Labrum Tear

The labrum is a cartilage structure in the shoulder joint that helps keep the ball of the joint in place. A tear in the labrum can occur due to trauma or repetitive use. Symptoms of a labral tear can include pain, weakness, and a sense of instability or "catching" in the shoulder. Depending on the severity, it may cause the shoulder to feel loose or as though it might "pop out" of place. If left untreated, a torn labrum can lead to chronic shoulder pain and further joint damage.

Symptoms of a Labrum Tear

1. Pain:
   • A sharp or aching pain in the shoulder, particularly during overhead or rotational movements.
2. Instability:
   • A sensation that the shoulder may "give way" or dislocate during movement.
3. Popping or Clicking:
   • A popping, clicking, or grinding sound when moving the shoulder.
4. Weakness:
   • Reduced strength in the shoulder, particularly in activities that require stability or lifting.
5. Decreased Range of Motion:
   • Difficulty with movements like reaching or rotating the arm.

What Causes a Labrum Tear:

• Repetitive Overhead Movements: Activities like throwing, swimming, or lifting that involve repeated overhead motions can put stress on the labrum, causing it to tear.
  
• Acute Injury: A sudden trauma, such as a fall or a blow to the shoulder, can cause a tear in the labrum, particularly if the shoulder is dislocated or violently forced out of its normal position.
  
• Age and Degeneration: Over time, the labrum can become weaker, and degeneration may lead to tears, especially in older adults.
  

How to Prevent a Labrum Tear:

• Strengthening the Rotator Cuff: Regular exercises to strengthen the rotator cuff muscles and the muscles around the shoulder can help protect the labrum from excessive strain.
  
• Avoiding Overhead Strain: Reducing the frequency of overhead movements and giving the shoulder ample rest can help prevent labral tears.
  
• Proper Technique: Using proper form during physical activities or sports can reduce the risk of labral tears caused by strain or improper mechanics.

When to Seek Orthopedic Care for:

• Pain and Weakness: Persistent shoulder pain and weakness, especially when lifting or reaching, may indicate a labral tear.
  
• Instability or “Popping” Sensation: A feeling of instability or the sensation that the shoulder might pop out of place is a clear sign that a tear may have occurred.
  
• Difficulty Performing Daily Tasks: If you experience significant difficulty in performing daily tasks like dressing or reaching overhead, it’s time to seek orthopedic care.
  

An orthopedic surgeon who specializes in shoulder injuries and arthroscopy should be seen. A specialist is essential to properly diagnose the condition, as they can use imaging techniques like MRIs to confirm the tear and recommend treatment options, such as physical therapy or surgery.

You don't have to stay in pain. Contact one of our ONJ divisions to schedule an appointment.