What it is
The labrum is a ring of cartilage around the rim of the hip socket (acetabulum). It deepens the socket and helps seal the joint.
Labral tears often occur with femoroacetabular impingement (FAI), a mismatch in the shape of the ball (cam) or socket (pincer) that causes them to pinch together during deep bending and rotation.
Symptoms
- Pain in the groin or front of the hip
- Clicking, catching or locking
- Stiffness or reduced range of motion
- Pain with prolonged sitting, deep squatting or pivoting
Diagnosis
Examination reproduces impingement and assesses motion and strength. X-rays evaluate hip shape and screen for arthritis; an MRI or MR arthrogram shows the labrum. A diagnostic injection can help confirm that the pain is coming from inside the joint.
Treatment options
Non-surgical
- Activity modification to avoid painful positions
- Physical therapy focused on hip and core strength and movement patterns
- Anti-inflammatory medication and image-guided injections in selected cases
Surgical
- Hip arthroscopy. Through small incisions, the labrum is repaired (or reconstructed when necessary) and bone causing impingement is reshaped.
- Hip arthroscopy is generally best suited to patients without significant arthritis.
Recovery
- First weeks
Crutches and protected weight-bearing are commonly used for a few weeks.
- Motion
Early, guided motion helps prevent stiffness.
- Strength
Progressive strengthening of the hip and core over several months.
- Return to sport
Return to sport is commonly around four to six months or longer, depending on the procedure and sport.
Timelines are typical ranges, not guarantees. Recovery depends on the specific injury, the procedure, your health and your rehabilitation, and your plan is individualized.
Questions patients ask
What causes hip impingement?
FAI is related to the shape of the hip bones, which often develops during adolescence. Activities that involve deep flexion and rotation can make it symptomatic.
Is hip arthroscopy right for arthritis?
Hip arthroscopy is generally less effective when significant arthritis is present; other treatments may be more appropriate.
This page is general patient education and is not a substitute for an in-person evaluation.