The labrum is torn due to an acute injury, or more commonly due to repetitive friction as seen in hip impingement. Once this occurs patient suffer with pain.
Image of a labral tear – note the ragged edges.
If patients are suffering with pain or loss of activity, then surgery is advised. Labral repair is performed via keyhole surgery (hip arthroscopy). The labrum is tidied up and then multiple stitches are placed through the labrum to pin it back to the bone.
Image showing the stitch around the labrum to pull it back into place. The arrows point to the damaged joint surface beneath.
The cause of the impingement is then examined and the hip is moved around under keyhole vision to ensure that there is no impingement. Bone is removed if it is causing impingement.
Image showing repaired labrum (stitches), with bone removal on the ball part of the hip – this was the cause of the tear.
Following surgery, you will be on crutches for up to 6 weeks, after which there will be a rehabilitation programme to restore normal joint function.