Sex-Based Differences in the Clinical Presentation of Patients With Symptomatic Hip Labral Tears
Authors: Lindner D, El Bitar YF, Jackson TJ, Sadik AY, Stake CE, Domb BG
Purpose
To describe sex-based differences in demographics, clinical history, physical exam, and intraoperative findings in patients with symptomatic hip labral tears.
Methods
Prospective cohort study of 654 patients (320 males, 334 females) undergoing arthroscopic labral surgery. Data on demographics, injury history, physical exam, pain (VAS), patient outcomes, and operative findings were collected.
Key Findings
- Males had higher rates of acute injury and workers’ compensation.
- Females demonstrated increased hip range of motion on all measures.
- Pain over the greater trochanter was more common in females.
- No significant sex differences in impingement test positivity.
- Females reported lower patient-reported outcome scores despite similar pain levels.
Conclusion
Males and females differ in injury patterns and hip biomechanics but present similarly for labral tears, with notable differences in motion and pain localization.
What Does This Mean for Providers?
- Tailor diagnostic and treatment approaches to account for sex-based differences in hip range of motion and pain presentation.
- Consider that females may report worse functional outcomes despite similar pain, which may influence rehabilitation and counseling.
- Awareness of sex-specific injury patterns can improve individualized care plans.