Management
Management options include:
- non-surgical treatment
- should be attempted first and includes a restriction in physical activity, NSAIDs and physiotherapy
- physiotherapy should be directed towards aligning the hip joint, optimizing the hip abductors, external rotators, gluteus maximus and iliopsoas muscles to avoid excessive forces into the anterior hip joint. If pain persists then surgery, arthroscopic or open, can be performed
- physiotherapy should be directed towards aligning the hip joint, optimizing the hip abductors, external rotators, gluteus maximus and iliopsoas muscles to avoid excessive forces into the anterior hip joint. If pain persists then surgery, arthroscopic or open, can be performed
- should be attempted first and includes a restriction in physical activity, NSAIDs and physiotherapy
- open procedures include surgical dislocation, osteoplasty and labral debridement
- arthroscopic options include labral repair or labral debridement.
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.
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