On September 1, 2007 I was a pedestrian hit by a car here in Manhattan, NY. Luckily, I didnt have any serious injuries but sought help after my knee became painful. Around November of last year, as pain subsided in the knee, I noticed my left hip was bothering. An MRI was performed and unremarkable aside from some bone contusions (was hit in the L thigh).
Pain persisted and an MRA (arthrogram, MRI with contrast solution) was ordered and took place on February 11, 2008. That MRA showed the bone contusions and, additionally, an acetabular labral tear. I went to 4 doctors, all specialists, here in the city and ultimately settled on Dr. Ahmad at Columbia around April 10th, 2008. All the specialists told me the procedure of an arthroscopic acetabular labral repair, how it was a relatively new procedure for the hip and that it has a failure rate to it. I was told by my Dr. that I couldnt further my injury, but it will never heal on its own.
Dr. Ahmad had me try to treat the hip theraputically (cortizone injection to the capsule), but it did not work. I've been in PT since October of last year. I scheduled to have surgery July 30, 2008. After the surgery I never really felt better. I had the same pains as I did before the surgery. I told my Dr. at each follow up that I wasnt feeling better, and ultimately had another MRA on October 29, 2008.
I got the results back yesterday, "findings suggest re-tear of the anterior acetabular labrum with evidence of labral capsular separation."
I did only as I was told during recovery. Ive been so careful the last year. In that year, naturally Ive been favoring the left leg, and now the right hip is starting to have problems. If I couldnt further my injury, then why the separation? And how?
I had hip arthroscopy in August 2008. My OS has been doing them since 1990. He does labral repairs. Most of his patients are professional athletes. He is one of the formost experts in the field of hip arthroscopy and repair.
Nashville Sports Medicine and Orthopaedic Center • J.W. Thomas Byrd, M.D.
He feels that if you have a torn labrum you may have some other injuries. He thinks arthroscopic treatment of a labral tear can be very successful. He does think labral tears are often not so simple because most of them have some damage to the cartilage. MRIs show labral tearing, they usually will not show injury to the cartilage.
Recovery from hip arthroscopy is much more involved and requires more PT than joint replacement.
Have you been evaluated for FAI or Dysplasia? If you have either of these then you are at a high risk of retearing. FAI can be treated arthroscopically or dysplasia needs an open procedure called a PAO, which is a lot more involved. I would be questioning why you have retorn so quickly, and possibly consider a second opinion if your surgeron cannot give you a reason.
I had arthroscopy 9 weeks ago and I am still in constant pain, with my hip starting to give out , like it did pre-op.
I have dysplasia, and my OS did say that a PAO would be necessary if the scope doesn't work. Not sure if it is too early to tell yet, but I really though I would be better than this by now.
I must say I think the surgery has been a total success. My sleep has not been disturbed one night since the surgery. I have had a few sharp pains. I think it is from stressing the joint. OS said to watch it until the end of the year and then take it easy for another 5-6 months. I really think I came close to dislocating it one time. I haven't tried anything really "heavy duty" yet.
I am completely satisfied with the results. OS seemed to think I could have 1 more if I needed it and perhaps may never need a hip replacement.