Pjsorthopaedics.com.au-Acetabular-Labral-Tears-Symptoms-Causes-Treatments-converted

1. ACETABULAR LABRAL TEARS: SYMPTOMS, CAUSES, TREATMENTS • What is alabrum? • The labrum is a soft tissue structure located around the edge of the hip socket (acetabulum). • The hip labrum plays an important role in providing hip stability, proprioception (ability to sense position and motion), the distribution of hip forces and joint lubrication • Risk factors for labraltears • Risk factors for labral tears include repetitive movements such as deep flexion and or rotation of thehip. • Abnormal hip shape (cam, pincer and dysplasia) can predispose patient to labral tears

2. Typically occur in from late teenage years, young adults participating in sports through toadulthood. • High risk sports for labraltears • The common sports include Australian Football, gymnastics, dancing, marital arts, water polo, hockey, power lifting, wicket keeper playing cricket andYoga. • Mechanism ofinjury • The mechanism of injury can include a twisting, pivoting, excessive movement / stretching of the hip (flexion abduction external rotation. Flexion adduction and internal rotation), repetitive deep squatting orlunging. • In the presence of abnormal shape (cam, pincer and dysplasia), a labral tear can occur even more easily with thesemovements. • In particular, in the presence of cam or pincer impingement, abnormal / premature abutment occurs with the acetabular labrum predisposing to a labral tear. • What happens if you do not treat the symptomatic labraltears? • Labral tears can significantly reduce hip stability, putting more stress in the hip muscles and hipcartilage. • Untreated symptomaticlabral tearsleft untreated can contribute to the progression of cartilage damage and premature osteoarthritis of the hip joint. • What are the symptoms of a labraltear? • Labral tears are frequently located at the front of the hip joint (acetabulum, socket) and cause groin, lateral hip and or deep buttockpain. • The symptoms can often fluctuate in severity, varying inintensity. • The pain can be aggravated by prolonged sitting, standing, walking, sleeping, running and or twisting. Occasionally some but not all patients may develop intermittent instability or weakness in their hip strength. This is often despite physiotherapy. • Due to the presence of hip instability, the hip muscles often become tight and tender due to them compensative for the lack of hip stability. Massage / releasing the tight muscles with a foam roller often only provide temporary reliefonly. • How to diagnosis labral tear of thehip? • A 3 telsa MRI scan is an accurate way of diagnosing a labral tear. The scan must be used in combination with a clinical assessment to determine the significance of the labraltear.

3. Management of a hip labraltear • The management of a symptomatic hip labral tear will need a thorough assessment of the history, examination and MRI scan of thehip. • If the hip continues to cause pain in the groin, lateral hip and or buttock despite a trial of 3 months conservative management, consideration of hip preservation surgery in the form of a hip arthroscopy should beconsidered. PJSOrthopaedics Location : 21 Erin Street,Richmond VIC3121 Phone : (03) 94284128 Location : 85 Wilson Street,Brighton VIC3186 Phone : (03) 94284128 Location : 116-118 Thames St,Boxhill VIC3128 Phone : (03) 94284128 4.Location:WaverlyPrivateHospital,343-357Blackburn Waverley VIC 314 Phone : (03) 94284128 Rd,Mt. Location : 389 Canterbury Road,Forest Hill VIC3131 Phone : (03) 94284128 Location : 16 Brantome Street,Gisborne VIC3437 Phone : (03) 94284128 Location : The Bays Hospital,262 Main St, Mornington VIC3931 Phone : (03) 94284128 Location : Mulgrave Private Hospital,Blanton Dr,Mulgrave VIC3170 Phone : (03) 94284128 Website :https://pjsorthopaedics.com.au/