A hip labral tear affects the labrum or the ring of cartilage that follows the outside of the rim of the socket of the hip joint. Along with cushioning the hip joint, the labrum also acts like a gasket or rubber seal to help hold the ball at the top of the thighbone firmly inside the hip socket.
Athletes who engage in sports such as football, ice hockey, golf, soccer, and ballet are at a higher risk of suffering from a hip labral tear. This condition can also occur due to structural abnormalities of the hip.
Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding communities.
The doctor will move the patient’s leg in various positions during the physical exam and focus on their hip joint. They will check the pain level as well as assess the range of motion of the hip. The doctor may also want to examine the patient as they walk.
A hip labral tear is generally accompanied with other injuries to the structures within the hip joint. X-rays are an effective way to visualize bone. They can help the doctor check for structural abnormalities and fractures.
A magnetic resonance imaging (MRI) provides detailed images of the hip’s soft tissues. The radiologist may inject a contrast material into the hip joint space to define the labral tear more sharply if one exists.
Hip pain can occur due to issues inside or outside the hip joint. The doctor may recommend injecting an anesthetic into the joint space. If this offers the patient relief, it is likely that the issue is within their hip joint.
The severity of the patient’s symptoms will determine the treatment choices. Certain people may recover with conservative treatments in a few weeks while others may need arthroscopic surgery to eliminate or repair the torn part of the labrum.
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as naproxen sodium (Aleve) and ibuprofen (Advil, Motrin IB, others) can help lessen pain and reduce swelling. The doctor may also inject corticosteroids into the joint to control the pain temporarily.
A physical therapist can educate the patient on exercises that can help maximize the hip’s range of motion as well as hip stability and strength. They can also assess the motions that a patient performs that create pressure on the hip joint and help them avoid these forces.
Surgical and Other Procedures
If conservative treatments are unsuccessful in relieving the patient’s symptoms, the doctor may recommend arthroscopic surgery. In this procedure, a fiber-optic camera and surgical tools are inserted into the hip joint through small incisions in the skin.
The surgeon may excise and remove torn fragments of labrum or repair torn tissue by sewing it back together depending on the cause and extent of the tear.
What you can do
The patient may create a list including the following:
- Detailed description of their symptoms
- Information on their past medical problems
- Family medical history
- All prescription and nonprescription medications, and dietary supplements that the patient takes
- Questions that they may want to ask the doctor
- What to expect from their doctor
The doctor may ask the patient the following questions:
- Where exactly do they feel the pain?
- When did the pain begin?
- Did any activity precipitate the pain?
- Do any specific motions make the pain better or worse?
Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.
Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:
Century City / Los Angeles: 310.595.1030
Serving patients in Encino, Sherman Oaks, Van Nuys, North Hollywood, Burbank, Glendale, West Hollywood, Century City, Beverly Hills, Santa Monica, Los Angeles, and other neighboring cities in the greater Los Angeles, California area.
Also visit http://www.drgorthopedics.com/