Labral Tears

Date 2007/5/2 15:30:00 | Topic: Shoulder

The labrum is a cartilage ring that surrounds the shoulder socket (called the glenoid) and makes it deeper. In the above picture, it is numbered "5" - the thin blue ring around the glenoid. Since the socket is deepened by the labrum, the ball of the arm bone (called the head of the humerus) has a better fit into it. Labrum or labral tears are usually associated with trauma, instability of the shoulder, or repetitive throwing as with a baseball player.

The signs and symptoms of a labral tear are painful clicking, locking, or popping. Instability may be present because the labrum is not doing its job of holding the ball in the socket. Medical intervention for a labral tear typically involves an MRI for diagnosis and arthroscopic repair but labral tears are often hard to diagnose. A special kind of labral tear, a superior labral anterior to posterior (SLAP) tear, often involves the biceps tendon as well.

Possible Treatments
Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Proprioceptive Neuromuscular Facilitation (PNF)
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Physical Agents
Stretching/Flexibility Exercise

Possible Treatment Goals
Improve Function
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Improve Range of Motion
Self-care of Symptoms

This article comes from Chicago Rehabilitation Services, Inc. - Physical Therapy

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