SLAP Tear (Labrum Tears)

If you’ve been struggling with persistent shoulder pain, weakness, or instability, you might be dealing with a torn shoulder labrum. Labrum tears are a common cause of shoulder problems, particularly in active individuals and athletes. T

At our practice in Austin, Texas, fellowship-trained shoulder and sports medicine surgeon, Dr. Benjamin W. Szerlip, specializes in diagnosing and treating labral tears. Whether you’re dealing with a SLAP tear, Bankart tear, or another form of labral injury, contact us today to explore your treatment options and get back to a pain-free life.

What Patients Are Saying

“After a bad fall from a ladder and seeing two other doctors, I was referred to Dr. Szerlip. He was able to repair the breaks in my arm and shoulder. Four months post surgery and I have full use of my arm and shoulder. THANK YOU DR. SZERLIP!!” — Patricia J.

What is the Shoulder Labrum?

The shoulder labrum is a ring of cartilage that lines the shoulder socket, helping stabilize the ball and socket joint of your shoulder. This tough yet flexible cartilage deepens the shoulder socket (glenoid) and anchors important structures, including the biceps tendon and shoulder ligaments.

Since the shoulder is one of the most mobile joints in the body, it’s also more prone to instability and injury. The labrum, along with the rotator cuff tendons and surrounding shoulder muscles, plays a critical role in maintaining shoulder strength and function.

A man with shoulder pain caused by a labrum tear in Texas.

What Does a Torn Shoulder Labrum Feel Like?

A torn shoulder labrum can cause a wide range of symptoms depending on the type and severity of the tear. Common symptoms of a shoulder labrum tear can include the following:

  • Deep, aching shoulder pain, especially during overhead motion
  • Clicking, popping, or grinding sensations in the joint
  • Loss of shoulder strength and stability
  • Difficulty lifting objects or reaching overhead
  • Limited range of motion and stiffness
  • Pain that worsens with activity and improves with rest
 

If you’re experiencing pain or instability, particularly after an acute injury or repetitive use, you may be dealing with a labral tear.

Types of Labral Tears

There are several types of shoulder labral tears. Each type affects different parts of the labrum and may involve other structures, such as the biceps tendon.

SLAP Tear

SLAP stands for Superior Labrum Anterior and Posterior. This tear occurs at the top of the labrum where the biceps tendon attaches. It is often caused by repetitive overhead motion, trauma from a fall on an outstretched arm, or heavy lifting. It is common among athletes, especially pitchers, swimmers, and weightlifters.

Bankart Tear

A Bankart tear typically occurs after a shoulder dislocation. It involves the lower front (anterior-inferior) part of the labrum. This type of tear often leads to shoulder instability and recurrent dislocations.

Posterior Labral Tear

This type of test is less common. It affects the back part of the labrum. It is often seen in athletes who are involved in contact sports or heavy lifting with the shoulder in a flexed position.

Can Shoulder Labral Tears Be Prevented?

Preventing labral injuries isn’t always possible, but certain practices can reduce the risk:

  • Strengthen your rotator cuff tendons and shoulder muscles.
  • Practice proper form during lifting and sports activities.
  • Avoid overuse and allow time for recovery between workouts.
  • Use supportive gear during high-risk sports.
  • Stretch to maintain flexibility and balance in your shoulder joint.
 

Prevention plays a crucial role in avoiding chronic shoulder problems and maintaining shoulder health.

How Are Labral Tears Diagnosed?

A thorough physical exam, along with imaging like MRI or shoulder arthroscopy, helps confirm a labral tear. The following diagnostic tools may be used:

  • Physical tests to assess pain, strength, and stability.
  • Imaging studies to view the labrum and biceps tendon attachment site.
  • In some cases, shoulder arthroscopy may be required for a definitive diagnosis.

What Are the Treatment Options?

Treatment plans are based on the type of labrum tear, how long symptoms have been present, your activity level, and how much the injury is impacting your daily life.

Non-Surgical Treatment for Shoulder Labral Tears

Many labral tears can be effectively treated with conservative methods. Nonsurgical treatments include the following:

  • Rest and physical therapy to reduce inflammation and restore motion.
  • Anti-inflammatory medications or corticosteroid injections for pain relief.
  • A physical therapy program tailored to regain shoulder strength and stability.
  • Activities may need to be modified to avoid further irritation.

Surgical Treatment for Shoulder Labral Tears

If conservative treatments fail, we may recommend surgery. Dr Szerlip performs minimally invasive arthroscopic surgery to repair labral tears.

  • Arthroscopic surgery involves making small incisions to access the joint.
  • During the procedure, the labrum is repaired and reattached to the shoulder socket.
  • In some cases, biceps tenodesis may be performed, where the biceps tendon connects to a different site to relieve pressure.

When is Surgery Necessary?

Surgical treatment is considered when:

  • Pain persists despite nonsurgical treatment
  • The shoulder remains unstable
  • Imaging shows significant labral damage
  • High-functioning individuals, such as athletes, need to regain full performance
 

Surgery restores shoulder stability and is often the best option for full recovery from SLAP tears, Bankart tears, and other serious labral injuries.

What is the Recovery Time?

Recovery varies but generally follows this timeline:

  • 0–4 weeks: Shoulder immobilized in a sling.
  • 4–12 weeks: Begin range of motion exercises.
  • 3–6 months: Progressive strengthening with a physical therapist.
  • 6+ months: Return to full activity or sports, depending on individual progress.
 

Our team guides you through every step, ensuring less pain and improved function over time.

Ready to Treat Your Shoulder Labral Tear?

If you’re experiencing the common symptoms of a shoulder labral tear, pain, instability, and weakness—don’t wait. At our Austin, Texas, office, Dr. Benjamin W. Szerlip, a fellowship-trained shoulder and sports medicine surgeon, provides personalized care tailored to your injury and goals.

Contact us today to schedule your evaluation and begin your path to recovery with expert guidance and proven treatment solutions!