A labrum repair is also known as labral repair and is a surgical procedure that is done to repair a torn labrum in the shoulder or hip joint. The labrum is a ring of cartilage that surrounds the socket of these joints, providing stability and enabling a greater range of motion.

Types of Labral Tears

SLAP Tear (Superior Labrum Anterior and Posterior): This type is also popular in the shoulder and it happens at the point where the biceps tendon connects to the labrum.

Bankart Tear: Also known as the Bankart lesion, this tear is located at the lower part of the labrum and is commonly linked with shoulder dislocations.

Hip Labral Tear: It is most common in the hip joint and can be attributable to injury, overuse, or developmental dysplasia of the hip.

Indications for Labrum Repair

Chronic pain that cannot be resolved by other medical interventions.

Shoulder or hip instability.

Decreased range of motion.

Pain or snapping-like feeling in the joint.

Imaging evidence of labral tear through MRI or arthroscopy.

Surgical Procedure

Arthroscopy: The majority of labrum repairs are done arthroscopically. Tiny cuts are made and a tube with a camera (arthroscope) and other surgical instruments are passed into the joint.

Repair Technique: The surgeon may use sutures and anchors to sew the torn labrum back to the bone.

Debridement: Sometimes, the damaged and ripped portions of the labrum are removed and smoothened.

Recovery Process

Immediate Post-Op: One is often recommended to wear a sling (for the shoulder) or brace (for the hip) to keep the joint still while it heals.

Physical Therapy: Can be initiated immediately after surgery to help improve the flexibility of the joint and the strength of the muscles around it.

Full Recovery: It may take several months and a slow progressive increase in activities. Some athletes may need more time to recover and get back to sports.

Risks and Complications

Infection.

Nerve damage.

Pain or limitation of movement.

Recurrent dislocation or redislocation of the labrum.

Success Rates and Outcomes

Labrum repair surgeries are usually quite effective especially if the patient undergoes physiotherapy after surgery. The majority of the patients report a reduction in pain and an increase in joint stability and mobility.

Post-Operative Care Tips

It is best to follow the advice of your surgeon and physical therapist to the letter.

Do not engage in activities that put pressure on the repaired joint without the permission of your medical team.

It is recommended that all follow up appointments should be scheduled to assess the healing process.

In most cases, it is advisable to consult an orthopedic surgeon to determine the most appropriate management plan for labral tears.

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