Friday, April 12, 2024

Torn Hip Labrum Surgery Recovery

Hip Labral Tear Surgery

What to Expect from Hip Arthroscopy Labral Tear Repair Surgery / FAI

If your hip labral tear is severe, or if you are still in pain after trying nonsurgical options, your doctor may recommend surgery. The most common surgery to repair hip labral tears is arthroscopic surgery. During this procedure, an orthopaedic surgeon makes several small incisions to access the hip. With the help of a special camera device called an arthroscope, the surgeon locates the labral tear and uses surgical tools to repair it.

Repairing a hip labral tear may involve removing frayed pieces of labrum, stitching the tear back together or using tissues from other parts of the body to replace a missing piece of labrum.

If your labral tear was caused by a hip impingement, the surgeon will address it by reshaping the bones of your hip joint so they glide smoothly.

What Does A Hip Labral Tear Feel Like

Having a torn labrum can feel different for each person, depending on the type and the severity of the tear, but it is usually uncomfortable or painful. Pain from a labral tear is most often at the front of the hip, near the groin, but could also extend into your thigh or buttocks.

You might experience pain when rotating your leg, squatting, climbing stairs, or sitting for long periods of time. Many patients with labral tears describe feeling unsteady when putting weight on their hip, or a clicking or catching feeling when standing or participating in physical activities.

Labral Repair Recovery Equipment

We met with the medical equipment supplier at the surgery center before my surgery, and he fitted me for my hip brace , crutches , and ice machine attachment for my hip , and a CPM machine .

The ice machine attachment and the CPM machine werent covered by insurance, so I had to pay for those out of pocket. The CPM machine was for rent, so we got it for 3 weeks but returned it during my 2-1/2 week follow up doctor appointment.

I was a little nervous about how my hip surgery would go, but I had a feeling that everything would go great . The surgery center was great, I ended up having a spinal block for anesthesia instead of general anesthesia, and everything went smoothly. The doctor was even ahead of schedule so we started a little early!

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What Causes A Hip Labral Tear

Hip labral tears can be caused by many things, including the following:

  • Structural ailments: Conditions that cause abnormal hip movement can also lead to hip labral tears. In femoroacetabular impingement , the femoral head doesnt fit into the socket properly. This imperfect fit can cause long-lasting groin pain and movement limitations. This is the most common cause of labral tears. FAI can affect people at any age. Without treatment, it can result in osteoarthritis in some patients.
  • Injury: Trauma to the hip can lead to a hip labral tear. This can happen to people who play certain sports that have repetitive and high-impact movements, such as ice hockey, football, soccer and golf.
  • Degenerative health conditions: Osteoarthritis is a chronic wearing down of the cartilage between the joints. As cartilage slowly erodes over time, it becomes more prone to tearing. Older age and excessive weight can increase a persons risk for developing osteoarthritis. People with osteoarthritis commonly have pain and stiffness in more than one joint .

Is Hip Labrum Surgery Successful

Hip Labral Tear 101

A recent study at Mayo Clinic followed 57 patients who underwent surgery for labral tears. An alarming 45% of patients had poor clinical results at an average of 5 years after the surgery . 20% of patients required additional surgery. In a different study, 80 patients with documented labral tears were randomized to undergo surgical repair or physical therapy. At 2 years there was no difference in outcomes between the two groups. Hip labral surgery was no better physical therapy . In a review of multiple research studies examining pain and hip function after hip surgery for patients with FAI, authors demonstrated more pain and less function in the surgical group as compared to nonsurgical counterparts .

Another important concern is whether or not labral tears cause pain. A 2013 study looked at the MRIs of 85 patients with hip pain and found no association between pain and labral tears . A different study followed professional Danish ballet dancers. It demonstrated that those with pain while dancing had no more evidence of labral tears on MRI than those dancers without hip pain . Is it possible to have a labral tear and no pain? Yes! Another study looked at 45 patients, with an average age of 38 years with no hip pain and found that 69% had labral tears .

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Treatment Options: Labral Tear

Non-Surgical: Labral Tear Hip

It is often better to try a non-surgical approach to treatment of a labral tear in the hip joint before surgery when possible. However, in some cases surgery may be recommended promptly. The labrum, due to its tough fibrocartilaginous make-up, has limited blood supply and cannot easily repair itself or reattach itself to bone. For this reason, the long-term use of non-surgical treatments is discouraged and prompt manual repair is recommended.

There are a number of different non-surgical methods for treating labral tears and the pain and discomfort that accompany this type of injury.

Surgical: Labral Tear Hip Surgery

Typically, most surgical procedures done for labral tear repair are done in a minimally invasive way known as arthroscopic. This technique involves inserting a scope into a small incision and then using a camera and tools through the scope to perform the repair. In some cases an open hip surgery may be indicated.

Here are some surgical techniques that may be recommended depending on the severity, type and extent of labral tear.

Arthroscopic Treatment For Labral Tears

Labral tears and the underlying FAI can often be successfully treated with hip arthroscopy including:

  • FAI bump or cam type lesion: The abnormal bone is removed and reshaped to prevent further impingement and to protect the hip from further damage. This can also improve a patients range of motion.
  • Abnormal socket The abnormal bone is removed to prevent further impingement and to protect the hip from further damage.
  • Labral tears These can be repaired and stabilised. Specialised anchors are used to re-attach the torn labrum.
  • Articular cartilage damage Unstable cartilage flaps can be debrided and stabilized, but not repaired
  • Ligamentum teres tears These can be trimmed, tightened and reconstructed

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Whats The Recovery Time For Labrum Surgery

Labral tears are injuries to the disc of cartilage that surrounds the ball-and-socket shoulder joint. These injuries are usually the result of long term wear and tear, participation in athletics like baseball or weightlifting, or accidents dealing with automobile crashes or falls.

Depending upon the degree of the injury, surgery could be minimally invasive or more aggressive, which would dictate the exact recovery time from surgery. However, we can look into what the recovery looks like and figure out from there what a realistic timeline might be:

Anywhere from 2-4 weeks after surgery, youll likely be advised to wear a sling on the arm. This should keep your shoulder in place and prevent trauma during your recovery. It may be difficult to perform every day tasks during this phase, like driving, writing, or doing dishes, depending if surgery was done on your dominant arm or not. You should prepare to have some help during this recovery time.

After the initial healing period, physical therapy may be recommended as the next course of treatment. Your physical therapist will likely design a program around building and regaining strength, flexibility, and range of motion. It can take anywhere between 4-6 weeks to build up enough strength in the shoulder to go back to regular every day activity.

Looking for a physical therapy center to recover from labrum surgery? MedAmerica Rehab can help reach out to us today about your first consultation.

What Is Hip Arthroscopy

Hip labral tear surgery recovery – basketball after failed physical therapy and hip surgery?

Hip arthroscopy is a minimally invasive hip surgery using a small camera called an arthroscope.

A special type of boot applies traction to your foot, which separates the ball and socket of the hip joint. The open joint, also called joint distraction, allows a surgeon to introduce the arthroscope into your joint. Your healthcare provider also injects fluid or air into your hip with the help of X-ray guidance.

Once they confirm the proper placement of the arthroscope, the surgical team will make anywhere from two to four small incisions on the side of your hip. Each typically measures around 5 to 10 millimeters in length. Through these tiny portals, your medical professional passes the instruments and arthroscope into your joint. They can then visualize your hip joint, find the problem and proceed appropriately.

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What Is A Labral Tear Of The Hip

A labral tear of the hip is an injury to the labrum a ring of cartilage on the socket part of the hip joint. Your hip joint is a ball-and-socket joint, composed of the ball, which is the top of your femur and a socket, which is part of your pelvis . The labrum helps keep the bones of the hip joint aligned and in place as you move. It also helps keep the joint fluid inside the joint to ensure frictionless motion.

The extent of hip labral tears can vary. Sometimes, hip labrum can have mini tears or fray at the edges. This usually happens due to a gradual wear on the labrum. In other cases, a section of hip labrum can separate, or tear away, from the socket bone. These types of hip labrum injuries are usually due to trauma.

Picking A Hip Specialist

Originally, I was going to go see a hip surgeon that specialized in complete labral reconstruction surgery, and his office said I was a good candidate for the surgery. Rather than just repairing the labral cartilage, reconstruction removes the labrum completely and replaces it with cadaver tendon stitched in place.

It would have been quite extensive: 6+ weeks on crutches and about 6 months recovery time, along with very strict guidelines about movements, sleeping, etc.

Well, after working remotely with that particular surgeons office, it all fell through with him and I had to find another surgeon. Some of his office staff were dragging their feet, they wouldnt move forward until I was able to get a final verdict from work comp about my case , and to top it all off, they wouldnt even get me on the surgery schedule until I paid a $2500 deposit. Just to be on their schedule.

I complained to their office, and they said it was in their contract . After 3 months of back and forth with this doctors office, I walked away and found someone else.

Everything was done long distance, so I had never even spoke with the doctor himself or even saw him face-to-face, I had only spoke to his staff and arranged everything remotely. In hindsight, Im so glad I decided not to go with this doctor because as it turned out my labral tear wasnt extensive enough to warrant a full reconstruction.

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What Rehabilitation Should I Do After My Surgery

Dependent upon the findings and procedures performed at hip arthroscopy, we use 2 different protocols for rehabilitation, the single and the complex. The single protocol involves crutches for 2 weeks and the complex protocol involves use of crutches for 4-6 weeks following surgery. You should not drive for 2 weeks following hip arthroscopic surgery. Your physiotherapist and Mr Hoad-Reddicks team will advise you regarding appropriate rehabilitation in the postoperative period. You can download copies of the simple and complex hip arthroscopy protocols here.

Find Things To Occupy Yourself

Torn Labrum Shoulder Surgery (Video): Town Center Orthopaedic Associates:

One thing you will be doing is getting rest. I thought I would be tired during my recovery so I envisioned myself sleeping all the time. I was wrong. I had a lot of energy mentally and I didnt know what to do with it.

I ended up watching a lot of TV and reading books. Youll want to be sure you have some stuff to do from a sitting or lying down position.

Thankfully, my mom came over every day during the week to help me with the kids. My husband took off 2 weeks and then went back to work. I needed my mom to occupy the kids and keep up with the house while my husband was at work.

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Youll Be In Physical Therapy Multiple Times Per Week For 4

Consider how this physical therapy will affect you socially and financially before surgery.

  • Have a big trip planned? The speed and quality of your recovery depend heavily on physical therapy. Skipping sessions shouldnt even be an option. If you have something big planned, try your best to reschedule. A little sacrifice now ensures a better quality of life long term.
  • Have you met your deductible? If this is your first medical expense of the year, take a look at your insurance policy. Until you meet your deductible, you could be responsible for paying 100% of all physical therapy bills.
  • Be ready to alter your daily routine. Even when you dont see your physical therapist, youll need to complete the recommended exercises. A speedy and full recovery relies on your dedication to completing these workouts at home.

Hip Labral Tear Surgery Minimally Invasive Arthroscopy

If a patient has not experienced relief with the aforementioned nonsurgical options, the overseeing medical professional may recommend torn labrum hip surgery. In the past, open surgeries were often used to treat hip labral tears. Today, minimally invasive arthroscopic procedures are used, offering patients faster recovery times as well as less post-operative pain and swelling compared to open techniques. During arthroscopic hip labrum surgery, a series of small incisions are made around the hip joint. A small camera is inserted through one of these incisions to give the surgeon visual access to the joint. Next, a series of surgical instruments are inserted to remove frayed or damaged portions of the labrum. Excess bone growths and loose fragments may also be shaved or removed from the area to allow the hip joint to operate smoothly during activity. For patients who are suffering from labral tears resulting from osteoarthritis of the hip, treatment will focus on restoring function to the arthritic joint. In instances of severe hip osteoarthritis, your doctor may recommend hip labrum surgery, or partial or total joint replacement.

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Why Choose Upmc Orthopaedic Care For A Labral Tear

U.S. News and World Report ranks us as one of the best orthopaedic programs in the nation.

Here are just a few of the reasons why:

  • Experts in sports medicine. As experts in preventing and treating sports-related injuries, we know the problems athletes face. We know you want to stay active and keep playing the sport you love. We use the most advanced treatments and therapies to make that happen.
  • Interconnected services. We offer one place for all your orthopaedic needs. Our doctors, nurses, and physical therapists provide complete care from diagnosis through recovery and rehab. We coordinate all of your care, so all you have to focus on is getting better.
  • Many ways to rehab. We have more than 70 locations throughout the region where you can go for outpatient rehab.
  • Unmatched in research. We are leaders in the western Pa. region for NIH-funded orthopaedic research and clinical trials. We’re always seeking better ways to diagnose and treat conditions such as labral tears.
  • Specialty programs. With specialists in each type of orthopaedic injury and condition, we have the experts to cater to your specific needs. The Hip Preservation Program at UPMC Orthopaedic care specializes in hip problems from the mild to the severe, including hip labral tears.

What Does A Hip Labral Tear Feel Like Hip Labral Tear Symptoms Treatment And Recovery

Hip Arthroscopy Labral Repair Surgery: Recovery Days 2& 3

Hip labral tears are a fairly common injury, both on the playing field and as a result of chronic conditions. Torn hip labrums are frequently seen in sports that require sharp cutting movements such as soccer, football, and basketball, especially in athletes with hip dysplasia.

However, a hip labral tear can also develop in a slower, less dramatic fashion. Over time, certain chronic conditions or simple everyday wear and tear from repetitive motions may lead to hip labral tears. It goes without saying that hip pain and discomfort often limit a persons mobility, leading to diminished overall quality of life. Fortunately, there are many hip labral tear treatments for patients to consider, including nonsurgical therapies and minimally invasive arthroscopic procedures. In this post, we will discuss the anatomy of the hip joint, as well as hip labral tear causes, symptoms, effective therapy, and more.

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Illustration Of Hip Dysplasia

A = Normal hip B = Hip dysplasia

Hip Dysplasia

Hip dysplasia is a developmental condition characterised by misformed or misaligned joint. This may commonly include a shallow socket or misshapen femoral head. It can cause a range of problems including damage to the joint surface. Labral tears are also a problem that have been observed to occur among people with hip dysplasia.

Degeneration

Like many structures in the body, the soft tissues around the hip can experience degeneration with age. The labrum is not immune to this and may tear as a result of degeneration in older age. People who develop labral tears in young or middle ages are more likely to have one of the other four causes described above.

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