Frequently Asked Questions
A. What is the LABRUM?
The labrum is a ring of fibrocartilage (fibrous cartilage)
that extends around the majority of the acetabulum, increasing
its depth. The labrum acts as a suction seal around the femoral
head maintaining the joint fluid within. The fluid protects the
articular cartilage layers of the femur and acetabulum. The
labrum does act as a stabilizer of the femoral head within the
acetabulum as well.
Why does the labrum tear?
Labral tears are typically the result of some
underlying etiology…BONY , SOFT TISSUE, or TRAUMATIC
- Static Overload
- Femoral Anteversion
- Valgus Femoral Neck Orientation
- Acetabular Dysplasia
- Dynamic Impingement
- Cam Impingement
- Femoral Retroversion
- Pincer Impingement
- PSOAS Impingement
- Laxity – Collagen Disorders
How does a labral tear
Labral tears most commonly result in “groin” pain.
Most patients describe the pain as a sharp pain that is
very deep. It tends to hurt more with increased
activity, and is very easy to reproduce with high
degrees of flexion and internal rotation of the hip
joint. Prolonged periods of sitting will result in pain
for patients with a condition known as femoroacetabular
Oftentimes, patients do not complain of a constant
pain in the joint, but rather one that comes and goes
without warning. Pain is usually located in the anterior
region of the hip (groin area).
Less commonly, patients present with posterior
(buttock area) or lateral (outside of the hip) pain.
Some complain of pain that wakes them up at night, or
pain referred down the leg. These two symptoms tend to
be more common in those with arthritis of the hip.
Why is it painful?
Patients with labral tear complain of hip pain
because the labrum has nerve endings that can stimulate
pain fibers, causing pain sensation in the hip region.
Will Physio Therapy PT heal/fix
my labral tear?
This is a question asked of us all the time, and the simple
answer is no. However, it is possible for a tear to become
asymptomatic with appropriate muscular training and activity
modification and therefore not require surgery.