Treatment for a Shoulder Labrum Tear

Diagnostic Approach

• Initial evaluation should include standard radiographs with at least three views: anteroposterior (AP) views in internal and external rotation and an axillary or scapula-Y view 1, 3
• MRI without contrast is appropriate for suspected labral tears with negative or indeterminate radiographs 4
• MR arthrography is considered the gold standard for imaging labral tears, particularly in patients under 35 years of age 5
• CT arthrography may be appropriate if MRI is contraindicated 5

Treatment Recommendations

• The American College of Radiology recommends that the treatment for a shoulder labrum tear should begin with conservative management, including physical therapy, activity modification, and anti-inflammatory medications, with surgical intervention reserved for cases that fail to respond to non-operative treatment 1, 2

Common Pitfalls to Avoid

• Failing to obtain adequate imaging can lead to missed diagnoses 6
• Overlooking associated injuries, particularly in traumatic cases 6