What Is the Hip Labrum? Groh MM, Herrera J. A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med. Acetabular labral tears of the hip: examination and diagnostic challenges. J Orthop Sports Phys Ther. The graft replaces the damaged labrum and is also held in place with small anchors.
As the graft heals over time, it takes on the role of the original labrum that was removed. A debridement is reserved for cases in which the labrum cannot be repaired or reconstructed or is likely to fail and involves removing the torn or weakened sections of the labrum that are likely to get caught in the hip joint. All three procedures can be done arthroscopically, a minimally invasive technique that involves inserting a miniature camera into tiny incisions in the hip joint.
The camera transmits images of the surgical site to a full screen, which helps the surgeon better visualize the tear and perform the procedure precisely. Feel Better. A specialist in sports medicine or young adult hip disorders relies on the history of the injury and a thorough physical examination to delineate the etiology of the problem.
Imaging can be useful if the diagnosis is still in question. X-rays help qualify any associated bony abnormality of the hip such as FAI or dysplasia. Gadolinium dye is injected into the joint prior to the MRI to better evaluate the details of the labrum. Specialist can also use diagnostic injections of lidocaine numbing medicine when appropriate. This can occur when the clinical picture points towards a labral tear but the MRI is negative. In these cases, the doctors must rely on their clinical judgment.
Fortunately not all labral tears require surgery. One of the functions of the labrum is to allow the hip joint to move smoothly. If the labrum is torn, the joint can become irritated and inflamed, leading to pain in the joint, the groin area, or even extending into your buttocks.
Many people with a labral tear will find their range of motion is limited, or they might have some stiffness when they try to use their hips — even when trying to stand, sit, or climb stairs. These symptoms can occur with or without accompanying pain. When the smooth movement of the ball-and-socket mechanism is interrupted by torn tissue, it can cause clicking noises when the joint is used. You might notice clicking with every step or with specific movements, like moving from a sitting to a standing position.
Your hip joint relies on the labrum to hold the ball inside the socket. Most symptoms tend to worsen with movements, especially any movement involving bending or rotating at the hips or shifting weight from one leg to the other. To schedule your evaluation with Dr. Harris, call the office and request an appointment today.
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