The labrum is a rim of fibrocartilage surrounding the hip joint, providing stability and protection. A labral tear can result in pain in the front or side of the hip as well as the groin. Impact activities or ones requiring pivoting can increase pain, which can also occur at night and be associated with sensations of clicking or locking.
What causes it?
Labral tears can be related to car accidents or sports collisions. Additionally, overuse injuries of the labrum frequently strike athletes involved in such sports as soccer, dance, and golf due to the repetitive forces putting stress across the hip and labrum. Tears are also related to femoroacetabular impingement (FAI) and hip dysplasia, as well as degenerative conditions like osteoarthritis.
How do you know you have it?
Labral tear symptoms include:
- Hip pain and stiffness; pain can also affect the groin and buttocks area
- Clicking sound in the hip area during movement
- Unsteadiness on your feet
- Pain that worsens with rotation of the hip or bending
How we fix it
The OSI hip team is here to listen, discuss your concerns, and examine you for signs and symptoms of a labral tear. Our goal is to have you enjoying the activities you love, without pain. While under our expert care, you may undergo the following:
- Physical exam: Your doctor will perform a careful physical examination. The doctor will check to see how well you can move and any pain you are feeling during movement.
- X-rays: X-rays can identify problems with the hip bones including FAI, as well as conditions that can contribute to a labral tear, such as osteoarthritis.
- MRI: An MRI may be ordered to check the location and severity of a labral tear.
Nonsurgical treatments of a labral tear include:
- Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen
- Physical therapy: Exercises to strengthen and improve flexibility of hip muscles
- Steroid injections: Injections can provide temporary pain relief as well as reduce inflammation.
Your doctor may recommend surgery if symptoms do not respond to nonsurgical approaches or if the tear is severe. In many cases, minimally invasive arthroscopic surgery is the preferred approach.