New treatments for Hip pain

An exponential improvement in our understanding of the hip joint and our ability to both diagnose and treat hip pain has occurred in the past few years. We are seeing more and more professional athletes seeking evaluation and treatment of disabling hip pain, recently including the likes of all-star Chicago Bears punter Brad Maynard, Arizona quarterback Kurt Warner, Yankees third baseman Alex Rodriguez, and Mets first baseman Carlos Delgado.

The most common cause for disabling hip joint pain in the athletic population is secondary to labral tears. The labrum is a fibrous structure that surrounds the rim of the hip socket (“acetabulum”) and has an important sealing function that protects the cartilage layers of the hip like a “gasket seal.” Labral tears typically are the result of some underlying traumatic event such as hip subluxation or dislocation in contact athletes, or due to underlying bony abnormalities in which a “out-of-round” femoral head (“cam lesion”) or over-covered socket (“rim lesion”) pinch and damage the labrum when the hip is certain positions during athletic activities. Mechanical symptoms and restricted range of motion are oftentimes present. Pain with flexion, internal rotation and adduction (impingement position) is present in the majority of athletes with this condition.

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