SHOULDER INSTABILITY
Shoulder
Labral Tears
The labrum is a ring of cartilage that deepens the shoulder socket and contributes to shoulder stability. Labral tears can develop after a traumatic dislocation, repetitive overhead activity, or age-related degeneration. Not every labral tear requires surgery, but understanding the type of tear is critical to choosing the right treatment.
Supports The Shoulder Joint
Often Follows A Dislocation
Common In Overhead Sports
Depends On The Tear Type
What Is The Labrum?
The shoulder labrum is a rim of fibrocartilage attached to the edge of the socket (glenoid). It deepens the socket, provides attachment for ligaments and the biceps tendon, and helps keep the ball centered during shoulder motion.
Common Causes
- Shoulder dislocation
- Repetitive overhead throwing
- Fall onto an outstretched arm
- Heavy lifting injuries
- Age-related degeneration
Common Symptoms
- Deep shoulder pain
- Clicking or catching
- Feeling of instability
- Pain with throwing
- Loss of strength
- Episodes of the shoulder slipping
Not All Labral Tears Are The Same
The term "labral tear" describes several different injuries. The location and cause of the tear determine the best treatment.
Bankart Tear
Usually occurs after a shoulder dislocation and contributes to recurrent instability.
Learn More →SLAP Tear
Occurs at the top of the labrum where the biceps tendon attaches and is common in throwing athletes.
Degenerative Tear
Age-related fraying that may not be the primary source of shoulder pain.
Dr. Streit's Clinical Perspective
Not every MRI finding requires surgery. Many adults have degenerative labral changes that are incidental and unrelated to their symptoms. Treatment decisions should be based on your history, physical examination, instability pattern, activity level, and goals—not simply the MRI report.
The objective is to treat the problem causing your symptoms, not every abnormality identified on imaging.
Treatment Options
Nonsurgical Treatment
- Physical therapy
- Activity modification
- Anti-inflammatory medication
- Gradual return to sport
Surgical Treatment
- Bankart repair
- SLAP repair (selected patients)
- Biceps tenodesis
- Latarjet procedure
- Capsular repair or plication
When Is Surgery Recommended?
Surgery may be recommended for patients with recurrent instability, persistent pain despite rehabilitation, recurrent dislocations, or those who wish to return to high-demand athletics where shoulder stability is essential.
Stability
Prevent repeated dislocations.
Function
Restore confidence during activity.
Performance
Support return to sports and work.
Longevity
Protect the shoulder from recurrent damage.