ball at the top of the upper arm bone (humerus) fits neatly into a socket, called the glenoid, which is part of the shoulder blade (scapula). The glenoid is surrounded by a ring of fibrous cartilage called the labrum for stabilization of the shoulder joint. The biceps tendon attaches inside the shoulder joint at the superior labrum of the shoulder joint. It is a long cord-like structure that attaches the biceps muscle to the shoulder and helps to stabilize the joint.

What is a Shoulder Labral Tear?

Traumatic injury to the shoulder or overuse of the shoulder (throwing, weightlifting) may cause the labrum to tear. In addition, aging may weaken the labrum leading to injury.

What are the Symptoms of Shoulder Labral Tear?

Shoulder labral tears may cause symptoms such as:

• Pain
• Catching or locking sensation
• Decreased range of motion
• Joint instability

What are the Treatment Options for Shoulder Labral Tear?

Your doctor may initially suggest conservative approaches such as prescribing anti-inflammatory medications and advise rest to relieve symptoms until diagnostic scans are performed. Rehabilitation exercises may be recommended to strengthen the rotator cuff muscles. If the symptoms do not resolve with these conservative measures, your doctor may recommend arthroscopic surgery.

During arthroscopic surgery, your surgeon examines the labrum and the biceps tendon. If the damage is confined to the labrum without involving the tendon, then the torn flap of the labrum will be removed. In cases where the tendon is also involved or if there is a detachment of the tendon, absorbable wires or sutures will be used to repair and reattach the tendon.

What Does Postoperative Care for Shoulder Labrum Tears Involve?

After the surgery, you will be given a shoulder sling to wear for 3-4 weeks. You will be advised motion and flexibility exercises after the sling is removed. These exercises increase the range of motion and flexibility of the shoulder joint.