How do you fix a labral tear

In this video, Dr. Grant H. Garcia outlines the indications and surgical techniques used to repair a standard labral tear in the shoulder.

Here is a summary of the core points he discusses:

• When to Opt for Fixation: For athletes who have experienced their second or third shoulder dislocation, surgical fixation is highly recommended. Dr. Garcia notes that clinical data shows a significantly higher risk of accumulating deeper, long-term joint damage if a person continues to play sports with an untreated labral tear.
• The Repair Concept: To fix a simple tear, the surgeon physically elevates the detached labrum (cartilage ring) to prep it for reattachment back onto the bone socket.
• Advanced Surgical Technology: Dr. Garcia highlights his use of modern, ultra-small anchors from Arthrex. Measuring just 1.7 millimeters—roughly the size of a pen tip—these knotless anchors allow for precise and secure cartilage reattachment without the added bulk or irritation of traditional surgical knots.
• Evolution of Techniques: While some newer medical studies advocate for even more advanced reconstruction techniques, he emphasizes that a standard, isolated labral repair using these precise knotless anchors remains a highly effective option for many patients.