Clinical features

Clinical features include:

• labral tears are more common in females
  
  
• most common complaint is of groin or anterior hip pain
  
  
• pain may also can occur in the buttock or lateral hip region but is less common
  
  
• anterior or groin pain is more likely to indicate an anterior labral tear whereas buttock pain suggests a posterior labral tear
  
  
• a high percentage of patients complain of night pain and pain when sitting
  
  
• mechanical symptoms, such as clicking, locking and giving way have been reported, with clicking being the most consistent
  
  
• examination findings may reveal a mild limp and positive Trendelenburg sign and there may be slight reduction in range of movement
  • the most reliable and consistent finding is a positive impingement test, in which pain is elicited when the hip is flexed beyond 90 degrees, adducted and internally rotated

Reference:

• Groh MM, Herrera J. A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med 2009; 2: 105-17.
• Beaule PE, O'Neill M, Rakhra K. Acetabular labral tears. J Bone Joint Surg Am 2009; 91: 701-10.