Shoulder Labrum: Episode 47

Lets start with what the labrum is and does. It is a cartilaginous soft tissue that helps to deepen the relationship between the humorous and the glenoid. The bones that make up the shoulder joint. The bones have a relationship similar to a golf ball and tee, except they are at an 80-degree angle to each other. To keep the bones from falling away from each other the labrum, ligaments and muscles work together to hold them in place. When we see shoulder labrum issues we are usually talking about a SLAP tear. This is an acronym that stands for Superior Labrum Anterior Posterior. This potion of the labrum is where the long head of the biceps brachii attaches. The biceps will tug on the labrum and in bad cases pull the labrum off the bony glenoid. This can result in pain, clicking, loss of ROM and changes to function. Or there can be very little issue. The most common causes of labrum injury are traumatic, usually dislocation or participation in throwing and other overhead sports. Imaging, typically with contrast can be helpful in seeing a tear however, physical examination is very good at determining if a probably tear exists. The most common special tests: Apprehension with Relocation, Load and shift, Sulcus sign, Crank test, and O’brien test. Symptom pattern is often pain referral by the axillary nerve into the deltoid and teres minor as well as pain in the long head of the biceps tendon. With audible clicking and feeling of instability.
Other episodes you might be interested in:

Shoulder Pain: Episode 4

Upper and Lower Extremity Posture: Episode 8

Rotator Cuff Injury: Episode 18

Imaging: Episode 45

Adhesive Capsulitis/Frozen Shoulder Syndrome: Episode 26

  • Adhesive Capsulitis and Frozen Shoulder Syndrome are similar in presentation but differ in onset, progression and treatment.

  • Big thank you to Becky and Dustin for bringing in todays Chips: Quillo – Jamon Iberico

  • Trivia question of the week: The Trojan War was fought between the Greeks and the Trojans. What modern day country would this have taken place in?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!




Today we are going over Adhesive Capsulitis a.k.a. Frozen Shoulder. Syndrome. And we are going to be reviewing the Quillo Jamon Iberico, which is Spanish ham chips compliments of Becky and Dustin. Thank you Becky and Dustin. It says here “patatas fritas premium”. Which we decided is probably fried potato premium. I would think so. So there is a picture on the bag of thinly sliced ham and I was really, really hoping that was what would be coming out of the bag. Just thinly sliced crisped fried ham. Alas. Yeah no it just looks like a potato chip. But we’ll talk about that later.


Adhesive Capsulitis a.k.a. Frozen Shoulder… Syndrome. You like the syndrome always. Yeah because I think its, its. There are two different kinds right. Oh sure. So when you look for sign and symptoms and they all kind of point in a certain direction we like to call them syndromes. Yes, syndromes are always kind of entertaining. Like iliotibial band syndrome (, patella femoral syndrome, pain syndrome, chronic fatigue syndrome. Good syndromes out there. Not to be confused with Syndrome from “The Incredible”. Syndrome he’s the kind of drone you would use to fly around the neighborhood and take photos with. Anyway, Adhesive Capsulitis.


Basically what starts to happen is your shoulder hurts so you don’t move it much any more and when you don’t move it much anymore it gets stiff. That’s one theory. There’s another theory that says it is an autoimmune disease and it causes an inflammatory reaction in your joint capsule and subsequently the joint capsule shrivels and becomes smaller and smaller causing pain and limited motion. That is jhust a theory. Its hard.


That is the same theory that says its predominant in white females, fair skinned, red-haired, aged over 50, which I don’t know why that would be. There could be a genetic component to some of this. It is true that if we see somebody who kind of fits that category and it’s an insidious onset, out of the blue. No surgery no trauma. Their shoulder starts to hurt and become extremely stiff there is a 90% chance that this will happen to the other shoulder.

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