Shoulder labrum

The shoulder joint is a 'socket-shaped' type joint, which is held in place by ligaments and muscles which surround it. The 'socket' side of the joint is surrounded by a cartilaginous ring called the labrum. The Labrum deepens the socket and gives the shoulder extra stability.

Sometimes a dislocation of the shoulder or a powerful pull and deformity of the arm can cause injury and rupture of the labrum - a condition that usually involves prolonged recovery and causes damage to the stability of the shoulder. Restoration of stability is done through surgical repair of the labrum.

When is surgery recommended?

In most cases, ruptures of the Labrum can be treated in a non-surgical manner, including anti-inflammatory drugs and physiotherapy treatment for several months in order to strengthen the shoulder muscles.

If conservative treatments do not relieve the symptoms, the patient’s doctor may recommend patient seek surgery to repair the tears.

The course of the surgery

The surgery is usually performed under general anesthesia and can be performed with an arthroscopic approach, in which a camera and minimally invasive equipment are inserted into the joint space through tiny incisions, or in an open surgery approach - through a larger incision on the shoulder. The surgical approach will be determined according to the size and type of injury, as well as according to patient’s age, regular physical activity, and type of employment.

There are several types of ruptures in the shoulder Labrum. Your surgeon will determine the preferred way of treatment based on findings which arise, among other things, during the surgery. Sometimes it is enough to remove the damaged parts of the cartilage or stitch up the tears. Some injuries cannot be repaired by suturing alone and require additional intervention, such as releasing the biceps tendon by cutting through it for pain relief.

Preparation for surgery

Prior to surgery, you will be thoroughly examined by an orthopedic specialist, to examine your medical record and preliminary tests performed. If the operation is performed under general anesthesia, an anesthesiologist must also perform an evaluation and you should be in full food fast mode according to the staff's guidelines.

Recovery after labrum repair

Some patients can be discharged home within a few hours. Recovery and healing from surgery depend on many factors, but usually the Labrum recovers and strengthens within three to four months. In most cases, shoulder rehabilitation activities can begin within a few weeks of surgery, depending on the individual's pace of recovery and the surgeon's recommendation.

The range of motion after surgery also depends on a large number of factors, and it is difficult to predict this in advance. However, most patients are able to return to full shoulder activity after surgery, and exercise at a similar intensity as they used to perform before surgery.

Possible complications

Many patients do not experience significant complications following the procedure. However, there are a number of risks that may arise including local infection, damage to blood vessels or nerves, and the development of a blood clot in the joint space. Stiffness of the shoulder can also occur following the surgical intervention.