A hip labral tear is an injury to the soft elastic tissue around the hip joint called the labrum. The hip joint is made of a ball and socket. The ball is the end of the thigh bone, also called the femur. This ball fits into the bowl-shaped socket in the pelvic bone, also called the acetabulum. Cartilage lines the socket to keep movement smooth and the joint cushioned. The labrum helps to hold the ball of your femur in place. When the this tears, it is called a hip labral tear.
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Hip labral tears can result from wear and tear or from an injury.
Factors that can increase your chances of getting a hip labral tear include:
Symptoms vary and can be mild, including:
You will be asked about your symptoms and medical history. A physical exam will be done. You will likely be referred to a specialist. An orthopedic surgeon focuses on bones and joints.
Images may need to be taken of your hip. This can be done with:
An anesthetic may be injected to help diagnose this condition. If the pain gets better with the injection, the problem is in the joint which could be a labral tear.
Talk with your doctor about the best plan for you. Treatment options include the following:
Common medical treatment may include:
Generally, this treatment is tried for several weeks. If there is no improvement, then surgery is considered.
Arthroscopy uses a thin, lighted tube inserted through a small incision to view the injury and fix it. Small instruments are threaded through this tube. The torn labrum may be removed or sewn together.
After surgery, you may be fitted with a brace. This will provide support and aid healing. A therapist will work with you. The therapy will include strength exercises and a plan to increase your weight bearing.
There are no known guidelines to prevent a hip labral tear.
Arthroscopy Association of North America
OrthoInfo—American Academy of Orthopaedic Surgeons
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
Bharam S, Philippon MJ. Diagnosis and management of acetabular labral tears in the athlete. International SportMed Journal. 2008;9(1):1-11.
Burnett SJ, Della Rocca GJ, et al. Clinical presentation of patients with tears of the acetabular labrum. The Journal of Bone & Joint Surgery. 2006;88:1448-1457.
Hunt DH, Clohisy J, et al. Acetabular Labral Tears of the Hip in Women. Physical Medicine and Rehabilitation Clinics of North America - Volume 18, Issue 3 (August 2007).
O'Kane J. Anterior hip pain. Am Fam Physician. 1999 Oct 15;60(6):1687-1696. Available at: http://www.aafp.org/afp/991015ap/1687.html. Accessed March 10, 2015.
Last reviewed March 2015 by Michael Woods, MD Last Updated: 3/18/2013