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Helping a College Athlete Avoid Hip Labrum Surgery

POSTED ON IN Hip Hip Procedure Outcomes Hip Procedures Patient Testimonials Videos BY Chris Centeno

Austin Groth is a 21 year old rising senior at Buena Vista University and collegiate track and field athlete who competes in the 100 and 400 Hurdles. He injured his hip in his sophomore year and the increasing pain was threatening his athletic career. He sought medical attention and was diagnosed with a hip labral tear, and surgery was recommended.

What is a labrum? The hip is a ball and socket joint with the cup like acetabulum of the hip forming the socket, and the head of the femur forming the ball. The labrum is a gasket like fibrocartilage lip around the edge of socket, helping to hold the head of the femur in place through its wide range of motion, stabilizing the joint. Austin’s injury is really very typical for a hurdler. In things like gymnastics and dance though you’re stretching the limits of your hip’s range of motion, the movements are more fluid and not as jarring. But in situations where range of motion is pushed repetitively in a jarring fashion, labral tears are very common.

Unfortunately, the most common treatment for these tears is surgery, like was suggested for Austin. While hip labral tear surgery is done arthroscopically today, don’t let that lull you into thinking it’s a minor procedure. The arthroscopic repair requires 60-80 pounds of traction to pull the femur out of the socket enough to get the camera and tools inserted, and this causes the large femoral nerves that supply the quadriceps muscle to lose the ability to conduct signals. Because of this, this nerve needs to be carefully monitored to prevent permanent nerve damage. In addition, the labral “repair” often involves removing torn sections of the labrum instead of repairing them, leaving the joint unstable. Despite the traumatic nature of the surgery, and its prolonged recovery time, recent studies have shown that there is no clear evidence that it actually works.

Austin was faced with big choices at a young age as the surgery would have left him unable to hurdle. In order to save his athletic career, Austin chose to avoid Hip Labrum Surgery, and chose to heal his labral tear instead.  Under the excellent care of Dr. Jackson of Harborview Medical in Des Moines, Iowa, Austin was treated with precise image guided injections using the Regenexx SCP procedure, which uses a very specialized, proprietary form of PRP. Austin not only got back to hurdling, he finished out that year with setting personal bests, season bests and a conference title!

The upshot? We’re really happy Austin’s doing so well.  We’re also really thankful that his desire to continue his athletic career kept him from making a decision that likely would have caused him problems for the rest of his life.  Labrums don’t grow back – that’s why we try to heal them rather than cut pieces of them out!

    *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.

    comments

    Janice Hoover says

    I have had 1 total hip replacement in Oct. of this year. I am a horse lover been riding & competing most of my life. Fell off horses to many time to count results bad hips. My Dr.
    told me my right hip which is painful is bone on bone now. I am not fully recovered from my left hip replacement. It gives me grief to think I have to do it again. Is there any chance with bone on bone that I could be a candidate for the regenexx procedure?

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    Regenexx Team says

    Janice,
    Yes there is a chance. You would need an exam to evaluate to see what's actually going on, and to establish whether you're a good, fair or poor Candidate, and for which procedure. Hip arthritis escalates very quickly so not something to put off for too long. Please see: http://www.regenexx.com/new-research-knee-and-hip-oa-are-different/ and http://www.regenexx.com/find-a-physician/

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    About the Author

    Chris Centeno

    Christopher J. Centeno, M.D. is an international expert and specialist in regenerative medicine and the clinical use of mesenchymal stem cells in orthopedics. He is board certified in physical medicine as well as rehabilitation and in pain management through The American Board of Physical Medicine and Rehabilitation.…

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