Hip Labral Tears
En Español (Spanish Version)

Definition
A hip labral tear is an injury to the soft elastic tissue around the hip joint called the labrum. The hip joint is made of a ball and socket. The ball is the end of the thigh bone, also called the femur. This ball fits into the bowl-shaped socket in the pelvic bone, also called the acetabulum. Cartilage lines the socket to keep movement smooth and the joint cushioned. The labrum helps to hold the ball of your femur in place. When the this tears, it is called a hip labral tear.

Hip Joint and Cartilage

Copyright © Nucleus Medical Media, Inc.

Causes
Hip labral tears can result from wear and tear or from an injury.

Risk Factors
Factors that can increase your chances of getting a hip labral tear include:

  • Wear and tear of hip joint from different activities, such as golf or softball
  • Traumatic injury to hip
  • Twisting injuries
  • Motor vehicle accident
  • Degenerative diseases like osteoarthritis
  • Femoroacetabular impingement syndrome (FAI)
  • Legg-Calve-Perthes disease
  • Hip dysplasia
  • Osteoarthritis
  • Slipped capital epiphysis
  • Capsular laxity/hip hypermobility
Symptoms
Symptoms vary and can be mild, including:

  • Hip pain: sharp, deep, disabling
  • Locking or clicking of hip
  • Hip instability
  • Limited range of motion
  • Tenderness to touch
  • Groin, buttock, or thigh pain
  • Pain during activity
Diagnosis
You will be asked about your symptoms and medical history. A physical exam will be done. You will likely be referred to a specialist. An orthopedic surgeon focuses on bones and joints.

Images may need to be taken of your hip. This can be done with:

An anesthetic may be injected to help diagnose this condition. If the pain gets better with the injection, the problem is in the joint which could be a labral tear.

Treatment
Talk with your doctor about the best plan for you. Treatment options include the following:

Medical Treatment
Common medical treatment may include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Steroid injection to the joint
  • Modified activity
  • Physical therapy to strengthen muscles
Generally, this treatment is tried for several weeks. If there is no improvement, then surgery is considered.

Surgical Treatment
Arthroscopy uses a thin, lighted tube inserted through a small incision to view the injury and fix it. Small instruments are threaded through this tube. The torn labrum may be removed or sewn together.

Rehabilitation
After surgery, you may be fitted with a brace. This will provide support and aid healing. A therapist will work with you. The therapy will include strength exercises and a plan to increase your weight bearing.

Prevention
There are no known guidelines to prevent a hip labral tear.




RESOURCES:
Arthroscopy Association of North America

OrthoInfo—American Academy of Orthopaedic Surgeons

CANADIAN RESOURCES:
Canadian Orthopaedic Association

Canadian Orthopaedic Foundation

References:
Bharam S, Philippon MJ. Diagnosis and management of acetabular labral tears in the athlete. International SportMed Journal. 2008;9(1):1-11.

Burnett SJ, Della Rocca GJ, et al. Clinical presentation of patients with tears of the acetabular labrum. The Journal of Bone & Joint Surgery. 2006;88:1448-1457.

Hunt DH, Clohisy J, et al. Acetabular Labral Tears of the Hip in Women. Physical Medicine and Rehabilitation Clinics of North America - Volume 18, Issue 3 (August 2007).

O'Kane J. Anterior hip pain. Am Fam Physician. 1999 Oct 15;60(6):1687-1696. Available at: http://www.aafp.org/afp/991015ap/1687.html. Accessed March 10, 2015.

Last Reviewed March 2015



Health Information Library content is provided by EBSCO Publishing, fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.

 

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

 

To send comments or feedback to EBSCO's Editorial Team regarding the content please e-mail healthlibrarysupport@ebscohost.com.