Posterior Labral Tear

Daniel Klein: O's Klein (shoulder) to rehab shoulder injury

Orioles prospect right-hander Dan Klein (shoulder) was advised to begin a rehab program after being examined by Dr. Lewis Yocum on Monday.
Klein, who was selected in the third round of last year's draft, was shut down in early June with a sore right shoulder. He was recently diagnosed with a small SLAP (superior labrum from anterior to posterior) tear in his shoulder, but the team feels he can rehab the injury. The 22-year-old right-hander has a 0.93 ERA and 47/7 K/BB ratio over his first 38 2/3 innings as a pro. He's one of the top pitching prospects in the O's organization now that Zach Britton has graduated to the major leagues.

The beginning of the end: the posterior labral tear « Waxeater

The diagnosis

I woke up one morning in 2008 with a sore shoulder. Or at least that's how I remember it. And that's the exciting story I ended up telling what seemed like a thousand different doctors, orthopedists, and physical therapists. It's also most likely the reason no one ever took my injury very seriously, but it's horseshit that I would need to make up some sob story about a football injury or a fall down the steps in order to get a medical professional to listen to me. Anyway, as is standard practice any time health insurance is involved, my family doctor first prescribed me a bottle of Naproxen for what he figured was a strained bicep, based on my explanation. The Naproxen wasn't helping and it made me feel like shit, so I returned to my doctor with more complaints. This time, the doctor prescribed me an alternate medication that wouldn't be so harsh on my stomach and physical therapy. My current insurer ties me into a chain of physical therapy shops under the banner of Novacare (literally anything outside of Novacare is not covered at all), and while they have plenty of convenient locations close to both my house and my office, the first facility was a dump, staffed by yappy therapists who barely gave a shit. I certainly don't possess the education of a certified physical therapist, but I've had a serious interest in exercise and the body (lol) for quite some time, and I don't need to carve an hour out of my day to have some yenta in a velour jumpsuit walk me through lifting a broomstick.

Six weeks later, I was back in the doctor's office. The physical therapist was a waste of time, but I did what I had to do in order to move to the next level. That's how health care works, at least in this country. Even though I had taken some time off of training, my shoulder still felt like shit. The next step was an x-ray, another colossal waste of time. I knew from the beginning that my problem was either torn cartilage or some sort of muscular issue, and the x-ray confirmed it: my bones were fine.

The next trip to the doctor at least netted me a cortisone injection, which did provide some temporary relief, and a much needed prescription for an MRI of the shoulder area. Keep in mind that this was two-to-three months after my initial visit, and the end result was nothing but money and days worth of my time being thrown at a non-existent problem. In the long run, I probably should have just gone ahead and paid the $400 for the MRI out of my own pocket. Actually, who am I kidding? I'm like the cheapest dude.

Magnetic resonance imaging in orthopaedics and sports medicine

Early hip disorders, advances in detection and minimally invasive treatment

Learning Musculoskeletal Imaging

Musculoskeletal imaging, the requisites

Musculoskeletal Imaging Cases