York, ME (207) 363 3490 | Portsmouth, NH (603) 431 1121

20Hip Care
10Hip-Conditions and Injuries
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Deep Gluteal Space Syndrome
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
10Hip-Treatment and Surgeries
Gluteal Repair
Labral Debridement
Labral Reconstruction
Labral Repair
Psoas Release
Trochanteric Bursa Debridement
33Knee Care
13Knee Conditions and Injuries
ACL Tear
Cartilage Injury
Discoid Meniscus
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteochondritis Dessicans
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
20Knee Treatment and Surgeries
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Medial Patellofemoral Ligament (MPFL) Reconstruction
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Knee Replacement (MAKO)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Total Knee Replacement (MAKO)
20Shoulder Care
10Shoulder-Conditions and Injuries
AC Joint Injuries
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
10Shoulder-Treatment and Surgeries
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement


The labrum is a triangular soft tissue structure that surrounds the socket (glenoid) of the shoulder, acting like a bumper. The labrum deepens the shoulder socket, which provides additional stability to the shoulder joint. The long head of the biceps inserts adjacent to the labrum on the top of the glenoid. The labrum is usually damaged following an injury or trauma to the shoulder joint. Superior labral tears (SLAP tears) are most common in competitive throwing and overhead athletes, such as pitchers and volleyball players. However SLAP tears can also occur in patients who overload the biceps/labrum complex with work (e.g. a lifting injury) and in recreational athletes. Labral tears on the front of the glenoid (anterior labral tears or “Bankart” tears) occur most commonly during a shoulder dislocation.


  • A sense that the shoulder may dislocate
  • Weakness/pain with throwing
  • Pain with rotating the shoulder or lifting

Diagnosis And Treatment

Dr. Welch considers each patient’s symptoms, as well as a detailed physical examination and x-rays to make the diagnosis. Dr. Welch usually orders an MRI if he is concerned about a labral tear. Patients who sustain superior labral tears (SLAP tears) often recover with a targeted physical therapy program. Other non-surgical options include guided injections (such as a steroid injection) and activity modification. In those patients who do not recover with physical therapy, Dr. Welch may recommend surgical intervention. Surgery involves either repair of the torn labrum or release of the biceps insertion on the labrum and re-insertion of the biceps into the humerus bone (biceps tenodesis). High-level athletes typically require surgical repair of a SLAP tear in order to return to competitive play.

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