A hip labral tear is an injury to the cartilage inside the hip joint. The hip joint is made of a ball and socket. The ball is the end of the thigh bone (femur). This ball fits into the bowl-shaped socket in the pelvic bone (acetabulum). Cartilage lines the socket to keep movement smooth and the joint cushioned. When the cartilage tears it is called a hip labral tear.
Symptoms vary and can be subtle. If you have any of these do not assume it is due to a hip labral tear. These symptoms may be caused by other conditions. Tell your doctor if you have any of these:
Hip pain: sharp, deep, disabling
Locking or clicking of hip
Feeling of hip “giving way”
Limited range of motion
Tenderness on exam
Groin, buttock, or thigh pain
Pain during activity
Your doctor will ask about your symptoms and medical history. A physical exam will be done. You will likely be referred to a specialist. An orthopedic surgeon focuses solely on issues of bones and joints.
Tests may include the following:
Thorough physical exam—including an evaluation of your hip range of motion and watching how you walk
arthrography—test that uses magnetic waves and contrast to make pictures of structures like the hip joint and bones
may be included to rule out other causes of symptoms
Diagnostic injection of local anesthetic is sometimes performed
Talk with your doctor about the best plan for you. Treatment options include the following:
Common medical treatment may include:
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Physical therapy to strengthen muscles
Generally this treatment is tried for several weeks. If there is no improvement surgery is considered.
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 cartilage may be removed or sewn together.
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 exercise and a plan to increase your weight bearing.
There are no known guidelines to prevent a hip labral tear.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a