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Hip Labral Tear – Not a Candidate

March 7, 2021
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Patients who may not be good candidates for this arthroscopic treatment include patients with hip dysplasia or this anatomic variant that we discussed earlier, because the patient is therefore at too high risk of developing additional tears later in life. Other patients who may not be good candidates for the arthroscopic treatment include patients who already have preexisting arthritis or damage to the underlying cartilage of the joint itself. Therefore arthroscopic management will not be beneficial for the patient. And therefore these patients may require hip replacement surgery. The most common scenario is that a patient is unfortunately in the interim between arthroscopic management and total joint management of surgery. Patients in this subset are often patients in their mid fifties or late forties who have degenerative tearing of the labrum. Meaning it’s been a long time chronic problem that this labrum has been torn and macerated over time, but not yet severe are bone on bone arthritis, meaning the cartilage is still slightly, mostly intact and not completely worn down. In this scenario, we tend to treat patients conservatively with treatments that we otherwise would treat patients with osteoarthritis, such as injections, anti-inflammatory medications, physical therapy and activity modification, until their symptoms worsen over time and may require hip replacement surgery.

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