[MTK]

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Because this cartilage is deep in the shoulder, it is very difficult to make the diagnosis of a torn labrum upon physical examination. There are several tests that the physician can perform which may indicate a torn labrum, but these tests are not always accurate. The other problem is that labrum tears take different forms as described above, and certain tests will detect one kind of tear but not another. Some physicians feel very confident that they can make the diagnosis of a labral tear upon physical examination, but this is controversial. There are not many scientific studies that show that physical examination is reliable for making the diagnosis of a labral tear. As a result of this uncertainty, other studies can be done to confirm the diagnosis if it is suspected.