Until the final diagnosis is made, your physician may prescribe anti-inflammatory medication and rest to relieve symptoms.
Rehabilitation exercises to strengthen the rotator cuff muscles may also be recommended. If these conservative measures are insufficient, your physician may recommend arthroscopic surgery.
During arthroscopic surgery, your WBJ surgeon will examine the rim and the biceps tendon. If the injury is confined to the rim itself, without involving the tendon, the labrum is still stable. The surgeon will remove the torn flap and correct any other associated problems. If the tear extends into the biceps tendon or if the tendon is detached, the labrum is unstable. The surgeon will need to repair and reattach the tendon using absorbable tacks, wires, or sutures.
Tears below the middle of the socket are also associated with shoulder instability. The surgeon will reattach the ligament and tighten the shoulder socket by folding over and “pleating” the tissues.
Surgery to repair the torn labrum is sometimes necessary. The purpose of the surgery is to reattach the torn labrum to the socket of the shoulder. Large labral tears that are the result of trauma generally need to be fixed in surgery.
The success rate of this surgery is quite good, with over 90 percent of patients returning to their normal activities without any further dislocations. In many cases, this surgery is performed arthroscopically; however, there are some individuals who should have a Bankart (labral) repair performed through an open incision.
With a small labral tear, the patient may be directed to avoid vigorous activities that cause shoulder pain, rather than undergo surgery. Your orthopedic surgeon is best qualified to determine which procedure is most suitable.