Labral repair is a surgical procedure to treat injuries to the labrum, the cartilage ring that helps stabilize the shoulder joint. Common in athletes and active individuals, labral tears can lead to pain, shoulder instability, and limited mobility. For patients in Nebraska and Iowa considering labral repair, this guide outlines what to expect before, during, and after the procedure.
What is a Labral Tear?
The labrum is a cup-shaped cartilage that surrounds the shoulder socket, providing stability and cushioning. Tears can occur due to trauma, repetitive shoulder movements, or as a result of degenerative changes. Common types of labral tears include:
- SLAP Tears: Located at the top of the labrum, often associated with throwing motions or overhead activities.
- Bankart Tears: Typically occur in the lower part of the labrum, often resulting from shoulder dislocations.
- Posterior Labral Tears: Less common and usually linked to direct trauma to the shoulder.
Symptoms of a Labral Tear
Signs of a labral tear can vary, but they often include:
- Shoulder Pain: Discomfort that worsens with certain movements or activities.
- Clicking or Popping Sensation: Feeling or hearing a popping noise with shoulder movement.
- Weakness and Instability: Reduced shoulder stability, especially during lifting or reaching overhead.
- Limited Range of Motion: Difficulty with everyday tasks like reaching or lifting.
Labral Repair Surgery
Labral repair is a minimally invasive arthroscopic procedure aimed at restoring shoulder stability and function by reattaching or reshaping the torn labrum. Here’s what the procedure entails:
- Incision and Arthroscope Insertion: Small incisions are made around the shoulder to insert an arthroscope, allowing the surgeon to view and repair the damaged labrum.
- Labral Repair: Specialized instruments are used to secure the torn labrum to the shoulder socket with sutures or anchors.
- Closure: The incisions are closed, and a protective dressing is applied.
Preparing for Labral Repair Surgery in Nebraska and Iowa
Before surgery, it’s essential to follow your surgeon’s guidelines to ensure a successful procedure and recovery:
- Pre-Surgical Consultation: Your surgeon will review imaging results, such as an MRI, to confirm the tear and discuss the repair process.
- Preoperative Instructions: Follow any instructions about fasting, medications, and arranging for transportation to and from the surgical facility.
- Home Preparation: Set up a comfortable recovery area at home and arrange help with daily tasks, especially for the initial weeks post-surgery.
Postoperative Care and Recovery
After labral repair, it’s important to follow a structured recovery plan to restore shoulder stability and mobility:
- Pain Management: Pain medications may be prescribed initially, with over-the-counter options as recovery progresses.
- Activity Restrictions: Wear a sling for several weeks to immobilize and protect the shoulder.
- Physical Therapy: Rehabilitation begins with gentle range-of-motion exercises, gradually progressing to strength-building exercises. Physical therapy is vital for regaining stability and range of motion.
Recovery Timeline
- Early Recovery (0-6 Weeks): Focus on rest, gentle movement, and maintaining a stable shoulder.
- Rehabilitation Phase (6-12 Weeks): Physical therapy progresses to include strengthening exercises for improved shoulder function.
- Return to Activity (3-6 Months): With successful recovery, most patients can return to daily activities and even sports within 3-6 months, though full healing can take up to a year.
Long-Term Outcomes
With proper rehabilitation, most patients achieve a strong recovery, reduced pain, and restored shoulder stability. The success of labral repair often depends on adherence to post-surgery care and physical therapy.
