What is the Labrum?
The labrum is located on the anterior and posterior part
of the inner shoulder. The labrum acts like a washer, which is wrapped tightly
around the humorous glenoid, which then fits nice and snug within the shoulder
socket. The labrum keeps the ball of the humorous from grinding up against the
socket itself.
Type 1
A type one-slap tear is very common; it’s basically a
degeneration of the labrum over time. When the labrum is starts to fray, it
looks very similar to a piece of yarn that is frayed. Most of the time there is
no pain that occurs. Some inflammation may occur which can be cured with a
simple cortisone shot. Most of the time the individual does not suffer from any
particular symptoms.
Type 2
In the world of baseball, a type two-slap tear is one of
the most common injuries, which occur mostly in pitchers. This kind of slap tear
can come from a dislocation or even overuse. A type two-slap tear is when a
part of the labrum is slightly torn from the glenoid. There is often clear
space between the labrum and the glenoid, which on an MRI will show up as blue
where the dye has settled. Type two-slap tear can characterized as posterior or
anterior. Most of the pain occurs from the glenoid grinding up against bones in
the shoulder socket. This injury can be cured with simple physical therapy to strengthen
the posterior shoulder but often results in surgery.
Type 3
A bucket Handle also known as a type three-slap tear of
the labrum is where the top portion of the labrum is torn off the gleniod and
hangs down in the socket; this often causes the should to pop out as well as a
chunky feeling within the shoulder when rotating. Orthoscopic surgery is
required where the torn labrum is actually removed and sutures are used to lock
down the loose ends of the labrum.
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