Hip Labral Tears

Question	Answer
What is it?	Articular cartilage that lines the socket of the hip joint. Provides stability and cushioning for the hip joint, allowing smooth movement of the femur in the hip joint.
Mechanism / Cause:	Often results from deep hip flexion below 90 degrees, or repetitive movements such as running or pivoting causing breakdown or degeneration of the labrum. Can also be acute due to hip dislocation.
Risk factors:	Osteoarthritis, Legg-Calve Perthes disease, Femoroacetabular impingement. Sports such as dancing, golf, hockey and soccer.
Assessments / Tests / Observations:	Tests: Flexion-adduction-internal rotation (FADDIR), Flexion-abduction-external rotation (FABER), Flexion-internal rotation, Thomas test, Scour test
Management / Rehabilitation:	Phase 2: Joint stability and slight strength training (improve gait, ROM, NMC and balance, core strengthening) Phase 3: Strength and endurance (strength training advanced, normal functioning) Phase 4: Return to play
Timeline:	Phase 2: Weeks 4-8 Phase 3: Weeks 8-12 Phase 4: Weeks 12-16
Red flags:	Pain in groin, buttocks, greater trochanter, knee. Pain elicited by movement.

Resource summary

	Created by Mieke Potgieter over 6 years ago