Best Practice Case Studies-Hip Labrum Injuries

Pdf Summary

Femoroacetabular Impingement (FAI) is a prevalent source of hip pain due to an irregular formation of the hip joint's ball or socket, leading to two primary types: cam and pincer impingement. Cam impingement, often seen in young, athletic males, occurs when a bump on the femur (thigh bone) rubs against the hip joint. In contrast, pincer impingement, more common in middle-aged women, happens when the acetabulum (hip socket) covers too much of the top of the femur. Many patients experience a combination of both impingement types, which heightens the risk for labral tears. The labrum, a cartilage ring surrounding the hip socket, can tear due to significant injuries or overuse.<br /><br />FAI symptoms typically include groin pain during leg movements and sports activities like hockey, soccer, or even daily activities such as walking. A clicking or catching sensation in the groin may indicate a labral tear. During a sports medicine evaluation, decreased hip movement might be observed and X-rays, and possibly an MR arthrogram, are utilized to diagnose FAI and labral tears.<br /><br />Treatment often involves reducing activity, pain management, and rehabilitation which focuses on core strengthening. Persistent pain may necessitate surgery. Early diagnosis and limiting painful activities can prevent further damage since untreated FAI may escalate to osteoarthritis.<br /><br />AMSSM, a body of sports medicine physicians, underscores the importance of seeking medical consultation if experiencing painful hip symptoms. Their members, often primary care physicians with sports medicine training, cater to various athletic levels, advocating for comprehensive care to maintain an active lifestyle. Treatment also emphasizes rehabilitative exercises, ensuring readiness for sports resumption once strength and functional movement are restored.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 21

Topic Hip

Keywords

2nd Edition, CASE 21

2nd Edition

Hip

Femoroacetabular Impingement

hip pain

cam impingement

pincer impingement

labral tears

sports medicine

rehabilitation

osteoarthritis

hip joint

AMSSM