Acetabular labral tear hip

Case contributed by Kamel Mahmoud Alkhateeb
Diagnosis certain

Presentation

Right hip pain

Patient Data

Age: 30 years
Gender: Female
ultrasound

Ultrasound of right hip joint shows a cleft in anterior labrum with mild anechoic fluid coursing within.

mri

MRI shows a tear in the anterior acetabular labrum of right hip joint with minimal adjoining fluid signal.

Case Discussion

An acetabular labral tear causes in some cases no symptoms. In others, it causes pain in the groin (recently has been reported as an important cause of hip pain in a large percentage of patients). Over time, labral tears may cause permanent hip joint damage.

Acetabular labral tears have been reported in patients with trauma, hip dysplasia, degenerative osteoarthritis, and femoroacetabular impingement.

Ultrasound can reliably diagnose most tears of the acetabular labrum. MRI conventional & MRI arthrography are effective means of hip evaluation for labral tears.

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