Found December 03, 2012 on
37 year-old Yankees’ third baseman Alex Rodriguez, who reportedly complained of pain in his previously operated upon right hip during the playoffs, is slated for surgery next month to address a tear in his left hip. This newer injury evidently came to light in post-season examinations. Articles mentioning the status of Rodriguez’ uncooperative left hip seem to have overlooked the obvious question as to whether he also continues to have pain on the right. Without an official update, we are decidedly uninformed as to exactly why it was getting in his way at the close of the season or how it is faring now.
Rodriguez’ right hip surgery (in 2009) revealed
that a labral tear was accompanied by a cyst within the joint as well as significant degenerative changes to the surface of the bone. These degenerative changes are likely to be the cause of his recent complaints.
Is Rodriguez’ condition unusual?
Certain elite athletes may be at a higher risk of intraarticular hip disorders (those within the joint) because of the unusual forces that their hips sustain. The injuries are most commonly related to hip impingement and generally include labral tears and/or chondral defects.
What is the labrum? See detailed image
Similar to the anatomy of the shoulder, the hip is a ball and socket joint with the ball at the end of the femur attaching via ligaments to the socket at the pelvis. The labrum is a fibrous cartilaginous structure that is situated along the inside rim of the socket, serving to deepen it and provide some suction for the ball thereby adding to the stability of the joint. It can be torn traumatically or by a degenerative process due to repetitive motion that is common in many sports (particularly hockey) or even in certain occupations, such as for carpet layers. Like the menisci in the knees, the labrum is poorly vascularized (has poor circulation), which is a primary reason it does not readily heal once injured.
What is a chondral defect?
The smooth glassy chondral surfacing that lines the ends of adjacent bones where they form joints is also known as articular (joint) cartilage, or hyaline cartilage. Degenerative changes or wear and tear to this region of a bone/joint is a hallmark of osteoarthritis.
What is hip impingement?
A combination of signs, symptoms and pathology that involves the end of the femur coming into contact with the rim of the acetabulum (socket), particularly during extreme ranges of motion (hip flexion, adduction and internal rotation). FAI (femoroacetabular impingement) is thought to be a factor in the development of degenerative arthritis at the hip, which entails abnormal changes in the bony contours. Those with congenital bony abnormalities may also be more prone to developing FAI. There are two types of hip impingement (known as Cam and Pincer), each of which entails different anatomical variations, though both generally result in labral pathology.
What does a labral tear feel like?
Those with labral tears generally complain of joint stiffness and on examination there is typically a loss of range of motion and pain at the end ranges of hip flexion/adduction/inward rotation (particularly with compression during a physical exam). Labral complaints might also include a catching or locking of the hip, and some people may also complain of a sense that the hip is unstable. MRI findings are generally used to support the diagnosis.
Can a labral tear be treated without surgery?
Rehab for a tear focuses on reducing inflammation and restoring range of motion while also addressing muscle strength and flexibility. For those players with sufficient relief, working back into play with a specificity of training is also important to determine if they will be able to tolerate the demands of sport. Those with persistent pain go on to have the labrum reattached to the socket or in some cases, a small portion of the labrum may be removed. These procedures are now performed arthroscopically.
The goals of post-operative therapy are much like those for the non-operative patient except that the rehab period may last up to about six months. The exact timeframe would depend on the severity of the injury or injuries, the specific nature of the surgery and whether there were any other complicating factors.
Follow Abby on Twitter @abcsims
BEST OF MAXIM
AROUND THE WEB
I knew it was too good to be true, as Alex Rodriguezcannot stay out of the headlines and this time the news has a trickling effect.
English: Alex Rodriguez in 2009. (Photo credit: Wikipedia)
The New York Post is reporting that, New York Yankees Alex Rodriguez is expected to have a second surgery in the coming days on his right and could miss the first half of the 2013 season.
From Joel Sherman:Alex Rodriguez was playing late in the regular season and playoffs with a re-tear in his surgically repaired right hip, The Post has learned.
Rodriguez is expected to need a second surgery in the coming days and will miss, at minimum, a piece of the 2013 season. Still, the hope is that the procedure will allow A-Rod to return as a full, successful player as early...
Alex Rodriguez went to see doctors with hopes of finding something wrong. When they actually located a problem, only then did he start feeling a bit better.
The New York Yankees' third baseman said Saturday that plans set for him to have surgery on his left hip in mid-January, and that he's eager to embrace the challenge of coming back from both the operation and an unbelievably...
Alex Rodriguez will miss part of the 2013 season as he needs hip surgery (Photo: Elsa/Getty Images)
Hello, all. Going to try something different this year, with a running post of the day-to-day updates from Major League Baseball’s Winter Meetings in Nashville. There has been a couple big pieces of news so far, and more is sure to come throughout the day. The BronxPinstripes crew...
The New York Yankees got some bad news in the midst of winter meetings that are designed to normally improve a team for the next year. Their All-Star third baseman, Alex Rodriguez, will likely miss time at the start of the 2013 season because of a lingering hip issue he was battling toward the end of the 2012 season.
According to Joel Sherman of the New York post, Alex ...
Yankees General Manager Brian Cashman confirmed on Monday at MLB’s Winter Meetings that third baseman Alex Rodriguez needs hip surgery and will be out four to six months.
What does this mean for the Yankees? Well first off, the team is currently without -Rod and Derek Jeter, who broke his ankle in the ALCS against the Tigers.
Mark Feinsand of the New York Daily News thinks that...
Alex Rodriguez will have surgery on his left hip and will miss the start of the season and possibly the entire first half.
Rodriguez has a torn labrum, bone impingement and a cyst, the Yankees said Monday. The third baseman will need to follow a pre-surgery program over the next four-to-six weeks, and the team anticipates he will be sidelined four-to-six months after the operation...
The Winter Meetings are underway and we would like to bring you the latest rumors around the 30 MLB teams. Here's a running list with MLB's latest rumors:
– Jason Isringhausen would like to come back for another season and according to Jon Heyman of CBSSports, three teams are already showing interest in him.
– The Los Angeles Angels are among the eight teams interested...
As if news of Alex Rodriguez's hip surgery isn't leaving New York Yankees fans a little sour Monday morning, reports are that the Boston Red Sox have inked Mike Napoli to a three-year deal.Sure, the slugger was a touch sluggish this past season with the Texas Rangers...only hitting .227 while belting 24 home runs (down from .320 and 30 in 2011), but a change of scenery...