Understanding Labrum Tears
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- čas přidán 31. 05. 2024
- Thanks to YOGABODY Teachers College www.yogabody.com/iha for sponsoring this video. Check out their science-based, online yoga certification courses.
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Understanding Labrum Tears
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In this video, Justin from the Institute of Human Anatomy discusses the anatomy of the glenoid labrum, as well as the shoulder injury known as SLAP tears.
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References
Glenoid Labrum and Shoulder Anatomy
onlinelibrary.wiley.com/doi/f...
www.sciencedirect.com/science...
www.ncbi.nlm.nih.gov/pmc/arti...
www.ncbi.nlm.nih.gov/pmc/arti...
SLAP Tears
www.ncbi.nlm.nih.gov/pmc/arti...
en.wikipedia.org/wiki/SLAP_tear
www.ncbi.nlm.nih.gov/pmc/arti...
www.ncbi.nlm.nih.gov/books/NB...
www.researchgate.net/figure/P...
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Video Timeline
00:00 - 00:36 Intro
00:37 - 03:34 The Glenohumeral Joint
03:35 - 07:03 Anatomy of the Glenoid Labrum
07:04 - 07:29 What Dose SLAP Mean?
07:30 - 08:49 The Biceps Anchor
08:50 - 10:11 Varieties of SLAP Tears
10:12 - 10:59 The Mechanism of Injury
11:00 - 13:23 Peel-Back Mechanism
13:24 - 16:17 Digression on Types of Muscle Contractions
16:18 - 18:10 The Plot Thickens
18:11 - 18:33 Surgical Repair of SLAP Tears
18:34 - 20:11 Surgical Outcomes
20:12 - 20:47 Summing It Up
20:48 - 21:20 Outro
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#Yogabody #SLAPTear #LabrumTear
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Thanks to YOGABODY Teachers College www.yogabody.com/iha for sponsoring this video. Check out their science-based, online yoga certification courses.
Could you do one on Avascular Necrosis? People often assume the hip but it can happen in any bone, especially after trauma - like in ones ankle.
Thanks for the in-depth explanation of this type of shoulder injury. Can you also feature other types too?
Hey boss! When I was 17, I jumped on the hood of my buddy's car, my legs were on the hood and torso on the windshield. My arms were overhead towards the top of the glass. He turned the windshield wipers on to scare me which were located right by my waistline and because I was already in a very unstable position when he startled me, I threw my right arm directly up, destroying my shoulder joint. I have no pain currently because I enjoy weight training, but have dislocated my shoulder at least 10 to 15 times since that incident (I am 28). Just curious about your thoughts on this injury, if it is reversible and if it would even be worth going under the knife for. Thank you so much for educating us in so many wonderful ways with your channel!! ❤❤
Can you please make a video on pinched nerve in the neck? 🙏🏽🙏🏽
I've had two surgeries to repair a torn labrum in my left shoulder years ago. One of the most painful injuries I've ever had. Unfortunately, I still experience discomfort and never regained full range of motion in that shoulder. I really appreciate this video. It's nice to know exactly what was going on in there that caused me so much pain.
Yeesh! Hopefully things will get better in time
Bro I had the Sam problem. Tried all the pt exercises nothing really helped. I finally tried dead hanging from a bar, hurts at first but do it every morning and night for a few weeks and my shoulder feels miles better
I don't know if it's scientifically recommended, but I tried some cauterization healing session for my shoulder injury. I feel way better now. Wish you a total recovery.
I second the deadhangs. Was struggling with pain and reduced ROM for about six years after the surgery until I added dead-hanging to my theraband routine. Now I'm pretty much where I was before the injury and can swim 10k/week freestyle. 💪
I’ve had two on my right shoulder, and after a year I’m back to 100%. Still scared of tearing again.
i would be REALLY interested in a video about ankle bones, stability, what happens when you roll an ankle and etc etc. i have really crunchy ankles from multiple ankle injuries over the course of my 29 years and i would love to learn about how and why they can develop so much pain. plus they just have so many tiny little bones in them (like in the wrists and hands) that they are really a mystery to me!
We'll add it it our list!
@@theanatomylabdiff between os trigonum fracture and other fractures on the posterior talus processes
@@CommieHunter7 I believe the os trigomum is technically an un-united secondary ossification center (accessory bone). Typically these are asymptomatic unless they abrade nerves, tendons, ligaments, or other tissues throughout range of motion. A fracture of the posterior talus is very rare and I would expect that the calcaneus fractures first in a compression type injury, hence the measurement method Bohlers angle on x-ray for calcaneal fracture. Typically the fractures in the ankle include the medial or lateral malleolus and sometimes even the base of the 5th metatarsal (dancers/jones fracture). Hope this helps!
Inversion sprains most commonly injure the Anterior Talofibular Ligament. If this is torn excess ROM can lead to joint instability. Additionally these inversion sprains can lead to an avulsion fracture of the lateral malleolus or a fracture of the distal fibula. The joint is likely popping due to ligamentous instability or damage to the articular cartilage and subsequent degenerative joint disease (osteoarthritis).
I worked in construction installing HVAC systems. A lot of overhead work, and ended up getting a SLAP tear. Two years after surgery it still aches day to day with pain after a good day of work. I am lucky I got about 80% of my range of motion back after PT. Getting old sucks sometimes! I enjoy your videos as you explain things better than most surgeons. Thanks for all the videos.
I played a high level of baseball in high school but had a SLAP tear at 15 either from over throwing or a life threatening car accident, though continued to play (throw) with it (and continue to tear it) until I eventually opted for (laparoscopic) surgery at 18 which ended my career.
Wow! That's an incredible story. Hopefully it's doing better these days
@@theanatomylab Thank you! Unfortunately, the original range of motion I had is now lost and is restricted by pain when moving the arm overhead or performing ABER
@@antirealist was u good enough to go pro?
15-18 years old. I wouldn’t call that a career lol
This video is very helpful, thank you. I had multiple sublux shoulder dislocations in high school wrestling and no one believed my injury since the shoulder did not fully dislocate. Was bullied for trying to "fake my way out of practice."
Thanks for shedding light on shoulder injuries!
Yeesh... Shoulder dislocations are far riskier than people understand.
@@theanatomylab -- The most frustrating part was consulting with doctors and physical therapists shortly afterwards. We didn't know who to trust. Experienced seven sublux dislocations in my left shoulder and two sublux dislocations in my right shoulder from wrestling, all in the first half of freshman year of high school (no full dislocations).
At end of freshman year my parents took 14-year-old me to an orthopedic surgeon for non-arthroscopic surgery to repair my left shoulder only, which was the more painful one (cannot remember which surgery exactly). The surgeon said "only surgery will fix this shoulder issue long term. Physical therapy alone is not enough." This was based on his analysis of some test where a radioactive-injection was put directly into my left shoulder joint under continuous X-ray filming.
We visited the surgeon's recommended physical therapist to discuss post-surgery plans; the therapist said that surgery+PT is best but just PT will heal the shoulder long term also. My parents opted for the "belt and suspenders" approach and paid for surgery+PT... the non-arthroscopic surgery was named after some baseball pitcher I believe.
Surgery and therapy both went well. Now I'm 36 and the repaired left shoulder has a big scar but is otherwise painfree and functional almost all the time. Unrepaired right shoulder suffered a full dislocation when I was 25 and healed on its own after being set in the ER (no surgery, no professional PT).
Crossing my fingers I go into old age without many complications 🤞
As a massage therapy student, this information is like gold. Thank you for these videos!!
English is not my first language, but I really like human anatomy and your videos. Sometimes (like with this one) the language barrier can be pretty challenging. I still enjoy it tho 😊
Good thing there's subtitles to solve this issue 😁
@@Stylia unfortunately not in my first language 🥲
I think you just helped me discover my shoulder injury which has haunted me for the last three years. Started after doing lat work at the gym.
I love this channel and i dropped out in 6th grade but was abused as a child. Boy what i would've been had my parents not abused me in every way possible.
2019 i had a really really bad slap tear. nearly the entire thing was gone. the only thing still attached was from about 10 to 1 o'clock. they wanted to do surgery but i wasnt down for what they wanted to do. so i asked about physical therapy. about 5 months of that my shoulder was all fixed. works like new almost.
Wish I went that route, kinda feel like the surgery made things worse
@@Vadin119sameee man
I’m thinking this must be my problem. I was working out regularly ( I’m not young anymore, but try to stay fit), and I started a new job, taking heavy boxes, and emptying out the pkgs of paper, to open and put on printer, then put all the printed paper back in box and put boxes on cart. It was a lot of work and I thought this would be good because it kept me active and using my muscles. Initially the carts were too tall and it was a strain to reach. Eventually Igor a smaller easier to move cart but the problem was it was on wheels and I had to lift the boxes ( about 50 lbs), and then bend forward and bring the boxes down without moving the cart. Couldn’t just drop them. So I know I was extending my arms while trying to gently place the boxes. The first two being the hardest, after that the cart would be stable and not as far down to the ground. I worried more about hurting my back than ever thinking of my arms. Eventually the work load got bigger and bigger. Enough to cut back my normal workouts. I started feeling some pain but thought I just needed to work it out. I kept doing it. Then I thought I was getting an impingement. So I thought just keep working it out. Next thing I know such pain in my muscle , I had to have someone else takeover doing my job. I couldn’t sleep at night. Of course a reg doc doesn’t know what to do about it. So I just rested it wit ice. For a couple weeks at least. It still wakes me up sometimes and I have a hard time with it here and there. I def feel like I can’t do as much in my workout class. And I never went back to doing that job. I keep hoping it’ll heal on its own.
I had my right labrum repaired after tearing it due to dislocation, so this was a really interesting video to actually see what these parts look like!
I have the weirdest urge to turn a scapula into a clock.
I've read a lot of comments over the years - this is up there with the oddest 😅
And you are now on a list lol
Do you mean the glenoid fossa? Because that's the thing with the clock face. Not the scapula.
@@joshyoung1440the lateral face of the scapula. Showing the coracoid process and acromion process like hands of the clock(glenoid fossa)
Okay Jeffery Dahmer
I played competitive golf for 20 years of my life! Throughout that time I remember 2 times that my left shoulder would feel a pain and go limp after a swing.. I was able to bounce back from these moments, but the 3rd time it happened (in college) put me out. I couldn’t lift my arm and was in constant pain. Our sports therapist at the time didn’t think it was a bing deal and had me doing some therapy exercises to see if that helped after 1 month. It did not. I THEN got an MRI and learned that I had a pretty bad labrum tare.. my injury was finally taken seriously and I got surgery to fix it. Honestly the whole numb block and preparation for the surgery was so scary and the healing for this surgery was some of the worst pain I felt. Physical therapy was NOT fun and such a long process but I’m glad I got surgery. I was told that I am more flexible than the average person, therefore my muscles surround my shoulder had to have been stronger than the average person in order to hold my rotator cuff in place 🤷🏽♀️ I’m better now but those were some rough times.
Thanks for the vid!
Just with the first 2 min of this video i know understand way better why i disclocate my shoulder SO OFTEN and easily as someone with hypermobility and eds, since it's so frail from the get go with such a condition ofc it's going to pop off xD thanks again for your great knowledge
This is wildly fascinating! In 2015, I had a snowboarding crash and had a level 6 AC separation. I got surgery and now have a synthetic labrum and rotor cuff and had 2 inches of my clavicle shaved off.
This is one of the most informative CZcams channels on the subject. Great work, Justin. I just had the second tear of the supraspinatus repaired (right shoulder, now left), and I’m currently looking for info on how to prevent re-injury. The surgeon and PTs are virtually useless here. Understanding how the joint works is fundamental to preventing more trauma. This helps.
Glad to hear you enjoyed the video!
Thank you for your video. I'm having a surgery in 1 month. Slap lesion 9 years ago that healed just fine in 3 months except for a paralabral cyst that appeared after a trauma and got big. It compresses the supra spinatus nerve in most motions.
Shoulder abduction is really hard to maintain more than 5 sec and the constant pain goes with it.
According to my surgeon, It is pretty rare. (3/700 operated shoulder/year). It took 2 years for my case to be taken seriously as 12 doctors told me it was nothing or "in my head" and refused to prescribe an MRI and arthroscan. At last... Can't wait to get back to rock climbing.
I ❤ your videos thanks for the precious info
I had a SLAP tear in my right shoulder and had it operated on over 20 years ago. I played mostly basketball throughout middle school and high school. I did roll a car at 16 and I remember a large gash on my shoulder from where the roof caved in. After high school I went to work as an auto mechanic so there was a lot of overhead work there. I remember yanking on a transmission when I felt my shoulder go. Went to the ER and ended up needing surgery. 20 plus years later and there’s still pain when trying to lift over my head. I never played sports again.
WOW! Two years after my injury and after having a less than optimal range of original motion, I finally understand what happened to my shoulder!
Ghosh! I wish doctors took just 3-4 minutes to somehow make us understand that we’re repeatedly injuring ourselves… I used to hear a click sound in my right shoulder every now and then with a sharp pain while playing badminton. But the pain always disappeared after 5 minutes. And then one day it didn’t! And like usual, I thought to myself, well… the pain will go eventually- it’s no big deal… when after almost 7-8 days I started noticing that I had started losing strength in my entire right hand (my left hand started to feel stronger).. that’s when I visited a doctor and got MRI done. Don’t know what the report showed but all I got from the doctor was, “it’s okay.. it’ll get better. Just take physiotherapy”… his lack of urgency made me complacent and then I again didn’t go to physio for another 2 days but then I eventually did and saw the difference it made!
I only wish that I had visited the doctor sooner. Or started therapy earlier… I’m at 80% of my earlier range of motion and sometimes do feel a numb from 11-1 o clock area!😉
NEVER IGNORE AN INGURY PEOPLE!
Very cool video. Like it when you show injuries/repairs. I have had two surgeries on each shoulder including a slap repair. Interesting to see the real life anatomy.
Glad to hear you enjoyed the video!
Great video. The details regarding this type of injury I was told by a surgeon was a very poor description which left me with the wrong ideas, this video clears it all up.
Glad the video helped!
I had a really violent dislocation with a very severe slap tear and labrum detachment. I was repaired in 2008 by Dr. Judson Ott in Dubuque, IA. I have pretty limited range of motion behind my back, but it is an extremely strong repair. I’ve been able to deadlift 500lbs, bench press 315lbs raw, seated overhead press 205lb, as well as kettle bell swings, heavy barbell and dumbbell rows. I can’t really throw a baseball or football very well, but I’m pretty happy with my abilities post operation considering the extent of my original injury.
I am the quintessential shoulder assassin. I just could not figure out the exact mechanism of my injuries-and therefore- was unable to pinpoint the culprit.
After numerous surgical repairs and no sound explanations regarding the mechanics vs. the over-demands that caused these injuries-you have brilliantly and clearly put it all together.
There are some motions we are just not supposed to repeat more than that which is absolutely necessary let alone constantly pushing to and past the limits of the joints' natural design. Know your physiology and it's limits.
Glad the video was helpful to you!
As a veteran of 5 left shoulder surgeries, I would like to thank my SLAP tear for starting out my career as a "regular in surgery" at the ripe old age of 22. Surgery 1) SLAP lesion repair. Surgery 2) SLAP lesion and rotor cuff repair. Surgery 3) another rotor cuff repair and Bicep tenodesis surgery. Surgery 4) another SLAP lesion tear repair. Surgery 5) if I remember correctly, it was a rear shoulder stabilization and some 3 anchors drilled into the cuff to tie down something something. If I can give any advice to anyone needing to go for surgery... do it... and 100% ask for the nerve blocker. It's the best thing you can do to save you from experiencing the worst pain of your life. Unfortunately my specialist said, next surgery will have to be a shoulder replacement.
I'm wondering what exercises we can do to prevent SLAP tears and to increase stability for the shoulder joint itself?
and stretching advantages and or examples?
Here a video in Italian, three excercises are described and you can see how to perform them, then I'm sure they are available on English m.czcams.com/video/o0Q4QWyEz2M/video.html
I remember learning the glenohumeral joint for the locomotor exam. Personally I always found it easier that the coxofemoral joint or the knee joint (ufff honesty the meniscus & internal ligaments were the easiest part of this joint; but men those external ligaments drained my life force!)
Can you discuss the condition that is Frozen Shoulder and maybe how to correct it? Thank you! LOVE THIS CONTENT!
Really thorough video, congrats. I had a type 2 slap tear from playing tennis & baseball. Poor technique and lack of conditioning probably played a huge role in it. I didn't know what the rotator cuff was, let alone train it properly. It was surgically repaired, but again i didn't learn from it and condition my shoulder properly. Well, a few years later i found out i had a 2mm tear in my infraspinatus tendon. Looking back, training those muscles, especially eccentrically, would have probably helped prevent these injuries.
Of all your videos this one was a little complicated but my shoulders were listening intently. When mine start hurting from all the way in the back down to the arm it’s time to break out the pain meds and muscle relaxers for a few days , right shoulder is the most vulnerable . I really appreciated seeing all the muscles and tendons that hurt.
Excellent breakdown.
I had an ALPSA lesion from multiple dislocations throughout my life. The surgery was the most painful shit ive ever been through, but I have stability once again. My shoulder doesnt have 100% ROM and sometimes it aches, but hopefully I'm good for a while. It's so funny to see you cover my super niche injury. Also, thanks to the donor because this is the first time I've been able to fully understand and visualize my injury
I tore my labrum about 3 years ago. I didn't fall on an outreached hand, but I was playing flag football, had my hand reached out, coming down in an almost similar fashion as throwing a baseball, I was coming down on the ball while the quarterback was throwing it. Busted my shoulder good.
Personally I had very little throwing experience, or any other chronic use of my shoulder in that same sense. But it was quite the impact
10:40 ~ That's what happened to my right shoulder, full tear of the Scapula, just simply fell out of bed and it ripped my arm back and around. The should was completely out of socket. I was just groggy enough to use the bed to reseat the shoulder, and now in partial shock I went back to sleep. Woke up to not being able to use my right arm for anything. Then massive bruising of the shoulder and ribs came about within a few days. That's when I went to the doc and found out I had a full scapula tear that needed surgery very soon. It was life changing as the surgery partially failed and left me with a right arm that cannot take more than a few pounds of weight lifting up. Even after two years of physical therapy. Different muscle groups atrophy very fast...all this from one fall while sleep walking and getting caught up in the bedsheets and falling backwards. The injury not being job related and me being an honest person, made for a career and life changing event for the much worse.
As a paraglider pilot suffering from frequent shoulder subluxations, this is such a timely video for me and the clearest breakdown of the shoulder I have ever seen.
I have been struggling with recurring shoulder instability every since 2016 when I tripped and caught myself with an outstretched hand. My shoulder momentarily subluxed and has continued to sublux at increasingly frequent rates over the past several years - usually when extended behind and/or above me, but usually just behind (think picking up a backpack from the backseat of a car). I’ve probably had several dozen subluxations in the last few years.
I got an MRI a few months ago and was told I do not have a rotator cuff tear, but I do have what the doctor referred to as a patulous shoulder capsule and a hypoplastic labrum (glenoid?). My doctor suggested that I will likely need an arthroscopic capsulorrhaphy to resolve the issue long-term.
Do you have any additional insight around the efficacy of such operations and/or hypoplastic labra? I have found it difficult to find clear information online and I’d like to avoid surgery if possible, but the doctor seemed skeptical that physical therapy alone will solve the issue.
Thank you in advance!
I can solve it with exercises.
Or u can do isometric /static contractions of all rotator cuff and trapezius.
I have a full slap right now. Have been treating for an year. Two doctors wanted to open it and operate. Thank God a third expert chose conservative treatment and I am at 80% recovery now without surgery.
Thank you for shading light on this intersting topic. I suffered from shoulder injury due to a traumatic fall while playing soccer 10 years ago. Never dygnosised the injuri at that time. But last summer I had a tear in what you clearly metionned as the Supraspinatus, during a bench press workout. As you emphasized in the video, its kind of hard to locate the pain, I was diagnosed with ACJ tendinesis while the real injury was in the scapular part knowing that both parts tightly are connected. When you face such kind of injuries all of your shoulder is in pain. Now I feel better but not fully recovered, so make sure to locate main injured part of your shoulder, before you engage the healing process.
I CANNOT get enough of your channel - your presenters are so so good at instruction and so watchable - thank you!
I think I finally understand why my shoulder hurts so much. After many many hospital visits and doctors telling me its just my hypermobility causing the pain. But I just did not believe that, because why only my right shoulder hurts so much because of it.. Always have thought that was strange, but they kept sending me home telling me to get rest. Have been living with the pain for almost 20 years now and kinda got used to it and learned to live with it. But this information seems so accurate on what I have been experiencing for all those years. I will look into this more.
Thank you so so much for understanding my body better! ❤
I have to take the USMLE test. I love this channel because I'm taking ESL classes and this program is helping me a lot.
Fascinating video! I've been interested in the shoulder joint since I dislocated mine when I was 19! I've learned so much throughout the past 15 years about the structure of glenohumeral joint but this video is extremely clear and instructive! Thanks a lot!
OMG i commented on ur shorts a few days ago that i had slap tear and wanted to learn more about it and heres a video, im so happy! thanks a lot!
Great Video. Very insightful. You did not mention what the mechanism of surgical repair is. IE How do they reconnect torn labrum? With stitches? Staples? What method binds it together. Or at minimum, what do the surgeons think they are doing by intention. From reading the comments it appears to be a very unsuccessful type of surgery.
I enjoy weightlifting for strength and recently got into playing squash on weekends as a way to get some cardio in. However, it puts too much strain on my right shoulder and gives me nagging pain that transfers to poor weightlifting performance and form, so I decided to focus on just weightlifting as it doesn't give me pain and helps to build muscles on both shoulders more equally. Now I perform better at weightlifting although it's a shame I can't enjoy squash as much as I wish I could.
I had 2 SLAP tear injuries to the same shoulder, one year apart in 2007 and 2008. The 1st injury happened when I snatched up a heavy bag of groceries. The 2nd time happened when the power steering failed in my car and I wasn’t careful when attempting to turn the wheel. My orthopedic surgeon faulted the 1st therapist for a failed rehab. After he repaired my arm the 2nd time, I was sent to a therapist who was excellent.
The injuries effectively ended my ability to backstroke while swimming, which was my favorite.
I'm dealing with shoulder issues now, have for the last 11 months. I think I hurt my shoulder in October when my thick head convinced me I could move all my stuff into my new place by myself....should have asked for help...but I didn't want to have to wait around for other people to help. Anyway, I've had 2 steroid shots, they helped for about a week each time. I've had one round of physical therapy, but that made my shoulder hurt worse, not sure if that's normal or not. I'm waiting for my second round referral to go through....
It's all aggravating because I can barely hold a 2 pound bottle of water straight out, I used to be able to carry a 20pound box of cat litter with each arm. And during PT I could see a huge difference in how much I could move my good shoulder vs my bad one.
Thank you for doing this video, my PT explained some of this, but you went more indepth than my PT could because obviously, I wasn't his only client.
I hope my shoulder does improve because not being able to use it like I'm used to is annoying. Also I miss sleeping on my right side (hurts my shoulder to do so) also I'm right handed, sooooo...
Thank you for being thorough
I just want to say thank you guys for all your hard work! Your videos have helped me so much through PTA school! I am so grateful for your fun, easy to understand, informative videos! Thank you again! 😁
Great video--explanations and diagrams both!
Excellent biomechanical analysis
thx to this chanel did i take the step to donate my whole body to the university hospital in Umeå Sweden and the reason i feel my body would be a good body for education is because i have a rare type of cancer which is spinalcord cancer where the tomur is groving inside the spinalcord and when i got this when i was 8 there was 3 recorded patiens in Sweden that have ever had it and to todays date 30 years later its still 3 so i felt that the chances for them to ever do a real deep dive in to a body with this type of cancer was slim to none so i hope that i will be doing one good thing in life atleast.
Wow! Thank you for your generosity! Donating your body is such a wonderful gift.
Thank you, CZcams algorithm for hearing my pleas and watching my search and of course IHA for continuously giving
Very appreciative of this video!
Last year I dislocated both of my shoulders at different times, it is really helpful to see the actual anatomy.
I love all of these videos. I even use some of these for my sports first aid class! Any chance you guys could do a video on MTBI or CTE? That would be absolutely amazing!!
I tore the labrum in my right shoulder carrying a heavy tool bag upstairs last August. It slipped off my shoulder and yanked it downward. Supposedly the tear wasn’t bad enough to need surgery but I’m beginning to think otherwise. It got better for a while with physical therapy but now it feels like I re-injured it.
Really good video to fully understand and see the injury. I’ve just had arthroscopic surgery 7 weeks ago to repair an 11 to 6 tear that happened about 5 years ago from hitting the water with an outstretched arm
You guys are great! You get technical , but still keep it Lehman understandable. Thanks! Wish there was like a video on running through the reasons to get surgeries now or later. I have a friend with this and she is avoiding surgery, in horrible chronic pain. So, it seems difficult at what is the worse evil: hoping surgery recovery is on track…or chronic pain and no arm use that offsets the other side. My other friend got the knee replacement (football and arthritis) and now has delayed recovery and thinks he made a mistake since his knees only hurt a couple times a month and had some limited mobility, but now he’s saying it’s all worse. I just had my torn hip labrum done and bursitis trimmed (other side to be done shortly) and glad I did it because I can see a difference, but heavily weighed on a factor that this surgery would hopefully prevent hip replacement (though I guess too soon statistically to confirm) and if I’m already in pain and don’t do surgery, the alternative is to I then live for however many years in increasing chronic pain until labrum fully tears off /disintegrates and hip replacement? I kept being told to wait until I’m 65 or 70…so, I’m gonna live for20/30 years in chronic pain while the rest of my body parts gets new ailments because other they compensated? It didn’t seem to make sense emotionally or cost wise.
i wish they’d do a video on hyper mobility, my shoulders are hypermobile and it’d be interesting to see exactly how that works :)
Loved it, answer questions about my son's injury.
Thanks so much for this video. Great insights to what shoulder injuries are and how they can occur.
Rivising Anatomy like never before because of your awesome channel✌️
Great video. Very, very educational even for a Science Major educator......Thank you...
The only one of these I have rehabbed ended up very disappointed that he couldn't return to his full ability as a massage therapist. Not sure but I think he ended up opting for arthroscopy in the end even though he was avidly against it in the beginning. He improved to about 90% functionality and most pain was gone but he just didnt feel that it was enough. Thanks for all you guys put out!
Bro I NEEDED this episode. So excited to watch it. I’ve been having shoulder and lower back injuries lately.
I’m glad I watched this and will try some rehab
Thank you again for your indepth and insightful content. This one hit closer to home since I recently(over month) experienced cloe to the 15th time of shoulder dislocation since its first incident back in '03. Even wrestling with my 1yr son after changing his diaper was doing too much. leading to my dislocation, when I reached for the pillow we were tossing at one another and I had him like a lumberjack carrying a 🪵 over the shoulder. On my way back up still holding on to him, I feel immediate immense pressure within the vacuum seal region of my rotatorcuff and felt the release of the ball-and-socket and fell backwards suplex style on the bed and he landed on the pillow started to cry alittle and am just thankful I didn't drop him due to it dislocating fully while standing up. Thank you gentlemen again for all the insightful content about the wonderful human anatomy. 💪🏾
This was fascinating. Ending up with a rotator cuff and labrum tear from a straight arm fall at work (which ended my career as a floor nurse), it was helpful to have a better understanding of what occurred. Thanks for the information.
Thanks for the video. In totally help me in making a decision on how to treat my shoulder pain
Thank you this was a very interesting and engaging video!
yeah, I know a couple friends that have had labrum tears & got surgery
Thank yoh so much for this!!
I had my shoulder dislocated 7 times during hard sparrings(martial arts) and each time I tgough that was the excrutiating end of my sanity. No doctor has ever explained this clearly. Your video does!!!
Thank you for such a thorough video on this subject! My mom had a fall a few years back and is in chronic pain with her right shoulder and both wrists, so I'm trying to figure out anything I can to help alleviate the pain and improve her quality of life. I think she has a type 3 slap tear, but I could of course be wrong. But ideally this information can help :)
Thankyou for making this 😢😢 i unde gone a shoulder surgery abs yet not been able to recover complete range of motion
I had a SLAP (Superior Labrum Anterior-to-Posterior) tear injury about eight months ago. It sucked. I was lifting weights like normal and my labrum gave out where the biceps tendon connected. Surprisingly, it wasnt that painful. My shoulder ached and had limited mobility. I could also feel something moving in the joint that shouldn't be.
Sadly, during the surgery, they discovered arthritis twice as advanced as expected at my age. I've been getting annual (synthetic) sinovial fluid injections to help offset that wear and tear.
This video was well tines for me. I currently have a SLAP tear and am awaiting surgery.
Thanks for the explanation. My shoulder hurt like hell while watching this video. But at least I understand that pain a little better now.
Thank you for this good video.best ever I have seen.
Eccentric biceps injury is the crux of it.
Rather than concentric am using isometric exercises very effectively and helped plenty of patients to avoid surgeries.
But many a times reports are false positives where cause of pain lies in cervical spine.
Kindly describe role of Trapezius on shoulder movements and its stability.
Would it be possible to do a video like this about the hip? I just discovered your channel and I love it!
It would be very educative if you had something for shoulder impingement, that is a hard one to understand too and I have it, and it is a very very common condition of the shoulder amongst athletes.
Your videos are so well timed, I got this like 2 weeks ago
Yeesh! Sorry to hear that! Best of luck to you
This is like a top 3 best youtube channel
This is very informative. I dislocated my R shoulder 12 months ago after tripping over. It still aches but I have a good range of motion.
I do kickboxing and I punched too hard, too fast and missed target. That caused the shoulder capsule to expand beyond its normal size and lots of fluid build up. I did not realise this for months. I feel like I should've been in way more pain than I was... Surgery solved it, but I definitely can tell permanent damage has been done.
I’ve had shoulder surgery after tearing my labrum; It’s never been the same since and I still have constant pain. Throwing an object hard is out of the question for me and I’ve always been very athletic. FML.
A common story among athletes, but heartbreaking to hear nonetheless
I'm really sorry to read that! I hope, you'll get better - perhaps with more physical therapy? If I may ask, how much time has passed since your surgery and how old were you back then?
@@theanatomylab When I die I'm donating my body to you guys so you can figure out wtf happened with my surgery. Just do a video and make sure you namedrop me.
Hi, please do preparation of hip diseases, surgical treatment and such.
I love this channel. So much.
I'm 15 , i had undergone for a right shoulder surgery for bankart repair + remplissage . Now its been almost four months, but still i have having severe pain in my shoulder, and discomfort mostly while sleeping. It's my request i just want to get to know more about hill sachs lesion and type V slap tear with bankart lesion .
Excellent video! I am fortunate enough to have SLAP tears on both of my shoulders. One from work and one from falling off a bike. Since they happened years ago I have adjusted and I subconsciously avoid painful movements. My coworkers are still pulling my leg though.
I have heard mixed results from surgery. I am still hesitating. If it gets really bad though, my friendly orthopedist grabs a long needle and injects something in the middle of the joint. That's a relief for a while but he always tells me this is the last time...
More shoulder videos please!
I had a SLAP tear a few years ago in my right shoulder from falling down the stairs..worked for 3 months in pain before it was found..2 anchors and a 2-3in detachment and 3 tiny incisions.
Didn't have a SLAP tear but I dislocated my shoulder out the back way. (I remember a distinct pop) Tore off the rotator cuff and some other damage. Had surgery to reattach that and repair the other things. They also relocated my bicep tendon(s?). That explains all the fluid in my arm a few days after my shoulder surgery and why it took SO LONG for things to heal. A lot going on in there! 2 years after its finally feeling pretty good.
I pretty much destroyed my shoulder in a dirt bike accident at age 15. My bike hit a tree at around 70mph, and I flew over the handlebars. I missed the tree and flew about 30-40ft and came to a stop when my shoulder hit a set of stairs built into the hill. Among my many injuries, I shattered my shoulder socket and cracked my scapula in half. The tendons caused the top half of my scapula, the remains of the socket, and my collarbone to press upward. The weird thing was that it didn't hurt at first. I remember the insane forces on my body when it hit the stair and flipped through the air. It was like being in slow motion, and I remember thinking there's no way I'm not going to be severely injured from this. I got up and took off my helmet and gloves, and then ran to the house to get my mom. She was checking me over, still no pain, and she noticed the collar bone pushing up into my skin from the inside. As soon as I looked at it, all the pain hit me at once. It was definitely some of the worst pain I ever experienced.
The surgeon tried to screw the socket together, but it was shattered so badly he couldn't use screws without the bone fragments breaking. He changed course mid surgery and created a steel mesh to hold the shards of bone in place.
Afger only about three months, I almost fully recovered. I'm 46 now and have had absolutely no pain and almost perfect range of motion since recovering. My scapula is still in two pieces, but other than the nasty surgical scar, you'd have no idea what happened.
That's crazy!! Sounds like good surgeon and body able to do what it does best- heal!
During my teenage years (around 16yrsold) i had this labrum tear injury in the most inexplicable way but, it surely changed my life for the worst! By the time of the first dislocation to the surgery i had in total 20 dislocation from wich 4 were during my sleep! It sure was a struggle as i was a very active teen and loved to compete and give my 1000%. This injury took took it all from me and to this day (26yrsold) i feel the limitations and discomfort from the surgery. Sports such as volley ball, hand ball and boxing in wich i competed are forever gone, and even if i could practice again, the trauma and pain it caused me makes me fear another injury, so i turned over some different sports… my surgeon told me that usually they put 3 points of anchor into the labrum and the surgery is about 3 hrs to be completed. In my case when the surgeon opened my shoulder they had to put 6 points of anchor due to high dmg and the surgery lasted 6hrs.
Most challenging time in my younger age for sure!
Wow!
Very well explained.
Thank you for the in-depth explanation! My GH’s were bilaterally malformed neonatally, so that the glenoid fossa’s undulated and the humerus heads were flattened rather than round. It feels like the cogs of a funicular car/train or the teeth of a ratchet. Osteophytes have formed, which cause very sharp pinching sensations at times; I suppose if through movement they interact with a nerve.
One day, I was doing push-ups. On the third push-up, something gave. I was unable to move my right arm away from the side of my body without searing pain for a couple of months, which is when I found out about the mangled joints, (since both shoulders were x-rayed.) An arthroscopy found a tear in the right shoulder. I have been told there is no “fix” for my right shoulder except to have a replacement, which I should hold off having as long as possible-until I can no longer tolerate the pain. Subsequently my left labrum incurred trauma and is also torn. I suppose this is the pre-existing situation alluded to that can set things up for labrum tears, eh?!
It has been about 25 years since the last time I have done a push up! However, physical therapy helped get my shoulder moving again, but there is some loss in range of motion. So far, surgery has not been put on the table again. (fingers crossed)
I learned a great deal about my shoulders today. Thanks again for your fabulous teaching!
The vehicle of the soul is just amazing ❤
Thanks a lot for this video! Super interesting! I've had a SLAP III type tear on my labrum and got a biceps tenodesis surgery to fix it (where they cut and reattach the long head of the biceps tendon from the labrum to the humerus head). The terrible pain at my labrum is gone, but now I have daily struggles with pain at my AC joint and where the tendon was reattached. And it's been 1.5 years after surgery... I was 36 at time of surgery with a very good condition of the shoulder otherwise.
Just be careful people with your shoulder. There's no going back to normal...
Damn, so are you reluctant that you got the surgery?
@@uioxk I can't say that either. As the pain from SLAP tear was unbearable at certain movements. E.g. trying to catch something as a reflex or at sports I would do a random move and I'm crying out in nauseating pain for 10-30 mins. After that, the pain is gone and I can have zero pain for days. But these episodes also prevent you from enjoying live, as does constant, much less pain that I feel now. So neither is great...
Great video!
Nicely presented! Great content…
✊🏽
Very interesting video with lots of good information as I am facing rotator cuff tear surgery soon. Thanks for the really great info. Pretty sure it was a fall on a back stretched arm which also fractured my wrist
Did you have the surgery yet? I have to have surgery on a rotator cuff tear too.