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What is a labral tear of the hip?

A labral tear of the hip is a common cause of hip, groin or buttock pain, which can exist successfully treated by hip arthroscopy.

Your hip joint is a ball and socket joint fabricated of 2 basic – the femur and the pelvis.

The ball is made of the meridian of the femur (thigh bone) called the femoral head and the socket is fabricated of part of the pelvis chosen the acetabulum.

The labrum is a special type of cartilage that helps go on the joint stable and allows the hip articulation to role properly.

When the labrum tears, it causes the hip and groin hurting and unfortunately does non heal naturally past itself. It causes deep groin pain and sometimes catching.

Symptoms of a Labral Tear of the Hip

If you accept a labral tear, you lot will take discomfort in your groin. Sometimes the pain can radiate to your bottom, lower back, or front of your hip.

Initially, the hurting may merely felt whilst playing sport.

With time, you may feel pain with any movement that brings your knees towards your chest, such as:

  • sitting in low chairs
  • getting upwards from chairs
  • driving
  • putting on your socks and shoes
  • picking things off the ground
  • climbing stairs

Sometimes, you may hear an audible pop or feel a tearing sensation at the time of injuring your labrum. Some patients also report a clicking sensation.

Causes of Labral tears of the Hip

One of the most common causes of a labral tear is having a condition called femoroacetabular impingement, also called FAI. In FAI, the basic that make up your hip joint are non perfectly shaped. Your hip joint is a ball and socket joint. In FAI either the femoral head (the ball) has a crash-land or the acetabulum (the socket) has extra bone on its edge. These extra bone lumps cause abnormal pressure on the labrum, somewhen causing them to tear.

A labral tear is common in people who play sports that involve sudden changes of direction such equally AFL football, soccer, hockey and netball.

They can also occur in accidents such as falling over or motor machine accidents.

Equally you get older, the labrum tin can easily exist torn with pocket-size trivial movements.

Take a chance factors for sustaining Labral Tears

  • Femoroacetabular Impingement.
  • Hip Dysplasia
  • Labral tears are common in sports such as AFL football, soccer, hockey, tennis and netball.
  • Exercises. Repetitive deep squatting and lunges

Investigations for Labral Tears

A well trained dr. can diagnose a labral tear from your symptoms and an test of your hip.

A number of investigations can help in the diagnosis of a labral tear:

  • Xray. Specialised Xrays can aid expect at the shape of your hips
  • CT scan. Helps shows the 3D anatomy of your hip and helps the surgeon program the operation.
  • MRI scan. Is a good test to prove a labral tear. Sometimes, an MRI can miss a tear, which only becomes evident during the hip arthroscopy.

Treatment of Labral Tears

A labral tear does non by and large repair by itself. About times, hip arthroscopic surgery is needed to repair information technology.

During a labral repair, the labrum and the acetabulum (the socket) are prepared so that the labrum tin sit back nicely where it belongs. Unremarkably, a special burr is used to shave some os from the acetabulum.

Special sutures (stitches) are placed around the torn labrum, which is then secured to the acetabulum bone using special devices called suture anchors.

Complications

If a labral tear is left untreated, it volition lead to ongoing and worsening hurting.

A normal labrum is important to the normal function of the hip joint.

A torn labrum leads to cartilage damage and eventual arthritis of the hip articulation.

Seeking Advice

Your GP

Your Family Dr. volition exist able to diagnose and help treat your problem. He or she will be able to

  • tell you nigh your problem
  • propose you of the best treatment methods
  • prescribe you medications
  • and if necessary, refer you to an Orthopaedic Surgeon for further treatment

Sports Md

Is a doctor who specialises in sports injuries. A Sports physician is well trained to diagnose the tear and help y'all though your treatment earlier and later your surgery.

Physiotherapist

The physiotherapy for labral tears is highly specialised and requires actress training. Standard hip exercises can actually brand the pain worse and delay your recovery. A well trained physiotherapist tin can show you which exercises to perform, and which not to perform.

Orthopaedic Surgeon

An orthopaedic surgeon trained in hip arthroscopy will exist able to treat your tear. Equally hip arthroscopy is a specialised technique, your orthopaedic surgeon may demand to refer you lot to a surgeon who has been trained in the technique.

Prevention

If you lot accept been diagnosed with femoroacetabular impingement, it is important to avert deep squats, deep sitting and twisting until your hip arthroscopy to care for the impingement.

FAQ

What is the recovery like later on a labral repair?

Most people can go abode the next morning.

It'south best to take at least 2 weeks off work to recover properly.

  • Office piece of work: two weeks
  • Transmission work: 6 weeks

A total regime of render to sport and work volition be tailored to your needs by our physiotherapy team. In full general:

  • 4 weeks: stationary cycling
  • 6 weeks: slow tread-mill until running.

Further Reading and References

  • Hip labral repair: options and outcomes. Harris JD. Curr Rev Musculoskelet Med. 2022 Dec;9(4):361-367.

  • Arthroscopic Labral Base Repair in the Hip: five-Twelvemonth Minimum Clinical Outcomes. Domb BG, Yuen LC, Ortiz-Declet V, Litrenta J, Perets I, Chen AW. Am J Sports Med. 2022 Jul

  • Render to Sport and Clinical Outcomes Later on Hip Arthroscopic Labral Repair in Young Apprentice Athletes: Minimum 2-Yr Follow-Upward. Mohan R, Johnson NR, Hevesi M, Gibbs CM, Levy BA, Krych AJ. Arthroscopy. 2022 Sep;33(nine):1679-1684.