Best Practice Case Studies-Labral Tears of the Shoulder

Pdf Summary

A labral tear is an injury affecting the fibrous cartilage in the shoulder joint, crucial for stabilizing the humerus within the shoulder socket. It commonly occurs due to shoulder dislocation or a forceful impact when the arm is fully extended, such as during an automobile accident. Additionally, repeated strain from activities like weight lifting, throwing sports, and other overhead sports can cause labral tears, predominantly affecting older individuals but also occurring in younger athletes.<br /><br />The shoulder comprises a shallow socket called the glenoid fossa that holds the humeral head, which is larger. The labrum, a fibrous ring of tissue, helps stabilize this joint. When the labrum is injured, it can result in pain and instability.<br /><br />Risk factors for labral tears include falling on an outstretched hand, direct shoulder impacts, sudden lifting pulls, and repetitive overhead motions associated with sports and certain occupations. Symptoms primarily include pain during overhead movements, along with possible catching, locking, or popping sensations, and nighttime pain when lying on the affected side.<br /><br />For diagnosis, an MRI with contrast dye is usually necessary, as an x-ray may not show the tear. Treatment involves initial pain management with anti-inflammatory medications and ice, followed by rehabilitation to strengthen the rotator cuff. If non-surgical treatments are ineffective, surgery may be required. <br /><br />Prevention strategies involve avoiding falls, limiting repetitive overhead activity, and employing proper techniques in lifting and throwing. Return to play after a labral tear requires careful rehabilitation, and it may necessitate surgery, extending the return timeline.<br /><br />These insights are provided by the American Medical Society for Sports Medicine (AMSSM), comprising specialists focused on comprehensive care for athletes and individuals leading active lifestyles. For more information or to find a sports medicine physician, visit www.amssm.org.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 48

Topic Shoulder

Keywords

2nd Edition, CASE 48

2nd Edition

Shoulder

labral tear

shoulder joint

fibrous cartilage

humerus stabilization

overhead sports

pain management

MRI diagnosis

rotator cuff rehabilitation

sports medicine

AMSSM