Labral Tear of the Hip

joint. The "ball part of the joint is the top part of your thigh bone. The "socket" is a part of your pelvic bone. The ball fits into a groove called the acetabulum. These bones fit together and are called the hip joint. Around the socket, there is a ring of soft tissue or cartilage. It is a smooth tissue that covers the bones inside of the hip joint. Cartilage lets the hip joint glide easily. The hip joint cartilage is the acetabular labrum. The labrum helps to make the socket deeper so the ball of the hip stays in place. A labral tear of the hip happens when the acetabular labrum is torn. ‚

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What are the causes?

Trauma to the hip like from a sports injury or car crash
Overuse or repeat motions of the hip
Arthritis
Hip is not lined up the right way

What can make this more likely to happen?

Playing sports with lots of twisting and pivoting like football, ice hockey, soccer, golf, ballet
Arthritis
Problem with how the hip is lined up caused by:
- Hip socket is not as deep as it should be or the bones are lined up wrong. This is hip dysplasia.
- Ball of the hip slips backwards. This is slipped capital femoral epiphysis.
- Blood flow to the hip is lost causing bone to break. This is Legg-Calve-Perthes disease.

What are the main signs?

Hip or groin pain
Catching, locking, or clicking of the hip
Stiffness
Less motion of the hip
Some people who have a tear in the labrum have no pain or problems.

How does the doctor diagnose this health problem?

The doctor will feel around your hip and leg. Your doctor may move your leg and push or pull on your hip to check your motion and see how strong the muscles and joint are. Your doctor may watch you walk. Your doctor may also check your reflexes and for numbness in your leg. The doctor may order: ‚

X-ray
MRI scan
Shot of a numbing drug into the hip. This is done to be sure the problem in is the hip joint.
Arthroscopic surgery ¢ ˆ ’ A doctor puts a tiny camera through a cut in the hip to find the problem. If needed, the doctor uses small tools though another cut to fix the problem under the skin.

How does the doctor treat this health problem?

Rest
Ice
Exercises
Physical therapy (PT)
Heat may be used later but not right away. Heat can make swelling worse.
Arthroscopic surgery

Are there other health problems to treat?

A tear of the labrum often happens with other hip injuries. ‚

What drugs may be needed?

The doctor may order drugs to: ‚

Help with pain and swelling

The doctor may give you a shot of an anti-inflammatory drug called a corticosteroid. This will help with swelling. Talk with your doctor about the risks of this shot. ‚

What problems could happen?

Arthritis

What can be done to prevent this health problem?

Stay active and work out to keep your muscles strong and flexible.
Warm up slowly and stretch before you work out. Use good ways to train, such as slowly adding to how far you run. Do not work out if you are overly tired. Take extra care if working out in cold weather.
Wear the right equipment when playing sports. This includes protective equipment and padding.
Take a break and rest when you are tired.

Where can I learn more?

American Academy of Orthopaedic Surgeons ‚
http://orthoinfo.aaos.org/topic.cfm?topic=A00572 ‚

Consumer Information Use and Disclaimer

This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚

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