When it comes to shoulder injuries, one of the most common concerns is a labrum tear. Yet, not all labrum tears are created equal. Among them, the superior labrum anterior and posterior (SLAP) tear is a specific type that can result in varying symptoms and impacts on your shoulder function. Understanding the differences between a general labrum tear and a SLAP tear is crucial for effective treatment and recovery.

What is a Labrum Tear?

The shoulder labrum is a cartilage structure that cups the ball-and-socket joint of the shoulder, providing stability and support. A labrum tear can occur due to acute injuries, such as falls or heavy lifting, or chronic wear and tear from repetitive motions. The causes may vary, but the resulting pain and dysfunction are often similar, leading to discomfort, limited mobility and weakness in the shoulder.

What is a Labrum SLAP Tear?

A SLAP tear is a specific type of labrum tear that affects the top (superior) part of the labrum, where it attaches to the biceps tendon. This injury can occur in athletes or individuals involved in overhead activities, such as throwing sports. Common symptoms of a SLAP injury include a deep ache in the shoulder, a catching sensation during arm movement, and sometimes a feeling of instability.

Differences Between Labrum Tear and Labrum SLAP Tear

While both injuries involve the labrum, the primary distinction lies in their locations and mechanisms. General labrum tears can happen anywhere along the labrum, leading to a gamut of symptoms depending on the extent and location of the tear. In contrast, SLAP tears specifically impact the biceps attachment at the top of the labrum, often resulting in distinct signs like the feeling of popping or clicking in the shoulder.

Causes of Labrum Tears and SLAP Tears

The December 2023 edition of the Journal of Orthopedic Reports shares several causes of labrum tears:

  • Acute Injuries: Falls, collisions or sudden lifting can lead to immediate tears.
  • Overuse: Repetitive overhead motions can gradually weaken the labrum, leading to a tear.
  • Aging: As we age, our labrum can become more susceptible to degeneration, such as arthritis.

The National Library of Medicine highlights several causes of SLAP tears:

  • Overhead Activities: Sports like baseball, tennis and weightlifting can strain the top of the labrum.
  • Trauma: A fall on an outstretched arm can create a sudden torque on the shoulder, causing a SLAP tear.
  • Biceps Tendon Injury: As the biceps tendon pulls on the labrum, it can lead to tears in that region.

NYC Labrum Tear & SLAP Tear Surgery

With over 22 years of experience in orthopedic surgery and sports medicine, Dr. Steven Struhl is a leading expert in diagnosing and treating shoulder injuries, including labrum tears and SLAP tears. His advanced training and innovative approaches ensure that patients receive the highest quality of care.

Dr. Struhl offers a variety of treatment options tailored to individual needs, from conservative measures like physical therapy and corticosteroid injections to advanced surgical interventions. He employs state-of-the-art techniques, such as arthroscopic surgery, to repair labrum injuries with minimal recovery time.

Some labrum repairs may necessitate open surgery. In these cases, the labrum might need to be removed and then reattached to the bone using anchor sutures. Additionally, some patients may require grafting, which involves using cartilage or labrum from other donor sites to replace the damaged labrum in the shoulder joint.

Why Choose Dr. Steven Struhl?

As a board-certified orthopedic surgeon and sports medicine expert, Dr. Struhl prioritizes up-to-date treatments and methodologies to ensure optimal recovery. His involvement as a medical consultant for the US Open and his role as the Medical Director for Sportscare Physical Therapy highlight his commitment to athletes and active individuals alike.

Patients can also benefit from Dr. Struhl’s regenerative techniques, such as office-based stem cell and PRP injections, which promote healing and recovery without the need for extensive surgery. His innovative approach in combining traditional and modern techniques ensures that patients receive personalized treatment.

Whether you’re dealing with a labrum tear or a specific SLAP tear, understanding these conditions and their treatment options can significantly enhance your recovery process. Dr. Steven Struhl’s extensive training, expertise and dedication to innovative treatment make him an excellent choice for managing your shoulder or foot injuries. If you’re experiencing symptoms related to either of these conditions, don’t hesitate to reach out to his office for a consultation.

Posted on behalf of Steven Struhl MD