Arthroscopic Labral Tear Repair (Shoulder)
A minimally invasive procedure to repair a torn shoulder labrum and improve stability
Labral tear repair involves reattaching or repairing the damaged labrum using minimally invasive arthroscopic techniques.
Common Reasons for Surgery
- Shoulder instability following trauma, such as a dislocation.
- Overuse injuries, particularly in athletes or individuals performing repetitive overhead motions.
- Pain, catching, or locking sensations in the shoulder joint.
Goals of the Procedure:
- Stabilise the shoulder joint to reduce the risk of future dislocations.
- Alleviate shoulder pain and discomfort.
- Restore mobility and improve overall shoulder function.
Preparation for Surgery
Proper preparation is essential for optimising surgical outcomes and recovery.
Steps in Preparation:
- Pre-Surgical Consultations and Imaging:
- Dr Ben McGrath will assess your shoulder using physical examinations and imaging techniques such as MRI or X-rays to confirm the labral tear.
- Optimising Your Health:
- Prehabilitation exercises may be suggested to strengthen the shoulder.
- Lifestyle modifications, such as maintaining a healthy weight and smoking cessation, may improve healing.
- Pre-Surgical Instructions:
- Follow fasting guidelines and adjust any medications as directed.
- Plan for transportation and assistance during your recovery period.
What Happens During the Surgery?
Labral tear repair is performed arthroscopically, using small incisions and specialised instruments.
Surgical Steps:
- Anaesthesia:
- The procedure is conducted under general anaesthesia to ensure comfort.
- Repair Process:
- A small camera (arthroscope) is inserted into the shoulder joint to visualise the damaged labrum.
- Special instruments are used to reattach the torn labrum with sutures or anchors.
- Closure:
- The incisions are closed with sutures or adhesive strips, and a dressing is applied.
The surgery typically takes one to two hours, depending on the severity of the tear.
Understanding the Risks
Labral tear repair, like all surgeries, carries some risks, which are minimised with proper care and expertise.
Common Risks:
- Pain or swelling in the shoulder.
- Stiffness or reduced range of motion during early recovery.
Rare but Serious Risks:
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Persistent instability or pain despite the repair.
Dr McGrath will provide a comprehensive explanation of the potential risks during your consultation.
What to Expect After Surgery
Immediate Post-Operative Care:
- Pain management with prescribed medications.
- Use of a sling to immobilise and protect the shoulder.
- Follow-up appointments to monitor healing and progress.
Discharge Instructions:
- Guidelines for wound care and medication use.
- Specific instructions on using the sling and avoiding certain movements.
Rehabilitation and Recovery
Rehabilitation is crucial to restoring shoulder strength and mobility after surgery.
Recovery Timeline:
- Early Recovery (Weeks 0–6):
- Focus on protecting the repair and minimising movement.
- Begin passive range-of-motion exercises under guidance.
- Strengthening Phase (Weeks 6–12):
- Gradual introduction of strengthening exercises to rebuild stability.
- Avoid activities that place undue stress on the shoulder.
- Functional Recovery (Months 3–6):
- Gradual return to regular activities, including work and sports.
- Progress monitored and adjusted by your physiotherapist.
Long-Term Outcomes
Labral tear repair is often recommended to stabilise the shoulder and reduce symptoms such as pain and instability.
Expected Improvements:
- Reduced pain and discomfort.
- Enhanced stability and reduced risk of further dislocations.
- Restored range of motion and improved shoulder strength.
Maintenance of Results:
- Adherence to prescribed rehabilitation programs and physiotherapy.
- Avoiding activities that may overstrain the shoulder during recovery.
- Regular follow-up consultations with Dr McGrath to ensure optimal healing.