Rotator Cuff Tears
The labrum is a type of cartilage of the shoulder. It keeps the ball of the shoulder joint within the socket by deepening the socket, helping with stability. The labrum is often torn as a result of acute trauma and can occur alongside other issues like dislocation. There are multiple types of labral tears that require different treatments.
When the superior part of the labrum is torn in both the front and back, it is called a SLAP (Superior Labrum Anterior Posterior) Tear. This injury can result from overtime wear down of the labrum and acute injuries. It also occurs frequently in athletes who do overhead sports, like in tennis players or baseball pitchers.
Typical symptoms of a SLAP tear include pain, decreased strength and range of motion, a “popping” sensation, and “dead arm”. Nonsurgical treatment of this injury includes Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and physical therapy while the surgical treatment is typically arthroscopy.
In a Bankart tear, a dislocation of the shoulder joint causes the labrum to be torn. This can lead to instability in the joint. A common treatment for this injury is reduction, where a doctor or other medical professional “pops” the shoulder back into place, followed by physical therapy. This injury typically occurs in young people, under the age of 20.
Shoulder instability can range from small micromotions to dislocations. It can be caused by a variety of factors, including trauma, chronic issues, and genetic issues like tissue laxity and hypermobility. Dr. Urband will consider all of these factors in his treatment.
Rotator Cuff Injuries
The rotator cuff is a group of muscles and tendons in the shoulder that are needed for stability and strength during motions. Issues can arise anywhere from the neve connection and signal to the muscle to the insertion of the tendon to bone. So, "rotator cuff injury" is inclusive of a wide variety of issues.
Attribution for Images
1. Biser Todorov. “Bulgaria-serbia volley 2012”. Wikimedia Commons, 30 July 2011, https://commons.wikimedia.org/wiki/File:Bulgaria-serbia_volley_2012.jpg.
2. Edwin Martinez. “Serena Williams”. Wikimedia Commons, 29 August 2013, https://commons.wikimedia.org/wiki/File:Serena_Williams_(9630796711).jpg.
3. Keith Allison. “Stephen Curry”. Wikimedia Commons, 3 February 2016, https://commons.wikimedia.org/wiki/File:Stephen_Curry_(24178934184).jpg.
4. Sandro Halank. “2018-10-11 Snatch (Weightlifting Girls' 58kg) at 2018 Summer Youth Olympics by Sandro Halank”. Wikimedia Commons, 11 October 2018, https://commons.wikimedia.org/wiki/File:2018-10-11_Snatch_(Weightlifting_Girls%27_58kg)_at_2018_Summer_Youth_Olympics_by_Sandro_Halank%E2%80%93118.jpg.
5. Bbeatty34. “Thatcher Beatty, RHP DSST Knights Baseball Club”. Wikimedia Commons, 17 May 2017, https://commons.wikimedia.org/wiki/File:Thatcher_Beatty,_RHP_DSST_Knights_Baseball_Club.jpg.
6. Keith Allison. "Alexander Zverev". Wikimedia Commons, 4 August 2018, https://commons.wikimedia.org/wiki/File:Alexander_Zverev_(43135093774).jpg.