Hip Labral Tear
|James Keene, MD, talks about hip arthroscopy|
For labral tears that do not require surgery, physical therapists or athletic trainers work with patients on developing a conservative rehabilitation plan, starting with a comprehensive examination to determine factors contributing to hip pain.
During rehabilitation, activity modification or rest from sports activities may be recommended to decrease stress on the hip joint. The rehabilitation provider will design a customized exercise program to address muscle imbalances, pelvic position and postural and movement patterns which can put increased demands on the hip joint.
Treatment may include:
- Gentle hip joint mobilizations for pain relief
- Stretching and range-of-motion exercises
- Exercises to increase hip muscle strength
Surgical Treatment: Hip Arthroscopy
For hip labral tears that do not respond to non-surgical treatment, hip arthroscopy, a minimally invasive outpatient procedure performed under general anesthesia, may be required. The common course of the procedure includes:
- Placing the hip in traction to open up the hip joint
- Making an incision in the hip joint to insert a camera that displays the inside of the hip on a television monitor
- Making two or three other incisions to insert the surgical instruments used for excising labral tears and repairing or removing loose bodies
- Making two additional incisions through which the surgeon may remove the torn piece of labrum or repair the torn cartilage
- Patients can expect to use crutches for about two weeks after surgery or longer depending on the type of surgery performed.
- Rehabilitation will be progressive as patients meet certain criteria and move toward a return to full activities, including sports.
- Return to high-impact sports will take eight to 12 weeks.
- Rehabilitation exercises may include muscle strengthening and range-of-motion activities, and are started soon after surgery and according to the patient's tolerance.