A focus on… Labral Tears Of The Shoulder

Labral Tears Of The Shoulder

Understanding the Shoulder Labrum

The shoulder boasts significant mobility, but this flexibility sacrifices stability. The glenohumeral joint, where the upper arm connects with the shoulder blade, is a ball and socket joint. Interestingly, the ‘socket’ (glenoid fossa) has a smaller surface area than the ball (head of the humerus). A fibro-cartilaginous ring, known as the labrum, encircles the glenoid fossa, enhancing its depth and width.

This labrum not only augments stability but also serves as the attachment site for a part of the biceps muscle through a long tendon. While the labrum offers a unique balance of flexibility and stability, it is susceptible to tears, which can cause complications Labral Tears Of The Shoulder

How Does a Labrum Tear Occur?

Typically, labrum tears arise from falls on an outstretched arm or due to repetitive overhead activities, such as throwing or painting. Constant stress can weaken the labrum, making it prone to tears.

While physiotherapists can diagnose suspected labral tears using specific tests, an MRI is necessary for complete confirmation. Labral tears have various grades, determined by location and severity. This grading assists in pinpointing the apt treatment.

Recognising the Symptoms of a Labral Tear

Often, a labral tear coexists with other injuries, such as rotator cuff tears, complicating diagnosis. Typically, one may experience vague shoulder pain aggravated by overhead or behind-the-back actions. Severe labral tears can cause instability and even lead to shoulder dislocations.

Physiotherapy’s Role in Recovery

The tear’s severity and grade dictate the treatment approach. Minor tears benefit from physiotherapy focusing on enhancing the shoulder’s strength and control. In contrast, some tears necessitate surgical intervention, with physiotherapy playing a pivotal role in post-surgery rehabilitation.

Important: This article is for informational purposes only. Always consult a medical expert for personalised health advice.

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