Scholarlink

Purpose of Review <p>Glenoid labral tears account for more than 10% of surgically managed shoulder injuries and are classified and managed depending on location, mechanism, associated bone loss, and patient-specific risk factors. The purpose of this review is to examine the current literature on the evaluation and management of labral pathology with associated glenohumeral instability, with a focus on rehabilitation and return to sport.</p> Recent Findings <p>While the management of anterior labral tears has historically been emphasized, recent studies demonstrate that posterior and combined capsulolabral injuries are more common than previously recognized. Advances in management include reduced time to surgical treatment, lower thresholds of critical glenohumeral bone loss, evolving surgical techniques with both bony and soft tissue reconstruction, as well as personalized rehabilitation protocols with a focus on periscapular and rotator cuff strengthening. Operative stabilization demonstrates superior outcomes compared to nonoperative treatment, especially in high-risk patients (e.g young age, contact sport participation, hyperlaxity). However, recurrent instability remains a persistent problem, necessitating a comprehensive approach to management in order to optimize outcomes.</p> Summary <p>Optimal functional outcomes&#xa0;in&#xa0;managing labral tears&#xa0;require&#xa0;a multifaceted, patient-specific approach.&#xa0;Treatment decisions, rehabilitation protocols, and return to sport testing should consider&#xa0;individual&#xa0;risk&#xa0;factors,&#xa0;account for combined pathology&#xa0;and&#xa0;bone loss, and&#xa0;consider&#xa0;psychological readiness to prevent recurrent instability and&#xa0;optimize&#xa0;long-term&#xa0;outcomes.&#xa0;</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Management of Labral Tears Associated with Glenohumeral Instability in Athletes

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月19日

查看全文
  • Mina Entessari,
  • Azra N Dees,
  • Sarah E Watson,
  • Dyrian D Wandick,
  • Brian R Waterman

摘要

Purpose of Review

Glenoid labral tears account for more than 10% of surgically managed shoulder injuries and are classified and managed depending on location, mechanism, associated bone loss, and patient-specific risk factors. The purpose of this review is to examine the current literature on the evaluation and management of labral pathology with associated glenohumeral instability, with a focus on rehabilitation and return to sport.

Recent Findings

While the management of anterior labral tears has historically been emphasized, recent studies demonstrate that posterior and combined capsulolabral injuries are more common than previously recognized. Advances in management include reduced time to surgical treatment, lower thresholds of critical glenohumeral bone loss, evolving surgical techniques with both bony and soft tissue reconstruction, as well as personalized rehabilitation protocols with a focus on periscapular and rotator cuff strengthening. Operative stabilization demonstrates superior outcomes compared to nonoperative treatment, especially in high-risk patients (e.g young age, contact sport participation, hyperlaxity). However, recurrent instability remains a persistent problem, necessitating a comprehensive approach to management in order to optimize outcomes.

Summary

Optimal functional outcomes in managing labral tears require a multifaceted, patient-specific approach. Treatment decisions, rehabilitation protocols, and return to sport testing should consider individual risk factors, account for combined pathology and bone loss, and consider psychological readiness to prevent recurrent instability and optimize long-term outcomes.