Hip Labral Tear with Arthritis = Poor Outcomes

by Chris Centeno, MD /

Receive a Regenexx® Patient Info Packet by email and learn why it's a superior regenerative solution.

Hip Labral Tear with Arthritis
The most common hip surgery in America, outside of hip replacement is now hip arthroscopy to treat a labral tear. In one four year period, the number of hip arthroscopy surgeries exploded by 600%! Many of these patients have a hip labral tear with arthritis. However, according to a recent study, many of hip surgeries may be useless in helping to prevent hip replacement.

The hip is a ball and socket joint with a “lip” or labrum around the socket. This labral structure can become torn or frayed, which is often considered an indication for arthroscopy. The torn piece can be either cut out or an attempt at rebuilding the labrum through various means can be accomplished. In addition, bone spurs that form at socket (called pincer deformity) can be taken out surgically or the size of a short socket (hip dysplasia) can be enlarged.

The pressing reason hip arthroscopy is performed is to avoid the need for a hip replacement. However, how much research do we have about this surgery and it’s indications?

-A number of studies question whether hip labrum pain is for real by demonstrating that tears in the labrum are common in patients without pain
-A recent study found that about half of hip surgery patients with a labral tear mounted a successful recovery
-Several recent studies have shown that
hip impingement or FAI is very common in patients without any symptoms with almost all people without hip issues in one study having at least one criteria for the diagnosis

The new study looked at a very common occurrence in hip surgery, whether patients with minimal evidence of arthritis at the time of the hip surgery had different outcomes from those patients who had no evidence of arthritis. The new study was also prospective (meaning that it was designed from the start to measure outcome) unlike most of the research on hip arthroscopy which has been retrospective (looking backwards at results). The authors found that even the smallest evidence of arthritis at the time of surgery dramatically reduced outcomes with almost 6 in 10 having worsening arthritis as a result of the surgery. In addition, while the patients with no arthritis fared the best, we have no idea if they would have done just fine if asked to stay off the hip without any surgery. This is a big issue, as countless knee arthroscopy studies have now shown that patients who get a sham surgery do just as well or better than those who get the actual surgery.

The upshot? Many hip arthroscopy patients that we evaluate after failed surgeries had evidence of arthritis before their procedure, so we know it’s still a common practice to operate on patients with that diagnosis. This is despite this and other studies showing that hip arthroscopy isn’t effective in that group of patients. In addition, since we have no placebo controlled trials, I wouldn’t be surprised to find higher level studies in a few years that conclude that most of hip arthroscopy is a boondoggle.

Category: Hip, Latest News

Chris Centeno, MD

Regenexx Founder

Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications.
View Profile

Get Blog Updates by Email

Get fresh updates and insights from Regenexx delivered straight to your inbox.

Regenerative procedures are commonly used to treat musculoskelatal trauma, overuse injuries, and degenerative issues, including failed surgeries.
Select Your Problem Area
Shoulder

Shoulder

Many Shoulder and Rotator Cuff injuries are good candidates for regenerative treatments. Before considering shoulder arthroscopy or shoulder replacement, consider an evaluation of your condition with a regenerative treatment specialist.

  • Rotator Cuff Tears and Tendinitis
  • Shoulder Instability
  • SLAP Tear / Labral Tears
  • Shoulder Arthritis
  • Other Degenerative Conditions & Overuse Injuries
Learn More
Cervical Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Knee

Knees

Knees are the target of many common sports injuries. Sadly, they are also the target of a number of surgeries that research has frequently shown to be ineffective or minimally effective. Knee arthritis can also be a common cause for aging athletes to abandon the sports and activities they love. Regenerative procedures can be used to treat a wide range of knee injuries and conditions. They can even be used to reduce pain and delay knee replacement for more severe arthritis.

  • Knee Meniscus Tears
  • Knee ACL Tears
  • Knee Instability
  • Knee Osteoarthritis
  • Other Knee Ligaments / Tendons & Overuse Injuries
  • And more
Learn More
Lower Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Hand & Wrist

Hand & Wrist

Hand and wrist injuries and arthritis, carpal tunnel syndrome, and conditions relating to overuse of the thumb, are good candidates for regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Hand and Wrist Arthritis
  • Carpal Tunnel Syndrome
  • Trigger Finger
  • Thumb Arthritis (Basal Joint, CMC, Gamer’s Thumb, Texting Thumb)
  • Other conditions that cause pain
Learn More
Elbow

Elbow

Most injuries of the elbow’s tendons and ligaments, as well as arthritis, can be treated non-surgically with regenerative procedures.

  • Golfer’s elbow & Tennis elbow
  • Arthritis
  • Ulnar collateral ligament wear (common in baseball pitchers)
  • And more
Learn More
Hip

Hip

Hip injuries and degenerative conditions become more common with age. Do to the nature of the joint, it’s not quite as easy to injure as a knee, but it can take a beating and pain often develops over time. Whether a hip condition is acute or degenerative, regenerative procedures can help reduce pain and may help heal injured tissue, without the complications of invasive surgical hip procedures.

  • Labral Tear
  • Hip Arthritis
  • Hip Bursitis
  • Hip Sprain, Tendonitis or Inflammation
  • Hip Instability
Learn More
Foot & Ankle

Foot & Ankle

Foot and ankle injuries are common in athletes. These injuries can often benefit from non-surgical regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Ankle Arthritis
  • Plantar fasciitis
  • Ligament sprains or tears
  • Other conditions that cause pain
Learn More

Is Regenexx Right For You?

Request a free Regenexx Info Packet

REGENEXX WEBINARS

Learn about the #1 Stem Cell & Platelet Procedures for treating arthritis, common joint injuries & spine pain.

Join a Webinar

RECEIVE BLOG ARTICLES BY EMAIL

Get fresh updates and insights from Regenexx delivered straight to your inbox.

Subscribe to the Blog

FOLLOW US

Copyright © Regenexx 2019. All rights reserved. | Privacy Policy

*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.

Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.