Injury to the cartilage ring surrounding the hip socket.
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Hip Labral Tears
The labrum is a ring of fibrous tissue that surrounds the hip socket, providing stability and cushioning. A labral tear can cause pain, clicking, and limitation of movement. Arthroscopic surgery is commonly used to repair labral tears.
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Hip bursitis is a painful condition caused by inflammation of a bursa in the hip. Bursae are fluid-filled sacs that reduce friction and provide cushioning in the joints. The trochanteric bursa is located on the outer part of the femur, while the iliopsoas bursa is located in the groin region. Trochanteric bursitis is more common and often affects people who participate in sports that involve a lot of running.
Causes and Symptoms
Bursitis can be caused by overuse, an injury, a fall on the hip, or after hip surgery. Conditions such as spinal disease, rheumatoid arthritis, and unequal leg length can also increase the risk.
- Trochanteric bursitis: Causes pain on the outer part of the hip, which increases with prolonged walking, climbing stairs, or lying on the affected side.
- Iliopsoas bursitis: Causes pain in the groin region.
Tenderness and swelling are also common symptoms.
Diagnosis and Treatment
Diagnosis is usually confirmed with a physical exam. The doctor may order an X-ray to check for bone spurs or an MRI to get a clearer view of the soft tissues.
Non-surgical treatments:
- Rest and avoiding activities that aggravate the pain.
- Anti-inflammatory medications.
- Physical therapy with heat, ice, and ultrasound.
- Corticosteroid injections to reduce inflammation.
Surgical treatment: If non-surgical methods fail, a doctor may recommend a hip bursectomy, which is the surgical removal of the bursa. This can be performed through a traditional open incision or a minimally invasive arthroscopic procedure.