ShoreOrtho Sports Performance & Injury Prevention Tips
A Monthly Blog Series
Damon A. Greene, MD
Board Certified Orthopaedic Surgeon
Shore Orthopaedic University Associates
The hip acts as foundation and pivot point for the entire body joining the upper and lower halves. It is just as important for walking as it is for core strength and supporting the upper body.
The hip is a ball and socket joint. The head of the ball (femoral head) fits into the socket (the acetabulum). If you imagine a cup the labrum is a thick ring of cartilaginous tissue that surrounds the top of the cup. The labrum has many functions from shock absorber but is two main functions are to confer increased stability to the cup and provide semi airtight seal that helps to keep the synovial fluid in the joint which provides lubrication between the femoral head and acetabulum. The labrum has also been shown to have a collection of nerves and sensory organs which can signal pain if the labrum is damaged. The blood supply to the labrum is very limited which unfortunately limits its ability to heal.
Labral tears are difficult to diagnose, partially because of the many muscles and other structures that are near the hip joint. They are often misdiagnosed as common groin strains and it is not uncommon for the diagnosis to be missed for many months after the labrum is torn
Labral tears are common in athletes and occur when the collagen rips. There are many symptoms of a labral tear. The main symptoms are hip and groin pain. However other symptoms include:
Since the diagnosis is difficult a clinical exam by a sports medicine physician or an orthopedic surgeon is the first step. Once the exam is complete the physician may order the following imaging tests:
Hip labral tears can sometimes be treated with nonsurgical treatments. Below are some of the most common.
If nonsurgical treatments are not recommended, or if they have been tried and do not relieve the hip pain, surgery may be suggested. The type of procedure that will be performed is dependent upon the severity of the tear.
Most surgical options for labral repair are minimally invasive, using a tool called an arthroscope. The arthroscope is about the size of a pencil and equipped with a tiny television camera, allowing the surgeon to view and repair the damaged labrum without having to make a large incision.
Arthroscopic hip labral replacement. Labral replacement, sometimes called labral reconstruction, may be recommended when the labrum is too damaged to repair.
Dr. Greene is a Sports Medicine Fellowship-Trained, Board Certified Orthopaedic Surgeon. He specializes in; acute and chronic ligament, tendon, or cartilage injuries to all major joints; primarily shoulders, elbows, knees and hips. He treats fractures surgically when necessary, but performs casting, bracing, and other non-operative treatments such as specialized injection therapies.
Announcing an elite grouping of the state’s top Orthopedic Surgeons, Neurosurgeons, Plastic Surgeons and Podiatrists across 13 procedure categories. This distinction is based on a number of criteria, including experience, qualifications, surgical volume, results and reputation. Only the top doctors in each category are named to the Select Surgeons Bone & Joint list. Many of the surgeons on this list perform other procedures in addition to those for which they have been recognized.
Ira M. Fox, DPM
Shore Orthopaedic University Associates
Reconstructive and Traumatic Foot and Ankle Surgery, Ankle Joint Replacement
Selection Methodology—Bone & Joint Surgeons
By New Jersey Monthly | August 8, 2019
Select Surgeons takes a 360-degree look at New Jersey’s bone and joint surgeons, reviewing 9 criteria across 13 procedure categories to arrive at the most comprehensive evaluation of leading bone and joint surgeons in the state. Leflein Associates (add link), a locally owned research firm in Ringwood, NJ, was commissioned to conduct the survey. Research was conducted between November 2019 and April 2020.
Office Visit – I had an appointment to see Dr. Barrett to have a possible broken finger checked. Everyone in the office was courteous and helpful both times I was there. When you are not feeling well it means a lot to know others care and that they are true professionals.
Clinton A. Cape May, NJ