Hip FAI, Labral Repair, and Return to Sport

True or false: females more than often than males experience labral pathology

true

True or false: the shoulder is more stable than the hip joint

false - the hip is more stable than the shoulder

What is the main static stabilizer of the hip?

joint capsule

What two tendons commonly cause snapping of the hip?

IT band and the iliopsoas tendon

Match the following terms:

1. iliopsoas

2. IT band

a. "hear across the room"

b. "see across the room"

1 and a, 2 and b

True or false: bone offers most of the stability of the hip

true

Match the following terms:

1. anterior

2. medial

3. posterior

a. sciatic nerve

b. femoral nerve

c. obturator nerve

1 and b

2 and c

3 and a

What is the primary collagen type for the femoral head and acetabulum?

type II

What is the primary collagen type for the labrum?

type I

True or false: there is only one tear type for the labrum

false - two tear types

What are the three functions of the labrum?

- acts as a suction seal that helps to stabilize the joint

- shock absorber

- traps synovial fluid layer for nutrition for articular cartilage and labrum

True or false: the labrum is poorly vascularized

true - mainly occurs at the superficial labrum

True or false: innervation of the labrum is more dense ventrally

true

What impingement is this describing?

loss of onset between femoral neck and head

CAM deformity

What impingement is this describing?

deformity on the acetabulum

pincer deformity

With acetabular dysplasia, the acetabulum is _____ which leads to _____ stability.

a. deeper, increased

b. deeper, decreased

c. shallower, increased

d. shallower, decreased

d

Where do patients commonly report feeling intra-articular hip pain?

1. groin pain

2. lateral based hip pain

What are the main surgical goals of labral repair/FAI arthroscopy?

restore suction seal

treat FAI

eliminate impingement

What are two risk factors for poor outcome following labral repair surgery?

arthritis or acetabular dysplasia

True or false: about a year to a year and half is required for a full recovery

true

What are two demographics that particularly do well following labral repair surgery?

runners and adolescents

What is the reason Dr. Wierks likes using crutches for 3 weeks at 50% WB?

to protect against femoral neck fractures

True or false: only 50% of adolescents return to sport after surgery

false - 85%

True or false: 94% of runners return to running after surgery

true

True or false: 70% of professional athletes RTS at a mean of 7.1 months

false - 86.4%

True or false: Dr. Wierks wants patients to perform hip flexion exercises the day of their surgery

false - circumduction exercises