Hip – Hip Labrum Tear

Hip Labrum Tear

Presentation

Symptoms and signs:

  • Pain in groin area
  • Antalgic gait

Clinical examination:

  • Hip pain with range of motion

Investigations:

  • MRI: labrum tear and it will also assess cartilage damage

 

Management

Conservative treatment:

Pain control: NSAIDs

Hip strength and conditioning

Surgery:

  • Hip arthroscopic labral repair.
  • Address hip dysplasia and femoroacetabular dysplasia. Shelf arthroplasty and pelvic osteotomy to address hip dysplasia and certain dysplastic hips. Open femoroplasty and acetabuloplasty for femoroactabular impingement followed with hip arthroscopy to address the impingement component.

 

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Hip arthroscopy

Surgery to address underlying bony abnormality with arthroscopic debridement and labral repair.

 

References

  1. Labral tears in hip dysplasia and femoroacetabular impingement: A systematic review. T Savoye-Laurens et al. Orthop Traumatolo Surg Res. 2023 Jun;109(4): 103539.

Contributors

Dr H Senske
Dr M Y Hassan