Hip Labral Tear

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