Glenoid Ligament Tear with Capsular Detachment

Definition:
An injury to the glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity) where the labrum detaches from the glenoid fossa.
Purchase 3 Phases

Symptoms
  • Pain, usually with overhead activities
  • Catching, locking, popping, or grinding
  • Occasional night pain or pain with daily activities
  • A sense of instability in the shoulder
  • Decreased range of motion
  • Loss of strength
Causes
  • Falling on an outstretched arm
  • A direct blow to the shoulder
  • A sudden pull, such as when trying to lift a heavy object
  • A violent overhead reach, such as when trying to stop a fall or slide
Treatment
  • Period of immobilization in a sling
  • Passive ROM to the shoulder, then progress to active ROM
  • Posture program
  • Shoulder stabilization exercises
  • Upper extremity strengthening
Glenoid Ligament Tear with Capsular Detachment Phase I

Purchase Phase

  • Table Slides
  • Child Pose
  • Passive Ir Reach
  • Passive Shoulder Abduction
  • Passive Er With Stick
  • Scap Squeezes
  • T Band Wall Push W ER
  • Prone Rotator Cuff Circuit

Glenoid Ligament Tear with Capsular Detachment Phase II

Purchase Phase

  • Push Up Hold Top
  • Down Dog
  • Single Arm Push Up Holds
  • Shoulder Ext Rot Scap Plane 90 Abd
  • Hummers

Glenoid Ligament Tear with Capsular Detachment Phase III

Purchase Phase

  • Push Ups
  • Hummers
  • Sumo Flies 3 Positions
  • Wall Slides
  • Prone Rows
  • Single Arm Push Up Holds
  • Push Up Hand Fire