With intense activities such as running, jumping, and lifting, the forces on our hips can be immense. If you experience a sharp pain deep in your hip joint, it could be a sign of a hip labral tear. A hip labral tear occurs when the labrum, a cartilage structure that circles the hip socket, becomes damaged.

To understand why tears occur, how they are diagnosed, and how to treat them, read on to learn all the basics of hip labral tears. We'll give you the facts about symptoms, causes, diagnosis, and treatment, as well as advice on how to prevent this condition in the future. This blog post will explain all you need to know about hip labral tears and how to get the best possible treatment.

What is a hip labral tear?

A hip labral tear is a tear of the labrum, the cartilage surrounding the hip joint. The labrum acts as a cushion, stabilizer, and shock absorber for the hip joint, providing support and allowing for a wide range of motion.

A hip labral tear can either happen slowly over time due to wear and tear or as a result of an acute injury.

A labral tear in the hip is a painful injury that can interfere with daily activities. It is important to consult a health care professional who can diagnose and treat a hip labral tear appropriately and help prevent further damage.

How do you diagnose a labral tear in the hip?

The diagnosis of a labral tear usually begins with a physical examination, where a doctor will assess the range of motion of the hip. Through tests such as X-rays, CT scans, and MRIs, the labrum can be closely examined to determine any defects.

In some cases, arthroscopy may be necessary to confirm the diagnosis. This is a minimally invasive procedure where a scope with a camera is inserted into the hip joint to view any injured tissue. The last step to diagnosing a labral tear is an injection of anesthetic into the hip, which will confirm the source of the pain. Diagnosing a labral tear requires careful examination and testing, but once finished, it can ensure the best treatment plan is put in place.

What are the common causes of hip labral tears?

Getting to the bottom of the cause of a hip labral tear is the first step to easing pain and restoring mobility. By understanding the activities, conditions, and issues that can contribute to a hip labral tear, patients can make adjustments to their lifestyle to reduce or eliminate the risk of musculoskeletal damage.

Some of the most common causes of a hip labral tear include:

Repetitive and strenuous activities associated with certain sports place repeated stress and strain on the hip joint, leading to labral tears. These activities can include weightlifting, golfing, soccer, and other sports with excessive twisting or strain.

Regular falls can sometimes cause labral tears as the hip support and structure are weakened by the impact of the fall. Even if the patient does not feel pain initially, the resulting tear may cause pain and a limited range of motion in the days or weeks following the fall.

A traumatic event such as a serious car accident, roller coaster ride, or other high-impact activity can cause a hip labral tear.

Persistent hip, thigh, or groin pain can be a sign of a hip labral tear. In some cases, the tear is caused by the associated pain, which places regular strain on the hip joint. According to studies, the prevalence of labral tears in patients with hip or groin pain has been reported to be 22–55%.

Arthritis such as osteoarthritis, which is characterized by bones grinding together due to a loss of cartilage, can lead to a labral tear. What are the common signs and symptoms of a labral tear?

The symptoms of a hip labral tear can vary greatly depending on where the tear is located. Common signs and symptoms of a hip labral tear include:

What is the treatment for a labral tear in the hip?

Treatment for a labral tear in the hip is typically non-surgical at first and invasive only if non-operative treatments fail to improve symptoms. Non-surgical treatments include physical therapy, activity modification, anti-inflammatory medications, and shot-based therapies such as steroid injections and platelet-rich plasma injections.

The goals of operative repair for labral tears in the hip include restoring pain free motion and preventing future arthritis in the region. Depending on the severity of the tear, the surgical procedure can be an arthroscopic debridement, labral repair, or labral reconstruction. The type of surgery performed is determined by the size and location of the tear and your individual evaluation.

Arthroscopic debridement is a minimally invasive procedure wherein the surgeon repairs the tear using a camera and small specialized instruments. The torn portion of the labrum is removed, and the remaining labrum is smoothed down. This procedure can be effective in less severe cases where the hip has not become too unstable from the labral tear.

Following surgery, physical therapy and strengthening exercises should be performed to restore full range of motion and allow the patient to return to normal activities. With appropriate management, most patients find relief from their hip pain and are able to return to pre-injury activity levels. 

Quick tips to prevent hip labral tears

Hip labral tears can be extremely painful and cause mobility issues. To help prevent them, here are some quick tips:

Strengthen your hips by targeting and exercising your hip abductors, adductors, and rotators. These are the muscles around your hips that help to keep them stabilized and reduce your overall chance of injury. 

Lack of flexibility is one of the leading causes of hip labral tears. To reduce your risk, include regular stretching into your routine and make sure your hips are at or near maximum flexion.

Keep a good posture while standing, walking, and running, as well as during strenuous activities like weight lifting. Poor posture strains your hips and can lead to labral tears.

Quality shoes provide support and cushioning to reduce the chances of falling or becoming off-balance, which can cause hip injuries.

Overtraining puts extreme stress on your joints and can lead to major injuries. Give your body plenty of time to rest throughout the week to promote hip health and mobility. 

By following these quick tips, you can protect your hips and reduce your chances of a labral tear. To ensure safe practice, it’s a good idea to consult with your doctor or physical therapist before beginning any new exercise routine.

Where can I get treatment for a hip labral tear in South Florida?

Are you looking for the best place to get treatment for a hip labral tear in Florida? Orthopaedic Surgery Associates offers top-notch quality care for hip labral tears through our board-certified and experienced orthopedic surgeons. 

Our team of orthopaedic surgeons is well-equipped to diagnose and treat all types of hip labral tears. Our experienced team utilizes the latest medical advancements to ensure excellent outcomes. Our goal is to provide you with personalized care and get you back to your normal routine.

For hip conditions, our board-certified physicians have a range of treatment options, including hip arthroscopy

We have convenient locations throughout South Florida, making it easier to find a clinic near you for swift and efficient care. Visit one of our clinics near you: 

We also offer prevention and treatment options for various sports-related orthopedic conditions. Sports injuries are common, and we treat these injuries regularly at our orthopedic clinics. 

Contact us to find out how we can help.

***

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions or concerns you may have regarding your health.

Breakthrough Technology Enables Injured ACL to Heal
BEAR® Implant First New Innovation in ACL Tear Treatment in 30+ Years

By Dr. Jonathan Hersch

Every year, approximately 400,000 ACL injuries occur in the U.S. A torn ACL does not heal without treatment, resulting in ACL reconstruction being one of the most common orthopedic procedures in the U.S. Yet the procedure has drawbacks; some people are unable to return to the same level of daily activities or sports.

Historically, orthopedic surgeons have had limited options in treating a torn ACL. With ACL reconstruction, today’s standard of care, the surgeon completely removes the remaining torn ACL and reconstructs it with either a tendon from the patient’s own leg (called an autograft) or a deceased donor (called an allograft).

What is BEAR?

At Orthopaedic Surgical Associates, we are now offering a new technology called the BEAR® Implant. The BEAR Implant is the first medical advancement granted approval from the U.S. Food and Drug Administration (FDA) that enables the body to heal its own torn ACL. This new approach is a paradigm shift from ACL reconstruction and is the first innovation in ACL tear treatment in more than 30 years. Unlike reconstruction, the BEAR Implant does not require a second surgical wound site to remove a healthy tendon from another part of the leg or the use of a donor tendon.

What does the procedure entail?

The BEAR Implant acts as a bridge to help ends of the torn ACL heal together. The surgeon injects a small amount of the patient’s own blood into the implant and inserts it between the torn ends of the ACL in a minimally invasive procedure. The combination of the BEAR Implant and the patient’s blood enables the body to heal the torn ends of the ACL back together while maintaining the ACL’s original attachments to the femur and tibia

 

What is the benefit of the BEAR implant?

As the ACL heals, the BEAR Implant is resorbed by the body, within approximately eight weeks. Preserving a patient’s native ACL instead of replacing it with a graft has long been a goal of surgeons, as there are a number of advantages to restoring a ligament instead of replacing it. First, ACL reconstruction has an ACL re-tear rate as high as 20% for teens and as high as 9% for adults. And, following ACL reconstruction, a large number of athletes (more than 55%) can’t return to the same level of sport.

As with any surgery, ACL reconstruction has certain risks. Depending on the type of graft used, there can also be clinical complications. About half of people who receive patellar tendon grafts experience pain while kneeling, and those who receive hamstring grafts have persistent weakness – as much as a 50% deficit at two years. In addition, if the ACL is re-injured, revisions with the BEAR Implant are easier.

Revisions of traditional ACL reconstruction can be complicated and can require multiple surgeries. Clinical studies have demonstrated that the BEAR Implant restores torn ACL quality and size similar to a patient’s non-injured ACL. Compared with autograft ACL reconstruction, it also has shown faster recovery of muscle strength and higher patient satisfaction with regard to readiness to return to sport.

Patients should discuss their individual symptoms, diagnosis and treatment with their surgeon. The BEAR Implant has the same potential medical/surgical complications as other orthopedic surgical procedures, including ACL reconstruction. These include the risk of re-tear, infection, knee pain, meniscus injury and limited range of motion.

Who is the procedure for?

If you are at least 14 years of age, have a complete rupture of the ACL (as confirmed by MRI) and can undergo the surgery within 50 days of the injury, call 561-742- 3578 to schedule a consultation with Dr Hersch to see if you might be a good candidate for the BEAR Implant.

Research:

Bench-to-Bedside: Bridge-Enhanced Anterior Cruciate Ligament Repair (PDF) Gabriel S. Perrone, Benedikt L. Proffen, Ata M. Kiapour, Jakob T. Sieker, Braden C. Fleming, Martha M. Murray

Original Article: https://onlinelibrary.wiley.com/doi/full/10.1002/jor.23632

Bridge-Enhanced ACL Repair - Two-Year Results of the First-in-Human Study

Martha M. Murray,* MD, Leslie A. Kalish, ScD, Braden C. Fleming, PhD, BEAR Trial Team, Benedikt L. Proffen, MD, Kirsten Ecklund, MD, Dennis E. Kramer, MD, Yi-Meng Yen, MD, PhD, and Lyle J. Micheli, MD

Original Article: https://journals.sagepub.com/doi/full/10.1177/2325967118824356

Bridge-Enhanced Anterior Cruciate Ligament Repair Is Not Inferior to Autograft Anterior Cruciate Ligament Reconstruction at 2 Years

Martha M. Murray,* MD, Braden C. Fleming, PhD, Gary J. Badger, MS, The BEAR Trial

Team, Dennis E. Kramer, MD, Lyle J. Micheli, MD, and Yi-Meng Yen, MD, PhD

Original Article: https://journals.sagepub.com/doi/full/10.1177/0363546520913532

CONTACT US

We’d love to hear from you.

Whether it’s post-injury help or consultation about your first symptoms, our orthopedic doctors provide total management of patient care. Contact us find out more about OSA, our doctors, and our facilities, or to get started as a patient.

Contact Us
menu chevron-down linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram