INTRODUCTION​

• The hip labrum is a piece of connective tissue in the hip joint that acts a socket deepener and stabilizer of the hip

• Any injury to the labrum has the potential to break the suction seal of the hip joint, leading to pain and instability

• Hip labral tears can occur in patients of all ages

• More commonly, hip labral tears are found in females

• Some hip labral tears are asymptomatic and found in otherwise healthy patients with no history of injury or trauma

• 92%: An MRI Arthrogram is 92% sensitive at detecting hip labral tears

CAUSES

• Hip labral tears can occur in patients with femoroacetabular impingement (FAI), which is caused by repetitive bumping of the hip bone (proximal femur) on the socket (acetabulum)

• Patients with hip dysplasia are also more likely to have labral tears than the average person

• Common in active young adults participating in sports, but can occur in any patient regardless of activity level

SIGNS AND SYMPTOMS

• Hip pain and snapping

• Vague pain in the front of the hip/groin area

• Pain is usually worse after activity but can also be present at rest

TREATMENT​​

• Treatment of hip labral tears is centered around a physical therapy and home exercise program focused on stabilization of the muscles around the hip and avoiding positions of impingement

• Anti-inflammatories such as ibuprofen are oftentimes helpful as an adjunct to other treatments

• Corticosteroid injections can help decrease inflammation often associated with labral tears

• Surgery is indicated in patients who fail conservative management and consists of arthroscopic labral repair or debridement, depending on type and size of tear

        PREVENTION

• The best way to prevent this condition is to avoid repetitive activities that cause hip impingement or instability