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Labrum Tear vs Rotator Cuff Tear

Georgia Hand, Shoulder, and Elbow

Shoulder pain can be debilitating, affecting your ability to perform daily activities. Perhaps you are in this situation right now. If so, you may find comfort in knowing that a shoulder injury is quite common.

At Georgia Hand, Shoulder & Elbow, with offices in Atlanta and Marietta, GA, we specialize in diagnosing and treating rotator cuff injuries and labrum tears. Contact us today to schedule a consultation. 

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Understanding Your Shoulder Joint

The shoulder joint is a complex structure made up of the upper arm bone (humerus), shoulder blade (scapula), and the shoulder socket (glenoid). The cup-shaped rim of cartilage known as the labrum surrounds the socket, helping secure the arm bone in place. Meanwhile, the rotator cuff is a group of rotator cuff muscles and rotator cuff tendons that stabilize and move the shoulder.

What is a Labrum Tear?

A labrum tear typically involves damage to the cartilage that surrounds the shoulder socket. This injury often results from repetitive movements, trauma, or a shoulder dislocation. One common type is the Bankart tear, often seen after dislocation, while another is the superior labrum anterior to posterior tear, also known as a SLAP tear or superior labrum tear.

Labrum Tear Symptoms

The symptoms of a labrum tear can include the following:

  • Shoulder instability or repeated dislocations
  • Catching, locking, or popping sounds
  • Reduced range or loss of range of motion
  • Shoulder pain and weakness
  • Discomfort during overhead movements
 

What is a Rotator Cuff Tear?

The rotator cuff consists of muscles and tendons that stabilize the shoulder joint and help you lift and rotate your arm. A cuff tear or rotator cuff tear can result from sudden trauma or wear and tear over time. These rotator cuff tears often involve damage at the attachment site where tendons connect to the upper arm bone.

Rotator Cuff Tear Symptoms

Common symptoms of rotator cuff tears include the following:

  • Sharp shoulder pain, especially when lifting or reaching
  • Swelling and inflammation
  • A grinding or popping sound with movement
  • Muscle weakness or limited range of motion
  • Pain at night or when lying on the affected side
 

Causes and Risk Factors of a Labrum Tear

A labrum tear can be caused by the following:

  • Trauma from a fall or blow to an outstretched arm
  • Repetitive motions from sports like baseball, tennis, or golf
  • Shoulder dislocation or instability
  • Age-related degeneration
 

Causes and Risk Factors of Rotator Cuff Injuries

  • Falling on an outstretched arm
  • Aging and muscle degeneration (common in individuals over 40)
  • Jobs or sports involving repetitive overhead motion
 

Labrum Tear vs Rotator Cuff Tear: Key Differences

While both injuries can cause shoulder pain and similar rotator cuff tear symptoms, the underlying cause, tissue involved, and treatment options vary. A labral tear affects the cartilage rim, while a rotator cuff injury targets the muscles or tendons.

These injuries can present overlapping symptoms, so an accurate diagnosis is crucial.

Diagnosing Shoulder Injuries

An accurate diagnosis starts with a physical examination and review of your medical history. Imaging tools such as MRI or X-rays are used to distinguish between a torn labrum and a rotator cuff injury. These imaging tests help identify the location and severity of the tear and guide your treatment plan.

Treatment Options for Shoulder Injuries

Treatment of shoulder injuries depends on the extent and location of the injury.

Non-Surgical Treatments

Many shoulder injuries respond well to conservative approaches. Non-surgical methods to reduce pain and restore mobility include:

  • Rest and activity modification
  • Ice therapy
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy with a licensed physical therapist
  • Strengthening exercises to support the shoulder joint
 

Surgical Treatment

When conservative care fails or the damage is extensive, surgical treatment may be necessary. Arthroscopic surgery is a minimally invasive option used to repair both labrum tears and rotator cuff injuries. These surgical methods involve using a small camera and instruments to address damage inside the shoulder.

Returning to a Pain-Free Life

If you’re suffering from a labrum tear, rotator cuff tear, or aren’t sure which injury you have, don’t delay treatment. Early intervention improves outcomes and reduces the risk of long-term damage.

At Georgia Hand, Shoulder & Elbow, we’re committed to helping you regain function and live without pain. To learn more about shoulder injuries or schedule an appointment, contact our Atlanta or Marietta locations today.

Medically reviewed by

Dr. Harlan Starr, MD

Hand & Orthopaedic Surgeon

Hand & Orthopaedic Surgeon

Hand & Plastic Surgeon

Hand & Orthopaedic Surgeon

Hand & Orthopaedic Surgeon

Hand & Orthopaedic Surgeon

Hand & Orthopaedic Surgeon

Hand & Orthopaedic Surgeon