Case Study: A 360 Degree Glenoid Labral Injury
Dr. Kirk Brumels; Professor Meg Frens
360 degree glenoid labrum surgical repair is a very rare surgical procedure. This case study will follow a specific case of a Division III collegiate football player. It will delve into the specific case of the football player tearing his glenoid labrum 360 degrees and the entire process of his injury and rehabilitation. The glenoid labrum surrounds the glenoid fossa and creates a more stable glenhumeral joint, as well as the attachment site for the capsular ligaments of the glenohumeral joint capsule. There are three main types of injuries to the glenoid labrum: (1) a SLAP lesion, which is a tear of the superior aspect of the labrum, (2) a bankart lesion, which is a tear of the anterior, inferior portion of the labrum, and (3) a reverse bankart lesion, which is a tear of the posterior aspect of the glenoid labrum. A 360 degree glenoid labrum tear is a very rare pathology and surgical repair. It is a tear of the glenoid labrum around the entire glenoid fossa. We decided to follow this pathology to learn more about the specific surgical and rehabilitative process that is involved with a 360 degree glenoid labral tear. We followed the specific case starting the day of injury and going through the diagnosis of the injury, the surgery, and the rehabilitation following the surgery. This specific pathology helped us learn: (1) about the diagnosis process of a glenoid labral tear and how hard it is to see the severity in MR arthrogram imaging, and (2) the type of rehabilitation process that is involved with this type of pathology.
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