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Shoulder · Cartilage rim

Labral / SLAP Tear

Diagnosis & treatment by Kevin O'Donnell, MD — Coral Gables, FL

Overview

The labrum is a ring of cartilage that deepens the shoulder socket and anchors the biceps tendon. A tear — often a SLAP tear at the top of the socket — is common after throwing or a fall on an outstretched arm, producing deep shoulder pain and a catching sensation.

Common Symptoms

  • Deep, aching shoulder pain
  • Catching, locking, or popping with motion
  • Loss of throwing velocity or power
  • A sense of instability

Causes & Risk Factors

  • Repetitive overhead throwing
  • A fall onto an outstretched arm
  • Sudden traction on the arm
  • Shoulder dislocation

Treatment Options

  • Physical therapy and scapular retraining
  • Anti-inflammatory management
  • Arthroscopic labral repair
  • SLAP repair or biceps tenodesis for select tears

Recovery & What to Expect

Non-operative care is tried first for many tears. After arthroscopic repair, a graduated program restores motion and strength, with return to overhead sport typically at 4–6 months.

This page is for general education and is not a substitute for a medical evaluation. Treatment recommendations depend on your individual diagnosis and goals. Kevin O'Donnell, MD serves Coral Gables, Miami, Brickell, Pinecrest, Coconut Grove.