Labrum Tear
The labrum is in the shoulder is a cartilage disc attached to the socket of the shoulder that aids in maintaining stability of the shoulder — so that the shoulder stays in its proper place. The labrum is firmly attached to the socket, and the shoulder ligaments which connect the bones of the shoulder together insert or attach to the labrum.
Where is the Labrum tear?
SLAP tear; this stands for Superior Labrum fromAnterior to Posterior. The SLAP tear occurs at the point where the tendon of the biceps muscle inserts on the labrum.
MOI
MOI
- Fall onto an outstretched hand
- Repetitive overhead actions (throwing)
- Lifting a heavy object
Sign/Symptoms
Deep pain in the shoulder
Pain cannot be pinpointed
Pain during activity
Deep pain in the shoulder
Pain cannot be pinpointed
Pain during activity
Types 1-4 slap tears
SLAP Type 1This is a partial tear and degeneration to the superior labrum, where the edges are rough and fray along the free margin, but the labrum is not completely detached.Treatment is usually to 'debride' (clean) the edges.
SLAP Type 1This is a partial tear and degeneration to the superior labrum, where the edges are rough and fray along the free margin, but the labrum is not completely detached.Treatment is usually to 'debride' (clean) the edges.
SLAP Type 2Type 2 is the comonest type of SLAP tear. The superior labrum is completely torn off the glenoid, due to an injury (often a shoulder dislocation). This type leaves a gap between the articular cartilage and the labral attachment to the bone. Type 2SLAP tears can be further subdivided into (a) anterior (b) posterior, and (c) combined anterior-posterior lesions.Treatment is reattachment of the labrum (SLAP repair). This is donearthroscopically (keyhole) using suture anchors.
SLAP Type 3A Type 3 tear is a 'bucket-handle' tear of the labrum, where the torn labrum hangs into the joint and causes symptoms of 'locking' and 'popping' or 'clunking'.Treatment usually involves removal of the 'bucket-handle' segment and then repair of any remaining detached, unstable labrum (SLAP repair). This is donearthroscopically (keyhole) using suture anchors.