Hip labrum Injury

[cabrown56]

One year ago I fell at work on some ice. Fell on cox sic and r hip area. It felt like someone had driven a knife into my hip. On the injury report I reported hip and low back pain. An Xray was done and then a MRI on my lumbar sacrum area. Slight disk buldge and no impingement on nerves, some early signs of arthritis. I was still complaining  about hip pain but no one listened until a month ago. My symptoms were and still are: Pain in my right foot when I sit a certain way walk a certain way,  sit on toilet a certain way, sleep on my right side, back/stomach a  certain way.

OK now for the hip: Dull pain along with sharp pain depending on how I move. Pain in inner groin/hip area. Hip occasionally locks up on me when I stand up from a sitting position.

I just finally recieved the results from the MRI with Contrast a  year after the initial injury. I was also diagnosed two years ago with Hashimotos and I do have issues with arthritis although still trying to get a handle on it as I speak. Here is the report:

Indication: R hip pain, question labral tear.

Findings: There is some degenerative osteoarthritis of R hip with some small marginal osteophytes. There is also  chondromalacia predominantly along posterior and superior aspect of the femoral head with irregularity of the articular cartilage. No intra-articular loose bodies are identified, allowing for some intra-articular air which was apparently administered at the time of injection.

Continued...

[Michael L Gross, MD]

Sounds like you had pre-existing degenerative joint disease and the fall aggravated it.  It is not unusual to see pain free joints with early DJD become symptomatic after trauma aggravates the problem.  

[cabrown56]

There is slight greying of the anterior-poaterior labrum which is felt to be on degenerative basis, without evidence for a frank labral tear. Surrounding muscles and tendons appear normal.

Impression: R hip pain is felt predominantly due to some degenerative osteoarthritis as outlined above with small marginal osteophytes and chrondromalacia.

There is some subtle degenerative fraying of the anterior-superior labrum without evidence for a frank labral tear.

Here is my question, What does this all mean?  Did I have an injury caused by the fall or is it just that the fall  exacerbated the osteo they think was there first. I did not have any pain in hip before the fall. I think the osteo said hey there is an injury to jump on, lets do it :-) What do you all think?