What is a shoulder labrum
The labrum of the shoulder is a ring of cartilage that surrounds the head of the humerus. Its purpose is to add depth to the shoulder joint, resulting in increased stability. A labrum tear usually occurs as a result of a traumatic or high-velocity event, such as a fall, overhead lift, or overhead throw. This traumatic or high-velocity event can cause the humeral head to roll over the labrum, resulting in a tear.
Different types of Labrum Tears
A SLAP (superior labrum anterior to posterior tear) and a bankart lesion are the two most common types of labrum tears. A SLAP tear affects the superior portion of the labrum or the top portion of the shoulder near the insertion of the biceps into the labrum. A bankart lesion is damage to the anterior or front portion of the labrum, which is commonly seen with dislocations.
Diagnosing a Labrum Tear
During the evaluation Special tests and limitations in certain movement directions, can help determine whether imaging should be performed or if there is another source of pain, such as rotator cuff dysfunction, tendonitis, a compressed nerve, or decreased stability.
Here is what you can expect during your initial evaluation
-Health history and background information of mechanism of Injury.
-Check of Range of motion and limiting ranges affecting sport performance
-Check of arm strength, and dynamic stability
– Development of Goals based on limitations present and demand of sport.
Symptoms of a Labrum tear
Treatment of Labrum Tear
At Essential Physical Therapy Our approach for treatment of a labrum tear is focused on reducing pain, restoring motion, and increasing strength to improve dynamic stability.
Depending on the required level of shoulder involvement and the degree of function loss, surgery may not be necessary to return to sport or activity. This is determined during the initial evaluation, during which movement strengths and weaknesses are identified and goals are established to track progress.