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A hip labral tear 
is an injury to the labrum,

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the cartilage 
that surrounds the outside

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rim of your hip joint socket. 
The hip joint is a ball and socket

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joint in which the head 
of the femur is the ball

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and the pelvic 
acetabulum forms the socket.

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The labrum helps to 
deepen the socket and provide stability

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to the joint. 
It also acts as a cushion

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and enables smooth 
movements of the joint.

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Causes.

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A tear in the labrum 
of the hip can result

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from traumatic injury, 
such as a motor vehicle accident

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or from participating 
in sports such as football,

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soccer, basketball, 
and snow skiing.

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These sports are associated 
with sudden changes of direction

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and twisting movements 
that can cause pain in the hip.

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Repetitive movements 
and weight bearing activities

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over time can lead to 
joint wear and tear

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that can ultimately 
result in a hip labral tear.

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Degenerative changes 
to the hip joint in older patients

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can also lead to a labral tear.

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Symptoms.

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Many patients with a hip labral tear 
do not have symptoms.

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However, some patients 
may experience pain

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in the hip or groin area, 
a catching or locking sensation

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in the hip joint, or significant 
restriction in hip movement.

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Diagnosis.

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Your doctor will order 
certain tests to determine

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the cause of your hip pain.

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X rays of the hip 
allow your physician

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to rule out other possible conditions 
such as fractures

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or structural abnormalities. 
Magnetic resonance imaging or MRI

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may also be used 
to evaluate the labrum.

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An injection of contrast material 
into the hip joint space

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at the time of the MRI can help 
show the labral tears much clearer.

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Injection of local anesthetic 
into the joint space is sometimes

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performed to confirm 
the location of the pain.

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If the injection completely 
relieves your pain,

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it is likely 
that the cause of the problem

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is located inside the hip joint.

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Treatment options.

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Treatment for a hip labral tear 
will vary depending on the severity

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of the condition. 
People with a minor labral tear

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recover within a few weeks 
with the help

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of non-surgical treatments.

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Conservative treatments include:

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Medications: 
Anti-inflammatory medications

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can be helpful 
in relieving pain and reducing

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inflammation 
associated with labral tears.

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Your doctor may also recommend 
cortisone injections to alleviate

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the pain associated 
with a hip labral tear.

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Physical therapy: 
Physical therapy that helps

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to improve hip range of motion, 
strength, and stability

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are also recommended. 
However, severe cases

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may require arthroscopic surgery 
to remove or repair

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the torn portion of the labrum.

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Surgery.

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Hip arthroscopy, 
also referred to as keyhole surgery

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or minimally invasive surgery, 
is a surgical procedure

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in which an arthroscope, 
a narrow tube with a tiny camera

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on the end, 
is used to assess and repair

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damage to the hip. 
The surgery is performed

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with the patient under general, 
spinal or local anesthesia.

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Your surgeon 
will make 2 or 3 small incisions

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around the hip joint area. 
The arthroscope is inserted

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into the hip joint 
through one of the incisions

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to view the labral tear. 
The camera attached

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to the arthroscope 
displays the image of the joint

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on the monitor. 
A sterile solution will be pumped

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into the joint 
in order to have a clear view

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and room to work. 
Through the other incisions

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specially designed 
instruments are inserted.

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Your surgeon repairs 
the torn tissue by sewing

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it back together 
or removes the torn piece all together,

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depending upon the cause 
and extent of the tear.

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After the completion 
of the procedure,

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the arthroscope and instruments 
are removed

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and the incisions are closed.

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Post-operative care.

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Following the surgery, 
you will be given instructions

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on caring for your incisions, 
activities to avoid and exercises

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to perform for a fast recovery 
and a successful outcome.

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Physical therapy 
will be recommended by your doctor

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to restore your strength 
and mobility.

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Your doctor will also 
prescribe pain medications

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to keep you comfortable.

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Risks and complications.

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Possible risks and complications 
specific to arthroscopic

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hip surgery include infection, 
deep vein thrombosis (DVT),

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blood vessel or nerve damage, 
hemarthrosis or bleeding inside

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the joint, failure to relieve pain.

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A hip labral tear 
can result from an acute injury

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or from wear and tear. 
It can cause pain

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or a "catching" sensation 
in the hip joint and affect movement.

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Athletes who perform 
repeated hip movement

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such as runners, 
hockey players, soccer players,

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and football players 
are more susceptible

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to hip labral tears. 
If you suspect you have this condition,

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talk to your doctor 
about the best treatment plan for you.