Hip Labral tear

Labral tears are typically the result of some underlying etiology.      BONY , SOFT TISSUE, or TRAUMATIC

Bony

  • Static Overload
  • – Femoral Anteversion
  • – Valgus Femoral Neck Orientation
  • – Acetabular Dysplasia (Anterior/Lateral)
  • Dynamic Impingement
  • – Cam Impingement
  • – Femoral Retroversion
  • Pincer Impingement

Soft Tissue

  • PSOAS Impingement
  • Laxity – Collagen Disorders

Traumatic

  • Subluxation
  • Dislocation

How does a labral tear present?

Labral tears most commonly result in “groin” pain. Most patients describe the pain as a sharp pain that is very deep. It tends to hurt more with increased activity, and is very easy to reproduce with high degrees of flexion and internal rotation of the hip joint. Prolonged periods of sitting will result in pain for patients with a condition known as femoroacetabular impingement.

Oftentimes, patients do not complain of a constant pain in the joint, but rather one that comes and goes without warning. Pain is usually located in the anterior region of the hip (groin area). Less commonly, patients present with posterior (buttock area) or lateral (outside of the hip) pain. Some complain of pain that wakes them up at night, or pain referred down the leg. These two symptoms tend to be more common in those with arthritis of the hip.

Why is it painful?

Patients with labral tear complain of hip pain because the labrum has nerve endings that can stimulate pain fibers, causing pain sensation in the hip region.