York, ME (207) 363 3490 | Portsmouth, NH (603) 431 1121

20Hip Care
10Hip-Conditions and Injuries
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Deep Gluteal Space Syndrome
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
10Hip-Treatment and Surgeries
Gluteal Repair
Labral Debridement
Labral Reconstruction
Labral Repair
Psoas Release
Trochanteric Bursa Debridement
33Knee Care
13Knee Conditions and Injuries
ACL Tear
Cartilage Injury
Discoid Meniscus
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteochondritis Dessicans
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
20Knee Treatment and Surgeries
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Medial Patellofemoral Ligament (MPFL) Reconstruction
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Knee Replacement (MAKO)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Total Knee Replacement (MAKO)
20Shoulder Care
10Shoulder-Conditions and Injuries
AC Joint Injuries
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
10Shoulder-Treatment and Surgeries
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement


The socket (acetabulum) of the hip joint is lined by an important ring of soft tissue – the labrum. The labrum is an important structure; it provides stability to the hip, lubricates the hip, and also maintains a negative suction seal. There are three common causes of labral tears.

Traumatic events: examples include sports injuries, a fall, or auto accidents. Rarely, the labrum can tear following a partial dislocation, full dislocation (when the ball is completely out of the socket) or fracture of the hip.

Femoroacetabular impingement: individuals with femoroacetabular impingement (FAI) with abnormal hip contact are particularly predisposed to developing labral tears.

Overuse injuries: individuals who participate in athletic activities, hobbies, or work that requires repetitive motion of the hip may damage the labrum.


  • Groin Pain
  • Catching or locking of the hip
  • Difficulty squatting and lunging
  • Sense of instability and discomfort during athletic activities

Diagnosis And Treatment

Dr. Welch considers each patient’s symptoms, as well as a detailed physical examination, x-rays, and usually and MRI of the hip to make the diagnosis.

Non-surgical treatment includes rest, activity modification, physical therapy to strengthen the hip and core muscles, and non-steroidal anti-inflammatory drugs. Injections, including steroid injections, are also helpful as they serve a dual purpose: to reduce pain and as a diagnostic test to determine if all of the patient’s pain is from the inside of the hip joint. If the patient fails non-operative management, then surgery is usually the next treatment option.

If surgery is necessary, Dr. Welch usually recommends an arthroscopic approach to the hip using two or three small incisions. During surgery, Dr. Welch introduces a camera into the hip through one incision and instruments into the hip though the other incisions. The three procedures performed for labral tears include labral repair, labral debridement, and labral reconstruction.