20Shoulder Care
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

LABRAL/SLAP TEARS

The labrum is a triangular soft tissue structure that surrounds the socket (glenoid) of the shoulder, acting like a bumper. The labrum deepens the shoulder socket, which provides additional stability to the shoulder joint. The long head of the biceps inserts adjacent to the labrum on the top of the glenoid. The labrum is usually damaged following an injury or trauma to the shoulder joint. Superior labral tears (SLAP tears) are most common in competitive throwing and overhead athletes, such as pitchers and volleyball players. However SLAP tears can also occur in patients who overload the biceps/labrum complex with work (e.g. a lifting injury) and in recreational athletes. Labral tears on the front of the glenoid (anterior labral tears or “Bankart” tears) occur most commonly during a shoulder dislocation.

Symptoms

  • A sense that the shoulder may dislocate
  • Weakness/pain with throwing
  • Pain with rotating the shoulder or lifting

Diagnosis And Treatment

Dr. Keller considers each patient’s symptoms, as well as a detailed physical examination and x-rays to make the diagnosis. Dr. Keller usually orders an MRI if he is concerned about a labral tear. Patients who sustain superior labral tears (SLAP tears) often recover with a targeted physical therapy program. Other non-surgical options include guided injections (such as a steroid injection) and activity modification. In those patients who do not recover with physical therapy, Dr. Keller may recommend surgical intervention. Surgery involves either repair of the torn labrum or release of the biceps insertion on the labrum and re-insertion of the biceps into the humerus bone (biceps tenodesis). High-level athletes typically require surgical repair of a SLAP tear in order to return to competitive play.