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Hip Labral Tear
Aka: Hip Labral Tear, Acetabular labrum Tear
- See Also
- Femoroacetabular Impingement
- Hip Pain
- Pathophysiology
- Labrum is fibrocartilaginous tissue surrounding 80% of the superior hip acetabulum
- Risk Factors
- Femoracetabular Impingement
- Dance
- Gymnastics
- Hockey
- Basketball
- Soccer
- Causes
- Hip Impingement
- Maneuvers with high risk of Hip Labral Tear
- Squatting
- Jumping
- Deep Hip Flexion
- Symptoms
- Anterior Hip Pain
- History of hip Trauma or Sports Injury (including repetitive motion)
- Catching, clicking, popping or locking Sensation with hip movement
- Exam
- See Hip Exam
- FABER Test
- FADIR Test
- Imaging
- Standing Anteroposterior (AP) Pelvis XRay
- First Line Study
- MRI Hip
- MRI Hip (3 Tesla) without contrast
- Adequate Test Sensitivity and Test Specificity to obviate intraarticular gadolinium
- Crespo-Rodriguez (2017) Eur J Radiol 88:109-16 [PubMed]
- MR Arthrogaphy (1.5 Tesla) with gadolinium intraarticular injection
- Lower tesla MRI requires intraarticular gadolinium for adequate sensitivity
- Associated Conditions
- Femoracetabular Impingement (esp. young athletes)
- Differential Diagnosis
- See Hip Pain Causes
- Management
- Physical Therapy
- Analgesics
- Intraarticular Joint Injection
- Surgery in refractory cases (esp. athletes)
- References
- Schleihauf (2019) Crit Dec Emerg Med 33(5): 19-28
- Chamberlain (2021) Am Fam Physician 103(2): 81-9 [PubMed]