acetabular labrum tear

Etiology

• risk factors:
  • hip dysplasia
  • femoroacetabular impingement

Physical examination

• combined 90 degrees of flexion, adduction & internal rotation of the hip elicits groin pain; other maneuvers do not result in pain
• full range of motion

Clinical manifestations

• subacute anterior groin pain in the absence of trauma in a healthy athlete

Radiology

• hip X-ray
  • may be normal or show evidence of hip dysplasia
• MRI of hip with intra-articular gadolinium

Complications

• may predispose patients to early osteoarthritis

Management

• relative rest, NSAIDs, physical therapy
• intra-articular glucocorticoid if conservative management fails
• arthroscopic debridement & surgical repair

More general terms

• labrum tear