HIP LABRAL TEARS

 It is an injury to the labrum, the soft tissue that covers the acetabulum (socket) of the hip. The labrum helps the femoral head move smoothly within the socket. It lets the hip move freely.

causes

femoroacetabular impingement (FAI) most common cause.

osteoarthritis.

Injury: Trauma to the hip

Osteoarthritis

Older age

excessive weight

SYMPTOMS:

• Hip pain or stiffness
• Pain in the groin or buttocks area
• A clicking or locking sound in the hip area when you move
• Feeling unsteady on your feet
• constant dull pain with periods of sharp pain that worsens during activity.

DIAGNOSIS

X-rays:

Magnetic Resonance Imaging (MRI):

Hip arthroscopy

MRA (magnetic resonance arthography)

Physical examination as :

Impingement test - The hip joint is passively flexed to 90°, internally rotated, and adducted .

FABER Test - The lower extremity is passively placed in a figure-of–four position, and slight pressure is applied to the medial side of the knee

Resisted straight leg raise test - The patient's hip is flexed 30° with the knee in extension and a downward pressure applied.(Positive in 1 of 18 cases)

McCarthy sign/Thomas Test (hip flexion to extension manoeuvre) - With the patient in a supine position, the subject fully flexes both hips. The examiner slowly/passively extends the subject’s lower extremities and moves the hips into external rotation. The test is repeated, but with the hip in internal rotation.

Internal rotation load/grind test - With the patient in a supine position, the examiner passively flexes the patient's hip to 100°, and then rotates the subject’s hip from internal rotation to external rotation while pushing along the axis of the femur through the knee to elicit ‘grind’ (see video below).

Fitzgerald Test - For assessment of the anterior labrum. The patient's hip is acutely flexed and then extended while internally rotated and in full abduction.

HOMOEOPATHIC MANAGEMENT:

Few omoeopathic remedies which can be beneficial are as followed – cal carb,colchicum,colocynth,ledum pal,causticum,rhustox,kalmia.