Labral Tears / Degeneration

What are hip labral tears?

The ring of cartilage around the outside rim of the hip socket is called the labrum. It cushions the hip joint and helps to hold the ball at the top of the femur securely within the hip socket. Hip labral tears can occur in people who participate in high impact sports that involve sudden twisting or pivoting movements, such as football, golf, ice hockey and ballet. Congenital hip problems can also lead to labral tears over time.

If you are at risk of labral tears it is a good idea to talk to an orthopaedic specialist who can advise you on preventative measures that you can take to protect yourself.

What causes labral tears?

Hip labral tears can occur:

When the labrum is exposed to sudden trauma, such as dislocation of the hip joint or injury due to impact (for example, in a car accident or as the result a collision during contact sports).
Due to repeated twisting or pivoting motions – for example, during certain types of sport – which can cause the joint to wear prematurely and may result in tearing.

As the result of congenital abnormalities of the hip which cause the labrum to degenerate and can lead to tearing.

What are the symptoms of a labral tear?

Hip labral tears don’t always have any obvious symptoms. However, sometimes people may experience:

Pain in the hip or groin
Stiffness in the hip joint and reduced range of motion
A catching sensation in the hip joint

It is important to see a consultant if you suspect you have a labral tear as it can lead to an increased risk of osteoarthritis of the hip.

How are hip muscle, tendon and nerve injuries diagnosed?

Your consultant will conduct a physical examination and may ask you to perform particular movements or stretches to identify where the pain is located. In addition you may be referred for further tests to diagnose the precise nature of the injury and to rule out other conditions or fractures. These may include:

X-ray – this is used to rule out fractures
MRI scans use strong magnetic fields and radio waves to produce detailed images of the inside of the body. They are used to diagnose soft tissue damage and injuries
Ultrasound scans use high frequency sound waves to create an image of part of the inside of the body. They can be used to diagnose muscle, tendon and nerve damage.

How are labral tears treated?

Treatment will depend on how bad the tear is and whether you are experiencing symptoms. While some people find sufficient relief from painkillers, others may require surgery to repair or remove the damaged area of labrum. Treatments include:

Anti-inflammatory medication to reduce inflammation and ease pain.
Injections of corticosteroids into the joint, which provide short-term relief from pain.
Physiotherapy: a tailored exercise programme can strengthen the hip joint, improve flexibility and increase stability. A physiotherapist can also show you how to avoid exacerbating the problem by minimising the stress on your hip joints.
Hip arthroscopy: this is a minimally invasive surgical procedure that entails making a small incision in the skin and inserting a thin instrument called an arthroscope, which enables your consultant to see inside the joint. Torn piece of labrum may be repaired using tiny surgical instruments or if repair is not possible, the torn area of labrum may be removed.

Dr. Prasad Bhagunde

MS Ortho D Ortho DNB

Senior Orthopaedic Consultant and Sports Medicine Surgeon