Hip Labral Tear Treatment Options
A hip labral tear is an injury to the labrum, a ring of cartilage that lines the outer rim of the hip socket. The labrum helps to provide stability to the hip joint and cushion the joint during movement. When the labrum is torn, it can cause pain, stiffness, and a feeling of catching or locking in the hip joint.
The treatment for a labral tear depends on the severity and location of the tear, as well as the patient’s age, activity level, and overall health. Some of the common treatments for a labral tear include:
- Rest and physical therapy: Mild labral tears may be treated with rest, ice, and physical therapy. A physical therapist can help the patient to perform exercises that can improve strength, range of motion, and stability in the hip joint.
- Medications: Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, may help to reduce pain and inflammation associated with a labral tear.
- Injections: Corticosteroid injections can provide short-term relief of pain and inflammation in the hip joint.
- Surgery: For more severe labral tears, surgery may be necessary. Arthroscopic surgery is a minimally invasive procedure that can be used to repair with or without augmentation, remove, or replace damaged tissue in the hip joint. In some cases, hip labrum reconstruction or a total hip replacement may be necessary.
Hip arthroscopy is a minimally invasive surgical procedure that is used to diagnose and treat a variety of hip conditions, including labral tears, hip impingement, and femoroacetabular impingement (FAI). The procedure is performed under general anesthesia and involves making small incisions in the hip joint to insert a small camera called an arthroscope and specialized instruments.
The surgery usually takes about 1-2 hours to complete. After the surgery, patients will need to follow a rehabilitation program that includes physical therapy. Postoperative physical therapy is essential to restore range of motion, strength, and stability to the hip joint. It is important to follow the rehabilitation program closely to ensure the best possible outcome from the surgery.
Minimally invasive surgery means the surgery can be performed with small incisions instead of traditional open surgery. The benefits are:
- less bleeding
- reduced risk of infection
- less tissue damage
- less pain
- less scarring and
- faster recovery because there is less tissue damage and less pain
- improved outcomes including improved hip function
Patients usually go home the same day and can resume normal activities within a few weeks to a few months after surgery, depending on the extent of the procedure and the patient’s recovery. Hip arthroscopy for labral tears is a safe and effective procedure that can repair hip labral tears to relieve hip pain and improve function.
Hip labral reconstruction is a technique for primary repair of a previously irreparable labrum and in cases where the labrum has been previously repaired but has re-torn or the repair has failed. It may also be indicated in cases where there is a significant amount of damage to the articular cartilage in the hip joint, as this can affect the stability of the joint and increase the risk of further injury.
Labral reconstruction involves the use of grafts to reconstruct the torn or damaged portion of the labrum. Labral reconstruction is an arthroscopic treatment option that has been shown to provide clinically meaningful results for patients with severe damage to the hip labrum that cannot be repaired or fixed augmentation. The goal is to preserve or restore normal joint anatomy to improve hip stability, reduce pain and restore function.
Minimally Invasive Outpatient Hip replacement is usually considered a last resort for treating a labral tear in the hip joint, and degenerative changes in the hip joint. It may be considered if the labral tear is associated with significant joint damage, such as arthritis, or if the patient is experiencing severe pain and disability that cannot be managed with other treatments. The decision to undergo hip replacement surgery for a labral tear will depend on the individual patient’s needs, preferences, and overall health.
Dr. Ajay C. Lall is a former dual sport NCAA collegiate athlete (football and track & field), American board certified and triple fellowship-trained hip surgeon. Dr. Lall and the team at LALL Orthopedics + specializes in hip arthroscopy. Schedule a hip consultation today.
At a Glance
Ajay C. Lall, MD, MS, FAAOS
- Board Certified – Orthopedic Surgery
- Triple Fellowship Trained
- Performs over 750 Surgeries Per Year
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