The Compressive Behavior of the Human Glenoid Labrum May Explain the Common Patterns of SLAP Lesions

PurposeThe aim of the study was to define the normalized compressive stiffness (modulus) of the glenoid labrum around its circumference and to characterize the difference in modulus between different areas.MethodsSixteen fresh-frozen cadaveric shoulders were harvested and dissected down to the glenoid labrum. Any specimens with significant degenerative changes were discarded, leaving 8 labra for testing. The labrum was divided into 8 segments, to allow comparison around its circumference. A uniform testing specimen was produced from each area by use of a microtome. Each specimen measured 3 × 1 mm in cross section and was 6 mm in length. Indentation testing was conducted in a controlled environment of 100% humidity at 37°C ± 1°C.ResultsWe obtained 52 test samples from 8 labra. The mean modulus of the glenoid labrum was 69.7 megapascal (standard deviation, 36.2 megapascal). The anterosuperior portion of the labrum had a higher modulus than the posteroinferior portion (P = .0075).ConclusionsThis study has shown that the human glenoid labrum's compressive behavior varies around its circumference. The greater modulus of the anterosuperior portion of the labrum supports the theory that this area is anatomically different from the rest of the labrum and resists compressive loads.Clinical RelevanceThese results may explain why the common type of SLAP lesions seen show failure at the interface between the labrum and the glenoid rather than within the substance of the labrum itself.