We may modify this Agreement at any time. Like any other service, in spite of our best efforts the information in this web site may become out of date over time. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action. It is important that you rely only on the advice of a health care professional to advise you on your specific situation. This Web Site has been developed as a service of Medical Sites Network.  Medical Sites Network accepts no liability for the accuracy or completeness or use of, nor any liability to update, the information contained on this Web Site. You agree to review the Agreement posted on the Service each time you use the Service so that you are aware of any modifications made to this Agreement.  Medical Sites Network maintains the Site for your personal information, education, and communication. Please feel free to browse the Site. You may download material displayed on the Site for non-commercial, personal use only, provided you maintain all copyright and other proprietary notices contained on the materials. You understand that Medical Sites Network makes no representation that the information in the Site is appropriate or available for use in locations outside of the United States, and access to the Medical Sites Network Site from territories where the content of the Site may be illegal or inappropriate is prohibited. Those who choose to access the Site from other locations do so on their own initiative and are responsible for compliance with applicable local laws

1. Acceptance:

Using this web site is subject to the preceding terms and conditions and all applicable laws. By browsing, using and accessing this web site you agree and accept the terms and conditions without any qualification and limitation and acknowledgement that any other agreements between you and medical sites network are abandoned and no force or effect with respect to access and use of this web site.

2. Medical Information and conditions.

THE INFORMATION PROVIDED IN THIS WEB SITE IS FOR ONLY EDUCATION, TRAINING AND GENERAL INFORMATION PURPOSES. THE INFORMATION IS NOT INTENDED TO PROVIDE A PRESCRIPTION OR MEDICAL ADVICE.  Should you have a medical condition we urge you to refer to a doctor in the field.

This Web site may contain general information relating to various medical conditions and their treatment. Such information is provided for informational purposes only and is not meant to be a substitute for advice provided by a doctor or other qualified health care professional. Patients should not use the information contained herein for diagnosing a health or fitness problem or disease. Patients should always consult with a doctor or other health care professional for medical advice or information about diagnosis and treatment.

We do not offer individualized medical diagnosis or patient specific treatment advice.  You should always obtain complete medical information about your prescription medicines or medical devices (including their beneficial medical uses and possible adverse effects) by discussing the appropriate use of any medicine(s) or medical devices directly with your prescribing physician or, where appropriate, other medical advisor.

This site and its services are for consumer educational use only. Nothing contained in this site is or should be considered, or used as a substitute for, medical advice, diagnosis or treatment. The services provided on this site are here to educate consumers on health care and medical issues that may affect their daily lives. This site and its services do not constitute the practice of any medical, nursing or other professional health care advice, diagnosis or treatment.

We, and our content providers, cannot and do not guarantee or warrant against errors, omissions, delays, interruptions or losses, including loss of data. Medical professionals may obtain complete medical information from the product’s information leaflet. Information on these products may vary by country. Patients, physicians and other medical professionals should check with local medical resources and regulatory authorities for information appropriate to their country. Medical Sites Network is is not intended to replace medical advice offered by a health care provider. If you desire or need such services or advice, you should promptly consult a physician or professional health care provider. The information contained on or provided through this service is intended for general consumer understanding and education. Any access to this site is voluntary. We will regard all access as voluntary and at the sole risk of the user.

You agree that access to and use of this Web site and the content thereof is at your own risk.
Medical Sites Network disclaims all warranties, express or implied, including warranties of merchantability or fitness for a particular purpose. Neither Medical Sites Network nor any party involved in creating, producing or delivering this Web site shall be liable for any damages, including without limitation, direct, incidental, consequential, indirect or punitive damages, arising out of access to, use of or inability to use this Web site, or any errors or omissions in the content thereof. This limitation includes damages to, or for any viruses that infect, your computer equipment.

3. Use of Information

You may not distribute, modify, transmit, reuse, repost or use the content of the Site for public or commercial purposes, including the text and images, without Medical Sites Network’s written permission. You may freely browse the Site, but you may only access, download or use information from this Site, including any text, images, audio, and video (the “Information”) for your own non-commercial use. Thus Medical Sites Network hereby authorizes you to copy materials published by it on this Web site for non-commercial use only, provided any copy of these materials which you make shall retain all copyright and other proprietary notices and any disclaimer contained thereon and on this Web Site.

4. Indemnification:

You agree to indemnify, defend and hold harmless Medical Sites Network, its officers, directors, employees, agents, suppliers and third party partners from and against all losses, expenses, damages and costs, including reasonable attorneys’ fees, resulting from any violation by you of these Terms of Use.

5. Third Party Web sites and Links.

This Web site may contain links or references to other Web sites maintained by third parties over whom Medical Sites Network has no control. Such links are provided merely as a convenience. Similarly, this Web site may be accessed from third party links over whom Medical Sites Network has no control. Medical Sites Network makes no warranties or representations of any kind as to the accuracy, currency, or completeness of any information contained in such Web sites and shall have no liability for any damages or injuries of any kind arising from such content or information. Inclusion of any third party link does not imply an endorsement or recommendation by Medical Sites Network. Please remember that links to third-party sites may be provided for the interest or convenience of visitors to this Site. We will endeavor to inform you when you are leaving this Site that the terms of use and privacy policy of the third-party site may be different. However, Medical Sites Network accepts no liability for links from us to others, and in particular we are not responsible for the accuracy or legality of the content thereof. We accept no liability deriving from a breach or omission in the privacy policies of third parties.

6. Links To This Site.

Medical Sites Network has not reviewed any or all of the third-party websites which contain links to this Site and is not responsible for the content of any such off-site pages or any other sites linked to the Site. If you wish to link your website to this Site, you may only link to the home page. You may not link to any other pages within this Site without the prior written consent of Medical Sites Network. Quotation or use of one or more portions of this Site in the site of any third parties without written consent is likewise prohibited.

7. Disclaimers

You acknowledge and agree that:

1. Although we strive to provide on this Web site the latest developments relating to our products and services, and other information about our company, we do not warrant the accuracy, effectiveness and suitability of any information contained in this Web site. Each person assumes full responsibility and all risks arising from use of this Internet site. The information is presented “AS IS” and may include technical inaccuracies or typographical errors Medical Sites Network reserves the right to make additions, deletions, or modifications to the information at any time without any prior notification.
2. Medical sites network makes no representations or warranties of any kind or nature with respect to the information or content posted on this web site. Medical Sites Network hereby disclaims all representations and warranties, whether express or implied, created by law, contract or otherwise, including, without limitation, any warranties of merchantability, fitness for a particular purpose, title or non-infringement. in no event shall medical sites network be liable for any damages of any kind or nature, including, without limitation, direct, indirect, special (including loss of profit) consequential or incidental damages arising from or in connection with the existence or use of this internet site and/or the information or content posted on this web site, regardless of whether Medical Sites Network has been advised as to the possibility of such damages.
3. Medical Sites Network not responsible, and provides no warranty whatsoever, for the accuracy, effectiveness, timeliness and suitability of any information or content obtained from third parties, including any hyperlinks to or from third-party sites. Except as otherwise provided on this Web site, Medical Sites Network will not edit, censor or otherwise control any content provided by third parties on any bulletin board, chat room or other similar forums posted on its Web site. Such information should, therefore, be considered as suspect and is not endorsed by Medical Sites Network.
4. This Web site may contain forward-looking statements that reflect Medical Sites Network’s current expectation regarding future events and business development. The forward-looking statements involve risks and uncertainties. Actual developments or results could differ materially from those projected and depend on a number of factors including, but not limited to, the success of current research programs, results of pending or future clinical trials, ongoing commercialization of its products, regulatory approvals of pharmaceuticals, validity and enforcement of its patents, the stability of its commercial relationships, and the general economic conditions. Medical Sites Network intends to update this site on a regular basis but assumes no obligation to update any of the content.

8. Privacy and Security

Medical Sites Network is committed to safeguarding your privacy online. We understand the importance of privacy to our customers and visitors to our Web site. Our use of personally identifiable information is governed by our Privacy Policy and by accessing and using our Web site, you agree to be bound by that policy. You recognize and agree that when submitting your personally identifiable information to Medical Sites Networks web sites , while Medical Sites Network has safeguards in place to prevent unauthorized access or interception, there is no absolute guarantee of security. IN THE UNLIKELY EVENT OF AN INTERCEPTION OR UNAUTHORIZED ACCESS DESPITE OUR EFFORTS, Medical Sites Network SHALL NOT BE RESPONSIBLE FOR SUCH INTERCEPTIONS OR UNAUTHORIZED ACCESS, OR ANY DIRECT, INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES (INCLUDING LOST PROFITS) SUFFERED BY A CUSTOMER OR USER, EVEN IF Medical Sites Network HAS PREVIOUSLY BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Medical Sites Network DOES NOT WARRANT, EITHER EXPRESSLY OR IMPLIEDLY, THAT THE INFORMATION PROVIDED BY ANY CUSTOMER SHALL BE FREE FROM INTERCEPTION OR UNAUTHORIZED ACCESS, AND DOES NOT PROVIDE ANY IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. EACH CUSTOMER IS RESPONSIBLE FOR MAINTAINING THE CONFIDENTIALITY OF HIS OR HER OWN PASSWORD.

Except for information covered by our Privacy Policy, any communication or material you transmit to the Site by electronic mail or otherwise, including any data, questions, comments, suggestions or the like is, and will be treated as, non-confidential and nonproprietary. Anything you transmit or post becomes the property of Medical Sites Network or its affiliates and may be used for any purpose, including, but not limited to, reproduction, disclosure, transmission, publication, broadcast and posting. Furthermore, Medical Sites Network is free to use, without compensation to you, any ideas, concepts, know-how, or techniques contained in any communication you send to the Site for any purpose whatsoever including, but not limited to, developing, manufacturing and marketing products using such information.

9. Copyrights.

The entire contents of this Web site are subject to copyright protection. Copyright © Medical Sites Network. The contents of Medical Sites Network Web sites may not be copied other than for noncommercial individual reference with all copyright or other proprietary notices retained, and thereafter may not be recopied, reproduced or otherwise redistributed. Except as expressly provided above, you may not otherwise copy, display, download, distribute, modify, reproduce, republish or retransmit any information, text or documents contained in this Web site or any portion thereof in any electronic medium or in hard copy, or create any derivative work based on such images, text or documents, without the express written consent of Medical Sites Network. Nothing contained herein shall be construed as conferring by implication, estoppel or otherwise any license or right under any patent or trademark of Medical Sites Network, or any third party.

10. Revisions

Medical Sites Network may at any time revise these Terms and Conditions by updating this posting. You are bound by any such revisions and should therefore periodically visit this page to review the then current Terms and Conditions to which you are bound.

11. Postings To This Site.

Although Medical Sites Network may from time to time monitor or review discussions, chats, postings, transmissions, bulletin boards, and the like on the Site, Medical Sites Network is under no obligation to do so and assumes no responsibility or liability arising from the content of any such locations nor for any error, defamation, libel, slander, omission, falsehood, obscenity, pornography, profanity, danger, privacy disclosure or inaccuracy contained in any information within such locations on the Site. You are prohibited from posting or transmitting any unlawful, threatening, libelous, defamatory, obscene, scandalous, inflammatory, pornographic, or profane material or any material that could constitute or encourage conduct that would be considered a criminal offense, give rise to civil liability, or otherwise violate any law. Medical Sites Network will fully cooperate with any law enforcement authorities or court order requesting or directing Medical Sites Network to disclose the identity of anyone posting any such information or materials.

12. Limitation of Liability.

Your use of and browsing in the Site are at your risk. Neither Medical Sites Network nor any other party involved in creating, producing or delivering the Site is liable for any direct, incidental, consequential, indirect or punitive damages arising out of your access to, or use of, the Site. Medical Sites Network assumes no responsibility, and shall not be liable for, any damages to, or viruses that may infect, your computer equipment or other property on account of your access to, use of, or browsing in the Site or your downloading of any materials, data, text or images from the Site.

13. Modification of Agreement.

Medical Sites Network may, at any time, revise the terms and conditions of this agreement governing use of the Site. If any terms and conditions contained in this Legal Notice are changed, the amended notice will be posted on the Site. You are bound by any such revisions and should, therefore, periodically review these terms and conditions.

14. Prohibited Transmissions.

Certain areas of the Site may enable you to access online forums and to submit e-mails, or otherwise provide feedback to Medical Sites Network does not endorse, and specifically disclaims, any responsibility or liability for any content in these fora. You may not post or transmit any unlawful, threatening, libelous, defamatory, obscene, indecent, inflammatory, pornographic or profane material or any material that could constitute or encourage conduct that would be considered a criminal offense, give rise to civil liability or otherwise violate any law. In addition, you are prohibited from posting or transmitting any information which (a) infringes the rights of others or violates their privacy or publicity rights, (b) is protected by copyright, trademark or other proprietary right, unless with the express written permission of the owner of such right, (c) contains a virus, bug or other harmful item, or (d) is used to unlawfully collude against another person in restraint of trade or competition. You shall be solely liable for any damages resulting from any infringement of copyright, trademark, or other proprietary right, or any other harm resulting from your use of the Site.

15. User Submissions.

Any “personally identifiable information” in electronic communications to the Site is governed by the Site’s Privacy Policy. On the other hand, any communication or material you transmit to the Site by electronic mail or otherwise, including any data, questions, comments, suggestions or the like is, and will be treated as, non-confidential and non-proprietary. You understand that anything you transmit or post may be used Medical Sites Network or its affiliates for any purpose, including, but not limited to, reproduction, disclosure, transmission, publication, broadcast, and posting. Furthermore, Medical Sites Network is free to use any ideas, concepts, know-how, processes, or techniques contained in any communication you send to the Site for any purpose whatsoever including, but not limited to, developing, manufacturing, marketing, and selling products and service using such ideas, concepts, know-how, processes, or techniques.

16. Void Where Prohibited.

This Web site and its contents are intended to comply with the laws and regulations in the U.S. Although the information on this Web site is accessible to users outside of the U.S., the information pertaining to Medical Sites Network  is intended for use only by residents of the U.S. Other countries may have laws, regulatory requirements and medical practices that differ from those in the U.S. This site links to other sites produced by Medical Sites Network ‘s various operating divisions and subsidiaries, some of which are outside the U.S. Those sites may have information that is appropriate only to that particular originating country. Medical Sites Network reserves the right to limit provision of its products or services to any person, geographic region or jurisdiction and/or to limit the quantities or any products or services we provide. Any offer for any product or service made on this Web site is void where prohibited.

17. Miscellaneous.

If any provision of this Agreement is held to be unlawful, void or unenforceable, then such provision shall be severable without affecting the enforceability of all remaining provisions. Medical Sites Network reserves the right to alter or delete materials from this Web site at any time at its discretion.

18. Privacy

Medical Sites Network respects the privacy of its Web site users. Please refer to Medical Sites Network’s Privacy Policy that explains users’ rights and responsibilities with respect to information that is disclosed on this Web site.

19. Representation.

As a user of this Web site, you are liable for the accuracy of the information that you provide to us, including, but not limited to, your state license number and your professional representation.

Should you respond with information including feedback or data such as questions, comments, suggestions, or the like regarding the content of this Web site, such information shall be deemed to be non-confidential and Medical Sites Network, shall have no obligation of any kind with respect to such information and shall be free to reproduce, use, disclose, and distribute the information to others without limitation. Medical Sites Network shall be free to use any ideas, concepts, know-how or techniques contained in such information for any purpose whatsoever including but not limited to developing, manufacturing, and marketing products incorporating such information.

20. Software downloads

You must ensure that any software downloaded from this website to your computer is suitable for use on your computer and that it is free from viruses.

21. Termination of services

If you violate these Terms and Conditions of Use, your use of this site will terminate. We may notify you that you have breached the Agreement and your account is being terminated. We may, in our sole discretion, terminate your access to this site, or any portion thereof, or discontinue providing the site, or any portion thereof. These actions are in addition to and not in lieu or limitation of any other right or remedy we may have available at law. Further, we shall not be liable to you or any third party for any such termination or discontinuance.

MEDICAL SITES NETWORK

Hip Labral Tear Injury
Hip labral tear (acetabular labral tear) may turn out to be torn while performing sports like football (soccer), rugby, cycling, running and etc..

Hip Labral Tear Prevalence in Athletes
What is the Prevalence of Hip Labral Tear in Athlete Population? Within the last decade opinion leaders in this field found that hip labral tears are much more common than the past.

Hip Labral Tear Gender Effect
People with hip structure abnormalities may develop hip labral tear more frequently.

During hip arthroscopy, an orthopedic surgeon inserts a flexible, drinking-straw-sized instrument (arthroscope) into your joint space through a small incision in your skin. The arthroscope is fitted with a lighting system and tiny camera, enabling the surgeon to see into your joint.

Once the surgeon can see the joint, the specialized instruments needed to perform the procedure are inserted through small accessory incisions. Depending on the cause and extent of the tear, the surgeon may cut out and remove the torn piece of labrum or repair the torn cartilage with a suture procedure.

There is a long list of celebrities who had arthroscopic surgery. Although this is not the complete list, the mentioned names are given below:

• Barry Manilow
• Tiger Woods
• David Beckham
• Rick Di Pietro
• Kobe Bryant
• Rien Long
• Gwyneth Paltrow
• Martha Stewart
• Josh Boone
• Tim Taylor
• Jane Fonda
• Phil Jackson
• Dallas McPherson
• John Spencer
• Mark Cuban
• Sophomore Jeff Byers
• Todd Helton
• Eddie House
• Jermaine O’Neal
• David Harrison
• Thomas Williams
• Andy Roddick
• Britney Spears
• Derrick Jasper
• Ed Hartwell
• Kelly Johnson
• Daunte Culpepper
• Terry Glenn
• Joey Porter

People who make sports that requires sudden twisting or pivoting movements are vulnerable to hip labral tear (acetabular labral tear ).  People should remember that contact sports may also cause a hip dislocation and labral tear.  Although there is a long list in this field, this doesn’t mean that you have to stay away from these kind of sports. However it will be wise to take all the precautions while performing these sports. The best way will be to do it with an experienced trainer in these fields.

• Cycling (requires bending forward, BE CAREFUL! )
• Running
• Jumping
• Rowing
• Horseback riding (requires bending forward, BE CAREFUL! )
• Skiing (requires bending forward, BE CAREFUL! )
• Football ( Soccer)
• American football
• Volleyball
• Baseball
• Rugby
• Golf (requires bending forward, BE CAREFUL! )
• Tennis
• Hockey
• Ice Hokey
• Deep squatting
• Field Hockey
• Lacrosse
• Water polo
• Soft ball
• Martial arts
• Any other kind of contact sports
• Ballet

To prevent any injuries patients should always STRETCH their muscles before engaging in any kind of sports.
Stretching is crucial especially for your muscles in your hip and lower back.

Depending on your recovery progress this usually takes 2-3 months time.

When I can drive again following the surgical operation?

It totally depends on your leg. Since you have a good control on your leg it usually takes 15 days.

When can I exercise again after the surgery?

Each patient experience a different recovery period.  With restricted sports activities and under your physician’s supervision you can start to exercise with two weeks.

General information of hip labral tear

We observe that groin pain is a significant clinical problem within the athletes population. Please find below the potential causes of groin pain:
• Hip labral tear
• Referred back pain
• Hernia
• Adductor strain
• Pubic bone inflammation

Activities that involve force adduction of the hip joint in association with rotation in either direction tend to aggravate the pain.Speaking generally, because of combined movements of flexion and rotation groin pain of acetabular tears is being observed.Various clinical studies of arthroscopic debridement has shown to be very effective with high clinical success rate. It has been conluded that removing the external material and dead tissue and thus cleaning the wound has almost 90% clinical success rate especially in young patient population who has no complication like arthritis.
The opinion leaders have called more clinical studies; especially the ones that will enable the  long-term follow-up.

How to prevent hip labral tear (acetabular labral tear ) is a common questions asked by thousands of patients. Although there are no specific prevention methods; the best thing to prevent hip labral tear are dynamic lomber stabilization exercises and lower extremity strength training.

What is the treatment of hip labral tear?
Depending on the severity of the pain and the stage of the disease the physician may prescribe injections and physical therapy.  Usually combining both provides the best clinical results. To control the pain the physicians may prescribe medications.

Surgical operation remains to be the last reserve for treatment where the physician sees no other choice. Surgical operation for hip labral tear (acetabular labral tear ) is called hip arthroscopy.
As a summary treatments of hip labral tears ( acetabular labral tears ) are:

1. Changing your life style and physical activities: This may prevent any further injuries. If your job requires you to sit for a long time; try to take little breaks every 20-25 minutes. Take a short walk. Changing positions and taking regular breaks are necessary. Improving your posture is necessary.  Improper posture when sitting, walking or running can put pressure on your labrum. You should keep yourself away from activities that take the hip through extreme or full ranges of motion.  Commit yourself to maintain your hip strength.

2. Pharmacotherapy: This is being employed to manage the pain caused by labral tear. Pain medications are being prescribed by the physicians. NSAIDs and acetaminophen are the alternative choices of therapy for control the pain. Glucosamines and condroitins are also being used as part of the pharmacologic therapy.

3. Physical Therapy: Every hip labral patients should exercise.  This is a must to have step for the patient suffering hip labral tear. Dynamic lomber stabilization exercises and lower extremity strength training are most common exercises to help to strengthen the hip and increase the stability. Thus by making the regular exercises the patient may reduce the hip labral tear related symptoms. The exercises should be done under the supervision of a qualified  physiotherapist. He/she should provide you a good physical therapy program focusing on hip strengthening.

4. Injections: The most commonly used injections are corticosteroids. Corticosteroids are used to control the pain and inflammation. Hyaluronic Acid  is also being used as an injection for the treatment of hip labral tear.

5. Arthroscopic Surgery: Although it is the last reserve for a hip labral tear patient; if the symptoms go longer than one month without any improvement or the patient’s health status get worsen hip arthroscopy takes place as a surgical operation.  In this case the hip labral tear may be surgically treated with debridement which means trimming, removal or repair and reattachment.
There are 2 main surgical options:

1. Arthroscopy
2. Open labral surgery

Although each patient is different, recovery period may take 2-3 months. In some patients this may take up to 6 months with restricted activities. Your surgeon will provide proper guidance for this period together with a physiotherapist.  After a short period on crutches, the patient performs an exercise program under the supervision of mentioned physicians.
However keep in mind that even a repaired labrum may re-tear. Discuss the pros and cons of the surgery with your physician.

In medical practice, hip arthroscopy is frequently applied to outpatients.  General anesthesia is being employed. However this does not require a hospital stay.  Patients may return to sports after three months with the guidance of their physicians.

Non operative management of hip labral tears include:
1. Injections
2. Physical Therapy

What is the labrum?

The hip is a ball and socket joint.
The ball is formed of the top end of the thigh bone or femur. The labrum is a fibrocartilaginous structure on the rim of the acetabulum in continuity with the articular cartilage of the acetabulum. We know that the socket is formed of the pelvis bones and it is being also described as acetabulum.

What is the function of the labrum?

The labrum has a critical function that is responsible from hip stability. Labrum maintains the hip stability through deepening the acetabulum socket. Additionally it secures a seal of the hip joint.

What are the treatment options of labral tear?

Each patient is different. Thus the clinical episodes and experiences may alter from patient to patient. So does the treatment. While some patients may be treated by non operative treatments; other may need hip arthroscopy.

Non operative treatments include;

• Physical therapy
• Activity modification
• Medications
  o Anti-inflammatory drugs
  o Viscosupplement injections ( Synvisc, Hyalgan and others.. )

Operative treatments:

Hip arthroscopy:

It is a successful diagnostic and therapeutic tool for patients with hip labral tear (acetabular labral tear ) . If the patients still experience the symptoms despite the non operative treatments; physicans may decide to proceed with hip arthroscopy. With the help of hip arthroscopy, patient’s labrum may be repaired together with the other problems that are linked with hip joint.

What are the long term consequences of a labral tear?

Today it still remains as a question mark.  Opinion leaders in this field think that there is a strong link between arthritis in the hip and hip labral tears. However there is no solid evidence behind this thought. Current clinical data does not show such an interrelation between two disorders.

What is hip arthroscopy?

Hip arthroscopy is diagnostic and therapeutic tool that is being performed by a certificated surgeon where the surgeon uses an equipment which has a camera and through the little incisions it enables physicians to visualize the inside of a joint.
Hip arthroscopy uses similar instruments to knee arthroscopy. It is being clinically observed that patients who have hip arthroscopy generally return to their active life very quickly.

The benefits of hip arthroscopy includes:
• Enabling physicians for a better diagnosis
• Comprehensive assessment of the hip joint
• Supporting patients for a better treatment
• Providing a less painful procedure comparing to traditional surgery
• Accelerates the recovery period of the patients
What are the main risks of hip arthroscopy?

Hip arthroscopy is generally a safe operation without major complications.
However few complications may exist including:
• Infection: This is true for every surgical operation.
• Deep Venous Thrombosis
• Femoral neck fracture
• AVN of the femoral head
• Heterotopic ossification (abnormal bone formation in soft tissues)
• Nerve injury
• Nonunion
• Scarring/Adhesions

What is the minimally invasive treatment of labral tears?

Today we can say that arthroscopy is corner stone therapy for patients with hip labral tears (acetabular labral tears). This diagnostic and therapeutic tool enables the physician to observe and analyze the joint by simply inserting a micro camera. Thus the surgeon easily evaluates the injuries of the labrum and the joint. When there is a necessity, physician can use specific instruments that may be inserted into the arthroscope.  Whether the condition is mild to moderate or moderate to severe; this techniques is being applied for most cases of hip labral tears. During the operation the damaged part of the labrum is being eliminated.

It involves any flaps of cartilage which restrict the joint to mobilize.
After having a simple labral surgery, physicians recommend a physical therapy to increase and regain the strength and range of joint motion. Recovery period may change from patient to patient. Especially full  recovery period for  people who make sports like tennis may take up to 6 months.

What is the conservative care for Labral Tears?

Today we know that labrum has a rich blood supply. Thus it is being asserted that particular labral tears are healing on their own. Part of the general patient population may get benefit from the physical therapy ( in cases where tear is linked with impingement that the rotator cuff rubs on the labrum). If patient does not respond to the physical therapy  surgery may be considered.

Hip Surgery

Hip labral tear (acetabular labral tear)  patients usually appear with mechanical symptoms (locking,catching and painful clicking) as well as restricted range of motion. Stiffness in the joint can also be seen.

This is kind of a silence disease. Thus there are no obvious symptoms other than pain and mentioned symptoms above.  Pain is the major symptom of this disease where the labral tear usually locks the hip. Patient may experience a significant pain.  However in some occasions there may be no pain symptoms. Some patients apply with aching symptoms within the inner hip or groin region.

Patients usually apply to physicians with following complaints:

• I don’t have good flexibility in my hip
• It hurts to externally rotate my hip
• I  have a terrible pain that woke me up at night
• I have a lower back pain and buttock pain
• I have a terrible pain in my right hip
• My pain is increasing during a physical activity
• I am experiencing a pain in the trochanteric region
• My pain is so bad that after a running for a while, I can’t walk home easily
• I have a terrible pain when I sit, bend and twist
• I have a severe groin pain
• I can’t easily lift my leg
• My pain is increasing when I run through the hills
• I am having a lot of pain down the front of the thigh during any kind of impact activity, even walking
• I am having hip, pelvis, knee and spine pain
• I have been experiencing a limited activity for this month

Labral tears do not show up on an x-ray. Thus after taking the patient’s disease history and careful physical examination with the help of MRI (MR) physicians can diagnose the disease. To eliminate misdiagnose MR is necessary.

Hip arthroscopy is a very common diagnostic and therapeutic tool; popularity of arthroscopy is very high among orthopaedicians. With the help of advanced research and development efforts in this field; today physicians even have more alternative diagnostic choices including MRI (magnetic resonance imaging) and intraarticular hip pathology.

The evolution of the technologies in below areas provided improved accessibility of the hip joint and ensured a more detailed understanding of specific intraarticular soft tissue lesions, notably hip labral tears including:

• Patient set up
• Needle positioning
• The right portal placement
• Surgical techniques
• Arthroscopic instruments
• Distraction techniques

Diagnosis is an important issue for patients with hip labral tear; remembering that it is clinical and is analogous to those patients who has meniscal pathology. This particular patient population has mechanical symptoms together with restricted range of motion.

Mechanical symptoms include painful clicking, catching and etc.. From time to time the presence of mechanical symptoms are more quiet with signs and symptoms of dull, activity induced and  particular positional pain which fails to be in a better clinical condition with rest.

It has been observed that misdiagnosing takes place especially while observing the clicking symptoms; where this symptom is being confused with hip labral tear knowing that the etiology is completely different.

Please find below the steps for a proper diagnosing hip labral tears:

• Patient history
• Physical examination
• Appropriate diagnostic imaging
• MR (non-contrast methods or gadolinium enhanced methods)
• Radiographs

Managing patients with hip labral tear through Arthroscopy includes repair and debridement. The main objective of  debridement of a torn hip labrum is to manage pain by discarding the unstable flap tear that causes the inspected hip problem.
Various surgical techniques are applied to patients with hip labral tear; this merely depends on the nature of the labral injury.

Mainly there are 2 major types of acetabular labrum tears:

•    Type I
•    Type II

Type I  of acetabular labrum tears  represent a disengagement of the labrum at transition area to the articular hyaline cartilage and require reattachment to the acetabular rim, generally with anchor.

Type II of acetabular labrum tears are intrasubstance splits with one or more cleavage planes can be repaired with a suture lasso technique and a bioabsorbable suture.