Author Topic: Labral tear of the Hip  (Read 9371 times)

Labral tear of the Hip
« on: May 08, 2012, 01:24:26 pm »
Has any one got any experience of the above?

Apparently I have had one for about 8 years before on the third occassion seeing a hip specialist physio who diagnosed it from my description and then from her manipulation of the joint.

I now get to go for an MRI to confirm, though it may have to be repeated using a contrast fluid later, which can only be ordered by the consultant.

I have at least been told to keep it mobile and keep cycling :thumbsup:

hellymedic

  • Just do it!
Re: Labral tear of the Hip
« Reply #1 on: May 08, 2012, 01:47:00 pm »
Zilch experience but thought I'd explain problem to others. The hip is a ball and socket joint.
OP has a tear of the cartilage rim that edges the socket.

Re: Labral tear of the Hip
« Reply #2 on: May 08, 2012, 02:13:50 pm »
Thanks, Helly

I should have said the Hip joint is a ball and socket joint where the socket is formed of a shallow cup in the pelvis and the Labrum is a cartilage rim to the socket that deepens the cup to a full socket.

Unfortunately I appear to have torn this, symptoms are a painful hip joint and a hip that clicks like a good'n. Long term it looks like I will almost certainly develop arthritus in that hip.

Weight bearing exersize and particularly walking on rough ground seems to exasibate it.

Re: Labral tear of the Hip
« Reply #3 on: May 14, 2012, 02:20:30 pm »
MRI next tuesday. Apparently the pins in my elbow may get a little warm but having been in for 7 years are secure enough that they won't come out of their own accord so I am safe to go.

Re: Labral tear of the Hip
« Reply #4 on: June 08, 2012, 10:54:57 pm »
results of the MRI on Tuesday, having previously been told that if the MRI showed a tear then I would simply be referred on to the consultant I got a call today (scan only due back from hospital yesterday) asking if I could attend on Tuesday. I don't know if this means the previous agreement has been forgotten and the MRI has shown what was expected or if the MRI has a different diagnosis.  :-\ now don't know what to expect. however as the other hip has become symptomatic over the last couple of weeks I will ask her to check that on the scans and manipulation.

Re: Labral tear of the Hip
« Reply #5 on: June 13, 2012, 05:21:21 pm »
Well the MRI is suggestive but not conclusive as I need an Augmented MRI with a contrast fluid injected in the joint. However until I see the consultant no one else can order the AMRI.

I am therefore now waiting for the referal to the local orthopedic hip athroscopy specialist.

Re: Labral tear of the Hip
« Reply #6 on: August 13, 2012, 07:38:28 pm »
Saw the Orthopedics today, now on the waiting list for the arthroscopy probably in Nov / Dec and referred for the AMRI so now waiting for the date for that.

Re: Labral tear of the Hip
« Reply #7 on: August 16, 2012, 02:20:17 pm »
AMRI now scheduled for 24th Sept, I get back from holiday on the 21st :thumbsup:.

They wanted to give me an appointment sooner but I am on holiday.

bikey-mikey

  • AUK 6372
  • Yes, I am completely mad ! a.k.a. 333
Labral tear of the Hip
« Reply #8 on: September 14, 2012, 08:39:37 am »
Sorry to be late responding, but I have some experience of this.

Specifically the ortho surgeon looking at my shattered trochanter felt it likely from his exam that I might also have a label tear.

I went for an MRI with a nasty injection of what I believe was a combination of contrast fluid, steroid and a painkiller.

The idea was that the contrast fluid gave a better picture resolution, the painkiller directly to the potential source of my hip pain was to help diagnosis since if the pain miraculously disappeared then it was coming from near the injection site, and the steroid was to help repair and recovery.

They said that approx 50% who had this treatment approach lost the pain forever.

Not so for me, but it is now significantly better.

I hope you are getting a version of what I described, and may you be one of the lucky 50% !!!
I’ve decided I’m not old. I’m 25 .....plus shipping and handling.

Cycling heatmap
https://www.strava.com/athletes/4628735/heatmaps/6ed5ab12#10/51.12782/-3.16388

Re: Labral tear of the Hip
« Reply #9 on: September 15, 2012, 11:24:50 am »
My MRI scan revealed more degeneration and arthritis than the x-ray (two weeks previous)
of the ball and socket.


My operation (hip resurfacing) will involve 6mm being shaved off the socket area, 6mm shaved
off the ball, and then a metal cap being placed over the ball. The cartilidge separating the ball
and socket is non-existent.


Op is on Wed 19 Sep. Hope to be mobile well before the new year. :thumbsup:

bikey-mikey

  • AUK 6372
  • Yes, I am completely mad ! a.k.a. 333
Re: Labral tear of the Hip
« Reply #10 on: September 23, 2012, 08:43:05 am »
I hope all went well and wish you a successful recovery  :)
I’ve decided I’m not old. I’m 25 .....plus shipping and handling.

Cycling heatmap
https://www.strava.com/athletes/4628735/heatmaps/6ed5ab12#10/51.12782/-3.16388

Re: Labral tear of the Hip
« Reply #11 on: September 23, 2012, 04:24:45 pm »
I hope all went well and wish you a successful recovery  :-)




pic

bikey-mikey

  • AUK 6372
  • Yes, I am completely mad ! a.k.a. 333
Labral tear of the Hip
« Reply #12 on: September 23, 2012, 07:37:52 pm »
Wow that's a very clear image and though I'm only a pleb it looks comprehensive and well done.

Keep up with the rehab exercises and if it helps to tell us how you're doing, do do.

Good luck...,,
I’ve decided I’m not old. I’m 25 .....plus shipping and handling.

Cycling heatmap
https://www.strava.com/athletes/4628735/heatmaps/6ed5ab12#10/51.12782/-3.16388

Re: Labral tear of the Hip
« Reply #13 on: September 23, 2012, 07:41:29 pm »
The consultant is pleased with job and thinks I'll be fine (if I do the exercises). I've got a sicknote
for six weeks.



Re: Labral tear of the Hip
« Reply #14 on: September 23, 2012, 10:33:30 pm »
Thanks guys, my second MRI, (I needed one to get the referral to the orthopedic hip specialist) is tomorrow. This time I get the contrast fluid injected. Mikey hopefully this will be successful in removing the pain and clicking. I see the consultants for a second time in mid Oct.

well, my contrast fluid was injected into my vein, and I was sent for a walk round the hospital to wait for it to accumulate in the joints.

Re: Labral tear of the Hip
« Reply #15 on: October 18, 2012, 08:34:02 pm »
and the results show:

a slightly mishapen femoral head.
a small tear in the labrum at the top of the joint
and a shallow socket in the pelvis.

the combination is such that surgery to remove the torn cartilage will create a point loading on the femoral head and therefore carries substantial long term risk.

So it is back to psycho terrorists (TM barakta)  for pilates and other core / hip strengthening exercises and continue trying to manage it. This is not the result I wanted as it means no magic bullet / intervention and instead having to try to add exercises into my routine.

Re: Labral tear of the Hip
« Reply #16 on: October 22, 2012, 09:26:04 pm »
My MRI scan revealed more degeneration and arthritis than the x-ray (two weeks previous)
of the ball and socket.


My operation (hip resurfacing) will involve 6mm being shaved off the socket area, 6mm shaved
off the ball, and then a metal cap being placed over the ball. The cartilidge separating the ball
and socket is non-existent.


Op is on Wed 19 Sep. Hope to be mobile well before the new year. :thumbsup:

Hi De Sisti.  Hope the op went well?  I had the same op the week before you and recovery is going v well for me.  You might find this web site a good source of info and advice (and support) http://surfacehippy.info/hiptalk/index.php

Re: Labral tear of the Hip
« Reply #17 on: October 29, 2012, 03:12:12 pm »
Further investigations have also been ordered, ultrasound, cat scan to detect leg length differential and the physio. ultra sound on Thursday, physio assessment next monday.

Re: Labral tear of the Hip
« Reply #18 on: October 29, 2012, 04:09:52 pm »
My MRI scan revealed more degeneration and arthritis than the x-ray (two weeks previous)
of the ball and socket.


My operation (hip resurfacing) will involve 6mm being shaved off the socket area, 6mm shaved
off the ball, and then a metal cap being placed over the ball. The cartilidge separating the ball
and socket is non-existent.


Op is on Wed 19 Sep. Hope to be mobile well before the new year. :thumbsup:

Hi De Sisti.  Hope the op went well?  I had the same op the week before you and recovery is going v well for me.  You might find this web site a good source of info and advice (and support) http://surfacehippy.info/hiptalk/index.php


Itinerant, thanks for that. I am now walking without the aid of crutches. When the saw the physio two weeks
ago, she was pleased with the limited range of movement that I had. I still can't put a sock on my
right foot without the aid of the "sock putter on helper" that social services gave me and still need
the raised toilet seat, as my glute muscle (think flexibility) is far from recovered. I did get my bike on
the rollers and did 2 x 2 mins last week. This did improve flexibility a bit and I may have a go again
this week.



Good luck with your progress.

Re: Labral tear of the Hip
« Reply #19 on: October 30, 2012, 05:08:06 pm »
Awesome progress.  You'll be amazed how you make progress from day to day but be prepared for setbacks and for days when you are just totally shattered!  I'm 7 weeks post op today, went back to work yesterday and managed to tie my own shoe laces this morning, for the first time! (had to put on my work shoes rather than slip on casual shoes).  The static bike and going swimming (well my version of swimming!) has been fantastic for improving range of movement and mobility.  Good luck with your progress.

Re: Labral tear of the Hip
« Reply #20 on: October 30, 2012, 06:44:18 pm »
I'm going to take the maximum time off work. I have a sick note until 30 November. Occupational
Health said they'd invite me (to come into work) to discuss my phased return to work. It is expected
that I'd be on short days. In my brother's organisation (NHS), this phased return to work would be
taken off annual leave. I must check with mine.


You've done great to be back in work and to be able to tie your own shoe laces.  :thumbsup: I'm still
wearing slip-on shoes at the moment. Well done and good wishes. Take it easy in work though.

Re: Labral tear of the Hip
« Reply #21 on: October 31, 2012, 09:25:00 pm »
Crazy letter from the consultant today suggesting that my "cycling position may be exacerbating my hip problem and it may be worth trying to sit more upright and reduce the distances of my rides"  :o

Those that have seen my bikes know that I am normally arguing with the shops to raise the handlebars higher anyway. And is 70 miles really that far. ???

Re: Labral tear of the Hip
« Reply #22 on: October 31, 2012, 09:46:12 pm »
Crazy letter from the consultant today suggesting that my "cycling position may be exacerbating my hip problem and it may be worth trying to sit more upright and reduce the distances of my rides"  :jurek:

Those that have seen my bikes know that I am normally arguing with the shops to raise the handlebars higher anyway. And is 70 miles really that far. ???
Funny that. My consultant was full of praise for the two other cyclists I know that he's operated on
and the way that their all-round cycle fitness, strength and flexibility helped them to recover in quick time.

Re: Labral tear of the Hip
« Reply #23 on: October 31, 2012, 10:27:17 pm »
Crazy letter from the consultant today suggesting that my "cycling position may be exacerbating my hip problem and it may be worth trying to sit more upright and reduce the distances of my rides"  :jurek:

Those that have seen my bikes know that I am normally arguing with the shops to raise the handlebars higher anyway. And is 70 miles really that far. ???
Funny that. My consultant was full of praise for the two other cyclists I know that he's operated on
and the way that their all-round cycle fitness, strength and flexibility helped them to recover in quick time.

But he is not planning to operate on me. I am too young for him to want to replace my hip (31) and the option of an athroscopy is ruled out by the above mentioned structure of my hip and position of the tear making complications too probable.

The outlook for me is to continue to manage the injury, physio, heel raise to compensate for the difference in my leg length etc. whilst walking distances and over rough ground and sitting in the wrong position causes me problems I cycled 130miles between 5pm Thursday and 11:30am Saturday without issues.

Re: Labral tear of the Hip
« Reply #24 on: November 01, 2012, 05:16:01 pm »
Ultra sound was clear, no reoccurence of my hernia.

It has struck me that on the day teh consultant wrote the letter advising restricting my cycling distances was the day I set off from Morecombe to Scarborough. This ride passed with no hip pains at all.  :demon: