Last week we looked at the anatomy and common injuries that occur in the shoulder. Over the next few weeks we will be looking at some of these in more detail. This week, labral injuries. Firstly..... What is the labrum?
The labrum is a piece of cartilage that lines the glenohumeral joint (similar to the meniscus in the knee), it lies between the glenoid and the humeral head and is an attachment site for the long head of biceps, shoulder capsule and glenohumeral ligaments. The labrum acts to provide proprioception and stability to the shoulder. A tear in the labrum may result in discomfort, instability and subsequent dislocations.
Two of the more common labral injuries that occur are SLAP (superior labrum anterior posterior) tears and Bankart lesion.
Arthroscopic SLAP Repair- Look away now if you are squeamish....
Bankart Lesion Repair
Whether you have had surgery or are opting for conservative management you will require a rehabilitation program to assist in restoring full range of movement and function of the shoulder.
Initially following surgery you will be placed in a sling for 4-6 weeks, allowed out for gentle exercises (for your shoulder and elbow) and showering.
During the first stages of the rehabilitation program the aim is to reduce pain, maintain good scapular positioning and control and restore full range of movement to the shoulder .
Assisted ROM exercises
Once full range has been restored the transition is made to strengthening exercises, aimed at restoring function and strength to the muscles surrounding the shoulder. Exercises start basic and with low resistance and progress to more challenging dynamic exercises.
Single Arm Row
Resisted External Rotation
Resisted External Rotation Overhead
Dynamic Stability and Proprioception
Finally sport specific exercises are introduced for those athletes looking at returning to sport.
The recovery process can at times feel slow and tedious. It is important not to rush your rehabilitation program and stick to the time frames given to you by your surgeon and/or physiotherapist.
Importantly all rehabilitation programs are specifically designed and tailored to the individual needs of our patients, who have their own set of goals.
Have any questions? Send us an email at firstname.lastname@example.org or give us a call on 0423 160 141 to book an appointment at our clinic in Osborne Park.
Next week we will be looking at the anatomy, treatment and management of frozen shoulder (adhesive capsulitis).
Physiotherapist and Exercise Physiologist
Physiotherapy in Motion Perth