The labrum of the hip refers to a ring of cartilage around the socket of the hip joint (the acetabulum) which provides stability and cushioning to the hip. Labral tears may develop due to structural abnormalities, injury or trauma, repetitive movements, or osteoarthritis-related degeneration.
The initial conservative treatment for pain relief in labrum tears involves nonsurgical approaches such as anti-inflammatory meds, rest, and physical therapy. In case the pain from labral tears is unresponsive to conservative treatment, the patient may require arthroscopic or open surgery to excise of repair the torn labrum.
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 locations.
Hip impingement occurs due to bony abnormalities of the hip joint that leads to early contact between the socket and the ball of the joint. This causes pain and may damage the labrum and acetabulum, leading to osteoarthritis over time.
In such cases, nonsurgical treatment options will not be able to treat the underlying cause of hip impingement pain. The patient will require arthroscopic repair when the pain is unmanageable with conservative treatment options.
Developmental Dysplasia of the Hip
Hip dysplasia refers to a condition in which the hip joint socket is too shallow or misshapen and does not completely support the ball of the hip joint.
This causes edge loading of the articular cartilage as well as early joint degeneration. While hip dysplasia is usually diagnosed in infancy or childhood, in some cases it may remain undetected until teenage or adulthood.
The nonsurgical treatment of mild hip dysplasia often includes activity modification, weight loss, corticosteroid injections for pain and pressure relief, and physical therapy. The dysplastic hip joint has an abnormal shape which can accelerate labrum and articular cartilage degeneration causing early onset of osteoarthritis.
Osteotomy is used to treat more severe hip dysplasia cases. An osteotomy refers to a surgical procedure in which the surgeon cuts portions of the bone and repositions them to realign the hip and prevent abnormal cartilage wear and tear. Osteotomies can effectively enhance the longevity of the hip joint and offer pain relief.
Osteotomies are typically recommended for patients who do not have extensive cartilage damage. Patients with extensive cartilage damage and hip arthritis may not be suitable candidates for this procedure and may need a total hip replacement.
Osteonecrosis develops when portions of bone die because of insufficient blood supply, leading to bone collapse. In the hip, osteonecrosis damages the articular surfaces of the hip causing rapid osteoarthritis progression.
Osteonecrosis treatment depends on the location and severity of the damage. While nonsurgical treatments may slow the progression of the condition, a majority of patients with osteonecrosis will need surgery eventually.
The surgical treatment options for osteonecrosis include osteotomy, bone grafts, and core decompression. In the late stages of Osteonecrosis, the patient may require joint replacement.
Osteoarthritis of the hip causes the degeneration of the articular cartilage of the hip joint. Nonsurgical treatment approaches such as anti-inflammatory meds, activity modification, or physical therapy may be used in the early stages of the condition.
While there are multiple hip preservation treatments available, they all aim to preserve the natural hip joint and limit osteoarthritis-related damage as well as prevent or delay hip replacement surgery.
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/