IC 03- Hip Pain: What to do When It's Not the Labrum?-IC 03- Hip Pain: What to do When It's Not the Labrum?

Video Transcription

Video Summary

The panel discussion focused on sports-related hip and groin injuries in athletes, emphasizing that many hip pain cases are not purely intra-articular. The introduction highlighted the rise in hip arthroscopy and labral tear literature, but noted that athletic hip pain often includes extra-articular problems such as instability, rectus femoris injuries, hamstring tears, and athletic pubalgia.<br /><br />The first major talk covered low-energy hip subluxation/dislocation in athletes, often associated with cam morphology, posterior rim fractures, labral tears, loose bodies, and capsular injury. The speaker stressed prompt reduction, MRI/CT evaluation, and delayed surgery only when indicated by incongruent reduction, loose bodies, large posterior wall fractures, or persistent pain. Outcomes are generally good, but AVN and chondrolysis remain concerns.<br /><br />The second talk reviewed rectus femoris injuries, which commonly occur in kicking sports and sprinting. Most are treated non-operatively, but surgery may be needed for large retracted avulsions, chronic tears, or elite athletes with high functional demands. MRI is the key diagnostic tool, and delayed injuries can lead to subspine impingement requiring later decompression.<br /><br />The hamstring presentation focused on proximal tears, especially in athletes with ischiofemoral impingement, sciatic symptoms, or significant retraction. Both open and endoscopic repairs were discussed, with endoscopy offering improved visualization of neural structures. Early diagnosis and timely surgery improve outcomes.<br /><br />Finally, athletic pubalgia/core muscle injury was described as a disruption of the pubic aponeurotic complex involving rectus and adductor attachments. Surgical repair aims to restore anatomy, with high return-to-sport rates. The speaker also cautioned that PRP may slow healing or increase calcification.<br /><br />Overall, the panel emphasized careful diagnosis, imaging, individualized treatment, and awareness of overlapping hip, pelvic, and soft tissue pathology in athletes.

Keywords

sports-related hip injuries

athletic groin pain

hip subluxation

labral tears

rectus femoris injury

proximal hamstring tear

athletic pubalgia

MRI diagnosis

endoscopic repair

return to sport