LABRAL TEARS (SLAP TEARS)

Cause

The glenoid labrum, a soft fibrous rim of tissue, surrounds the socket (glenoid) that helps to stabilize the joint. The biceps tendon attatches to the top of the labrum and glenoid. SLAP (superior labrum, anterior to posterior) injuries usually result from a fall onto an outstretched hand, throwing or heavy lifting.

Treatment

Initial treatment includes resting the shoulder, taking nonsteroidal anti-inflammatory medications and icing the shoulder. Strengthening and physical therapy may be helpful. Degenerative labral tears are common in middle-aged individuals and usually do not cause prolonged symptomatology.

Younger patients may require surgery for symptom relief. Arthroscopy can remove the torn flap of labrum and correct associated problems. If the tear extends into the biceps tendon or the tendon is detatched, repair is often necessary with suture anchors.