Labral Tears Flashcards
What is the labrum made of?
Fibrocartilaginous lining the acetabular rim and deep into the joint capsule
What does the labrum do?
- Increases stability of the joint
- Lubricates joint
- Shock absorber
- Maintains pressure in the joint
What can cause labral tears ?
Impingement (FIA)
Direct trauma, repetitive or overuse of hip joint or congenital reasoning (e.g hip dysplasia)
What sports most commonly cause labral tears from repetitive hip rotation ?
Hockey, football, ballet and golf
What is the potential long-term consequences of a labral tear?
OA in the hip joint
What are the common symptoms will occur if client is suffering from a hip labral tear?
- Pain in hip, groin or buttocks area.
- Pain with prolonged sitting
- Clicking or locking sound in hip during movement.
- Feeling like it’s ‘catching’.
- Lack of stability - feeling ‘unsteady’ on their feet or giving way.
- Stiffness or limited ROM in hip joint
- Tendelenburg gait
What imaging/scans are needed to confirm labral tears?
MRI scan needed to confirm soft tissue tearing in labrum.
What other medication can clients receive to help alleviate pain due to a labrum tear?
- NSAIDS like ibuprofen and naproxen sodium
2. Corticosteroid injections can be administered by doctors to help temporarily manage pain symptoms
Would you manage labral tears conservatively or surgically ?
Either. Dependent of severity of the tear.
Would try conservative management first. However if symptoms persist, may need arthroscopic surgery to remove torn piece of labrum or repair the tissue.
Management of hip post arthroscopy surgery
Crutches (NWB) 2-6 weeks - client specific.
Post surgical rehab exercises ^ ROM and strength of surrounding muscles
How long on average will it take to recover from a labral tear in the hip joint?
Up to 6 weeks but this is client dependant as well as severity dependant. Athletes may take between 2-6m to return to their sport.
What is hip impingement?
Repetitive flexion damages the acetabular hip cartilage preventing smooth gliding of the femoral head in the acetabulum causing impingement or femoro acetabular impingement (FAI).
What are the two types of hip impingement?
- Cam
2. Pincer
What is cam impingement ?
Femoral head is abnormally shaped causing it to get ‘jammed’ in acetabulum during hip flexion. Occurs most often in sitting sports like cycling or horse-riding
What is pincer impingement?
The anterior rim of the acetabulum sticks out too far causing the neck of the femur to collide with the rim of the acetabulum during normal hip flexion
