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  • Q&A with Australian Health Practitioners

    What's a Hip/Cam Impingement?

    I've been told I might have a labral tear in my hip or cam impingement probably caused by dancing. Although I listened intently, after researching on the internet, I'm still not sure what this means.
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    Thanks

    Dr David Agolley

    Orthopaedic Surgeon

    Dr David Agolley is an Australian trained Orthopaedic Surgeon, with specialist expertise in hip and knee surgery. Special interests are robotic and computer assisted hip … View Profile

    Hip impingement is a condition that usually affects young active individuals where there is a collision between the femoral head-neck junction and the rim of the acetabulum during normal functional hip movements. This is often the cause of labral tears, as it is not common for the labrum to tear in the absence of a shape problem in the hip joint. Commonly the shape problems are due to a cam lesion or pincer lesion. Labral tears may also occur due to hip dysplasia, a traumatic injury, or arthritis. Any sport may contribute to hip impingement and labral tear however the typical sports include dancing, power-lifting, paddling, martial arts, cycling, rugby, AFL, running, hockey and soccer. You should discuss treatment with your doctor. Non-surgical treatments involve limiting deep hip flexion, low impact activity (swimming and cycling with a high seat), keeping your weight down, changing your activity or occupation if feasible, physiotherapy for core strengthening but to avoid deep hip flexion exercises, and taking pain medication can be helpful. If the non-surgical treatment is not successful, hip arthroscopy may be recommended.

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