Advanced Hydrogels in Fibrocartilage Regeneration of the Glenoid Labrum

Glenoid labral tears are relatively common orthopedic injuries in adults. Anatomically, the glenoid labrum is a fibrocartilaginous structure that contributes to shoulder stability and function. The treatment for labral injury may be conservative, such as activity modification and rest, or operative, depending on the extent of tissue damage. Hydrogels are polymeric networks with great potential in treating glenoid labral tears and other cartilage-related injuries. Hydrogels are highly biocompatible, hydrophilic, and non-immunogenic, with tunable mechanical properties that support nutrient diffusion, cell viability, and angiogenesis, making them well suited for cartilage regeneration. Hydrogels can deliver growth factors like TGF-β or PDGF and may be combined with peptides or adhesion molecules to enhance tissue integration, repair, and even physical support. This article introduces current treatment options for glenoid labral injuries, reviews the role of hydrogels in cartilage regeneration, and summarizes recent translational research focused on hydrogel-based labral repair.