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glenoid labrum tear; shoulder tear
Etiology:
- a fall on an outstretched arm
- direct trauma to the shoulder
- shoulder dislocation
- lifting a heavy object
- repetitive shoulder motion
Clinical manifestations:
- shoulder pain, usually with overhead activities
- catching, locking, popping, or grinding
- a sense of instability in the shoulder
- instability of biceps tendon [2]
- crepitus but not pain may be noted on palpation of the biceps tendon [2]
- decreased range of motion
- passive range of motion may be normal
- active range of motion may be limited by pain [2]
- loss of strength
Radiology:
- X-rays will not show damage
- computed tomography (CT)
- magnetic resonance imaging (MRI)
Management:
- arthroscopic surgery
- after surgery, shoulder in a sling for 3-4 weeks
- rehabilitation
- NSAIDs as needed
Specific
Bankart lesion
superior labrum anterior-posterior lesion; SLAP lesion
General
shoulder injury
labrum tear
References
- OrthoInfo
Shoulder Joint Tear (Glenoid Labrum Tear)
http://orthoinfo.aaos.org/topic.cfm?topic=a00426
- Medical Knowledge Self Assessment Program (MKSAP) 19.
American College of Physicians, Philadelphia 2021