Srino Bharam MD

St. Vincent's Medical Center, Lenox Hill Hospital, 36 7th Avenue, Suite #502, New York, NY 10011, USA

The incidence of labral tears in high-demand athletes is increasing as awareness and knowledge of these injuries expands. Hip injuries can be divided into intra-articular and extra-articular injuries. These injuries can also coexist. The question of whether an injury is of intra-articular versus extra-articular etiology after insidious onset of hip pain can be challenging to the sports medicine practitioner.

Extra-articular hip injuries are usually the result of overuse activity leading to inflammation, tendonitis, and bursitis. Extra-articular hip disorders may also arise from secondary compensation to intra-articular hip pathology.

Athletic hip injuries leading to disabling intra-articular hip pain most commonly involve labral tears [1,2]. Labral tears in the athletic population can occur from an isolated traumatic event or from repetitive trauma [2]. Structural abnormalities of the hip joint may also place athletes at higher risk for labral pathology. It is uncommon to have isolated labral tears, and they are usually associated with other intra-articular injuries [3]. In this article, identifying lab-ral tears and associated lesions in the hip, arthroscopic management of these injuries, and return to sport are highlighted. Arthroscopic intervention for extraarticular hip injuries is also discussed.

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