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Causes of Hip Injuries and Pain

1. Hip Labral Tear

Anatomical image of hip joint and the affect of a labral tear.jpg

Condition: Hip Labral Tear: This condition occurs when the ring of cartilage or the labrum is torn. The labrum acts as a rubber seal that holds the ball at the top of your thighbone securely within your hip socket. This condition is caused by three different factors. The first is trauma which is injury to or dislocation of the hip joint which can occur during car accidents or contact sports. The second is structural abnormalities such as genetic hip conditions that can accelerate wear and tear of the joint. The third is repetitive motions that are related to sports or other physical activities that can lead to joint wear and tear. Any one of these factors that cause a hip labral tear can eventually lead to osteoarthritis in that joint in the future. Many hip labral tears don't typically show symptoms, however you may still experience these symptoms:

  • A locking, clicking or catching sensation in your hip joint

Pain in your hip or groin
Stiffness or limited range of motion in your hip joint Treatment: Treatment can vary depending on the severity of the symptoms. Physical therapy can be used rehabilitate however if it is not successful after several weeks or the symptoms are severe an A rthroscopic surgery may be used. This kind of surgery is an intended to fix tears in the soft tissue around the knee or hip and remove both the damaged and freefloating cartilage pieces. The surgeon inserts a fiberoptic video camera through a small incision which allows the surgeon to see inside the joints without making a large incision. A number of conditions are treated with Arthroscopy such as:

  • Bone spurs or loose bone fragments
  • Damaged or torn cartilage, especially the meniscal cartilage
  • Inflamed joint lining, such as the synovial membrane
  • Joint infections
  • Torn ligaments or tendons
  • Scarring or tissue overgrowth within joints
  • Damaged joint surfaces or softening of the articular cartilage known as Chondromalacia
  • Abnormal alignment or instability of the kneecap

After Surgery
After knee arthroscopy there will be swelling around the knee, which can take anywhere from 7–15 days to completely settle. It is important to wait until there is no swelling before doing any serious exercise or extensive walking, because the knee will not be fully stable; extensive exercise may cause pain and in some cases cause the knee to swell more.

At Home
Many patients can return home the same day or the next morning after surgery. The dressing will be need to be kept dry however in one to two weeks the wound should begin healing. Your surgeon will advise you on the timeline you can expect to return to your normal activities however following their advice and regularly performing the exercises for rehabilitation.

When to Seek Medical Advice
Complications are rare however if there is severe or increasing pain in the joint, swelling, discolour or discharge from the wound, numbness or tingling or you have a high temperature you should contact your physician.

 

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