Posterior Labral Tear

A posterior labral tear involves damage to the back portion of the glenoid labrum, the ring of cartilage that deepens the shoulder socket. It is less common than anterior labral tears and often seen in overhead athletes, weightlifters, and those with posterior shoulder instability.

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Typical Recovery Time

4–6 months post-surgery for return to sport

Symptoms

•Deep posterior shoulder pain, especially with follow-through in throwing
•Pain with bench press or push-up activities
•Posterior shoulder clicking or catching
•Instability or giving way in the posterior direction
•Pain with cross-body adduction

Common Causes

•Repetitive posterior loading (bench press, push-up, blocking)
•Posterior shoulder dislocation or subluxation
•Overhead throwing mechanics with follow-through stress
•Direct fall on an outstretched arm
•Posterior instability over time

Treatment Options

1Physical therapy for posterior rotator cuff and periscapular strength

2Activity modification

3Anti-inflammatory medications

4Arthroscopic posterior labral repair

5Post-surgical structured rehabilitation

When to See a Doctor

Evaluation is recommended if you have posterior shoulder pain with pushing or follow-through activities, or repeated giving way sensations.

Frequently Asked Questions

What is a posterior labral tear?

A posterior labral tear is damage to the cartilage at the back of the shoulder socket. This structure helps stabilize the shoulder joint. Injury can lead to pain and instability.

What causes a posterior labral tear?

It can occur from repetitive pushing activities, weightlifting, or trauma. Football linemen and weightlifters are commonly affected. Falls or direct impacts can also cause this injury.

What are the symptoms?

Symptoms include pain in the back of the shoulder, weakness, and sometimes clicking. Pain may worsen with pushing or bench press movements. Some patients feel instability.

How is it treated?

Treatment usually starts with physical therapy to improve strength and shoulder stability. Activity modification is important during recovery. Surgery may be considered if symptoms persist.

When can I return to activity?

Return depends on symptom improvement and strength recovery. Many patients improve over several weeks to months. Athletes should return gradually once pain-free with full function.