Is it just my imagination or are we seeing an increase of
hip labral tears? Is this another case of more sophisticated diagnostic techniques
finding something that was always there? I know this was a big topic at a
sports medicine conference I spoke at last year. The surgeons were all
discussing arthroscopic procedures used for the surgery. I just have to be a
bit skeptical. I would appreciated any comments; perhaps I am missing something
here. It just reminds of the time our team physician with the White Sox had
gone to a conference and heard a talk on slap lesions in the shoulder. In
spring training physical with the minor leaguers he started look for slap
lesions. Guest what, he started finding them.
5 Comments
adam moss
Coach
We have had few labral tears inthe shoulder, both LBs/football players..one originated in wrestling, the other from football and contact. What can i do to adress these int he future proactively?? The one this year he tried to let heal on its own and thought he could get through wrestling season, but could not do it…he has opted for surgery..now another offseason goes to rehap instead of getting stronger, more athletic etc….
chris
Haven’t seen any hip labral problems, more flexor problems than anything. However, definately SLAP is the main course this year at the high school. Have had about 5 or 6 of them, mostly football players. Too much bench from the coaches, not enough back???
Joe P.
Remember Wolfe’s law; form follows function. A joint capsule adapts appropriately to stress. In the case of the shoulder & hip, the posterior capsule often becomes ornery and causes the heads of the joint to shift in the glenoid/ acetabulum. This creates what Brian Mulligan calls, “positional faults”. So, one portion of the labrum is subject to compression & damage. Labrums, like meniscus tears, don’t heal on their own. However, by addressing the capsular pattern you can alleviate the stress on the lesion and make the athlete more functional. As far as prevention, a well rounded athletic development program that mixes up the movement patterns can go a long way in preventing undesirable capsular adaptations.
timsullivan
“It just reminds of the time our team physician with the White Sox had gone to a conference and heard a talk on slap lesions in the shoulder. In spring training physical with the minor leaguers he started look for slap lesions. Guest what, he started finding them.”””
How was he looking or testing for them?
Fitness Blog
I have seen that 80% of hip labral tears, have no direct cause. I believe that they are normal wear and tear injuries.