Torn Labrum (shoulder)

[loki71]

I have a Labrum tear (MRI conclusive) and have dislocated my shoulder twice. In fairness, the second dislocation -hockey incident- would have dislocated my other arm if it happened on that side I'm convinced. I was just unlucky and happened to dislocated the same arm. I went to PT after the first dislocation and had great success. It's only been 12 days since the incident and I already have regained 90% ROM and feel my strength coming back. My question is... if I feel okay do I absolutely need surgery? As suggested by one ortho specialist in my area already. I'm just not sure I agree with his prognosis. I know my body and feel confident I can regain full ROM and at least pre-incident strength through another round of PT. I have also heard that PRP or prolotherapy can help rebuild this specific tissue.

[loki71]

Okay, thank you for the reply Dr. Kaul! Isn't every patient different though and wouldn't it really depend on their age, dedication to PT and activity level?

Do you know if PRP or prolo can help this cartilage repair itself?

If you strengthen the muscles around the shoulder as much as possible would that provide enough stability to, say, fall with your arm outstretched, or participate again in physical activities (contact sports)?

Thanks

[S. Kaul, MD]

Hi there!

Well, surgery is not absolutely required but recommended after a second dislocation. With a second dislocation the chances of recurrent dislocation increase and the prognosis suggested by the orthopedician is not his personal opinion but a standard protocol followed for labral tears. Though you could avoid the surgery this time, with a third dislocation it would be highly recommended.
Hope this is helpful.

Take care!