Quick Answer
The hip labrum is a fibrocartilage rim around the hip socket. Tears can follow injury or occur with structural problems such as femoroacetabular impingement (FAI), dysplasia or cartilage damage. Management is based on symptoms and underlying mechanics rather than the presence of a tear on MRI alone.
Symptoms
- Groin or anterior hip pain
- Pain with pivoting, squatting or prolonged sitting
- Catching, clicking or locking sensations
- Reduced sports performance
Diagnosis
History and examination are central. X-rays assess FAI, dysplasia and arthritis. MRI or MR arthrography can assess the labrum and cartilage. Imaging should always be interpreted in the context of symptoms.
Nonsurgical Treatment
Activity modification, physical therapy focusing on hip and trunk strength/movement control, and appropriate pain management may be used first. Selected injections can have diagnostic or symptom-control roles. Treatment should address the mechanical factors contributing to symptoms, not just the labral image.
When Is Arthroscopy Considered?
Hip arthroscopy may be considered when substantial symptoms persist despite appropriate nonsurgical treatment and the clinical/imaging findings show treatable intra-articular pathology. Procedures can include labral repair or selected debridement, correction of FAI bone shape and treatment of cartilage pathology. Benefit is more limited when advanced arthritis is present.
Frequently Asked Questions
Does an MRI labral tear automatically require surgery?
No. Management depends on symptoms, examination, underlying mechanics and response to nonsurgical care.
Can a labral tear be related to FAI?
Yes. Cam or pincer impingement can contribute to labral and cartilage damage.
Sources
Evidence sources checked: 7 August 2026.
This page is for general patient education and does not replace an individual medical examination or treatment plan.