Advertisement

Management of Labral Tears of the Hip in Young Patients

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Orthopedic Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Paterson I.
        The torn acetabular labrum.
        J Bone Joint Surg Br. 1957; 39: 306-309
        • Groh M.M.
        • Herrera J.
        A comprehensive review of hip labral tears.
        Curr Rev Musculoskelet Med. 2009; 2: 105-117
        • Narvani A.A.
        • Tsiridis E.
        • Kendall S.
        • et al.
        A preliminary report on prevalence of acetabular labrum tears in sports patients with groin pain.
        Knee Surg Sports Traumatol Arthrosc. 2003; 11: 403-408
        • McCarthy J.C.
        • Noble P.C.
        • Schuck M.R.
        • et al.
        The Otto E. Aufranc Award: the role of labral lesions to development of early degenerative hip disease.
        Clin Orthop Relat Res. 2001; 393: 25-37
        • Register B.
        • Pennock A.T.
        • Ho C.P.
        • et al.
        Prevalence of abnormal hip findings in asymptomatic participants: a prospective, blinded study.
        Am J Sports Med. 2012; 40: 2720-2724
        • Altenberg A.R.
        Acetabular labrum tears: a cause of hip pain and degenerative arthritis.
        South Med J. 1977; 70: 174-175
        • Harris W.H.
        • Bourne R.B.
        • Oh I.
        Intra-articular acetabular labrum: a possible etiological factor in certain cases of osteoarthritis of the hip.
        J Bone Joint Surg Am. 1979; 61: 510-514
        • Ganz R.
        • Parvizi J.
        • Beck M.
        • et al.
        Femoroacetabular impingement: a cause for osteoarthritis of the hip.
        Clin Orthop Relat Res. 2003; 417: 112-120
        • Ganz R.
        • Leunig M.
        • Leunig-Ganz K.
        • et al.
        The etiology of osteoarthritis of the hip.
        Clin Orthop Relat Res. 2008; 466: 264-272
        • Crawford M.J.
        • Dy C.J.
        • Alexander J.W.
        • et al.
        The 2007 Frank Stinchfield Award. The biomechanics of the hip labrum and the stability of the hip.
        Clin Orthop Relat Res. 2007; 465: 16-22
        • Seldes R.M.
        • Tan V.
        • Hunt J.
        • et al.
        Anatomy, histologic features, and vascularity of the adult acetabular labrum.
        Clin Orthop Relat Res. 2001; 382: 232-240
        • Tan V.
        • Seldes R.M.
        • Katz M.A.
        • et al.
        Contribution of acetabular labrum to articulating surface area and femoral head coverage in adult hip joints: an anatomic study in cadavera.
        Am J Orthop. 2001; 30: 809-812
        • Kelly B.T.
        • Shapiro G.S.
        • DiGiovanni C.W.
        • et al.
        Vascularity of the hip labrum: a cadaveric investigation.
        Arthroscopy. 2005; 21: 3-11
        • Petersen W.
        • Petersen F.
        • Tillmann B.
        Structure and vascularization of the acetabular labrum with regard to the pathogenesis and healing of labral lesions.
        Arch Orthop Trauma Surg. 2003; 123: 283-288
        • Kim Y.T.
        • Azuma H.
        The nerve endings of the acetabular labrum.
        Clin Orthop Relat Res. 1995; 320: 176-181
        • Ferguson S.J.
        • Bryant J.T.
        • Ganz R.
        • et al.
        The acetabular labrum seal: a poroelastic finite element model.
        Clin Biomech (Bristol, Avon). 2000; 15: 463-468
        • Ferguson S.J.
        • Bryant J.T.
        • Ganz R.
        • et al.
        The influence of the acetabular labrum on hip joint cartilage consolidation: a poroelastic finite element model.
        J Biomech. 2000; 33: 953-960
        • Cadet E.R.
        • Chan A.K.
        • Vorys G.C.
        • et al.
        Investigation of the preservation of the fluid seal effect in the repaired, partially resected, and reconstructed acetabular labrum in a cadaveric hip model.
        Am J Sports Med. 2012; 40: 2218-2223
        • Myers C.A.
        • Register B.C.
        • Lertwanich P.
        • et al.
        Role of the acetabular labrum and the iliofemoral ligament in hip stability: an in vitro biplane fluoroscopy study.
        Am J Sports Med. 2011; 39: 85S-91S
        • Dy C.J.
        • Thompson M.T.
        • Crawford M.J.
        • et al.
        Tensile strain in the anterior part of the acetabular labrum during provocative maneuvering of the normal hip.
        J Bone Joint Surg Am. 2008; 90: 1464-1472
        • Smith M.V.
        • Panchal H.B.
        • Ruberte Thiele R.A.
        • et al.
        Effect of acetabular labrum tears on hip stability and labral strain in a joint compression model.
        Am J Sports Med. 2011; 39: 103S-110S
        • Wenger D.E.
        • Kendell K.R.
        • Miner M.R.
        • et al.
        Acetabular labral tears rarely occur in the absence of bony abnormalities.
        Clin Orthop Relat Res. 2004; 426: 145-150
        • Dolan M.M.
        • Heyworth B.E.
        • Bedi A.
        • et al.
        CT reveals a high incidence of osseous abnormalities in hips with labral tears.
        Clin Orthop Relat Res. 2010; 469: 831-838
        • Bedi A.
        • Dolan M.
        • Leunig M.
        • et al.
        Static and dynamic mechanical causes of hip pain.
        Arthroscopy. 2011; 27: 235-251
        • Peelle M.W.
        • Rocca Della G.J.
        • Maloney W.J.
        Acetabular and femoral radiographic abnormalities associated with labral tears.
        Clin Orthop Relat Res. 2005; 441: 327-333
        • Guevara C.J.
        • Pietrobon R.
        • Carothers J.T.
        Comprehensive morphologic evaluation of the hip in patients with symptomatic labral tear.
        Clin Orthop Relat Res. 2006; 453: 277-285
        • Leunig M.
        • Werlen S.
        • Ungersböck A.
        • et al.
        Evaluation of the acetabular labrum by MR arthrography.
        J Bone Joint Surg Br. 1997; 79: 230-234
        • Beck M.
        • Kalhor M.
        • Leunig M.
        • et al.
        Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip.
        J Bone Joint Surg Br. 2005; 87: 1012-1018
        • Corten K.
        • Ganz R.
        • Chosa E.
        • et al.
        Bone apposition of the acetabular rim in deep hips: a distinct finding of global pincer impingement.
        J Bone Joint Surg Am. 2011; 93: 10-16
        • Tannast M.
        • Goricki D.
        • Beck M.
        • et al.
        Hip damage occurs at the zone of femoroacetabular impingement.
        Clin Orthop Relat Res. 2008; 466: 273-280
        • Johnston T.L.
        • Schenker M.L.
        • Briggs K.K.
        • et al.
        Relationship between offset angle alpha and hip chondral injury in femoroacetabular impingement.
        Arthroscopy. 2008; 24: 669-675
        • Hipp J.A.
        • Sugano N.
        • Millis M.B.
        • et al.
        Planning acetabular redirection osteotomies based on joint contact pressures.
        Clin Orthop Relat Res. 1999; 364: 134-143
        • Russell M.E.
        • Shivanna K.H.
        • Grosland N.M.
        • et al.
        Cartilage contact pressure elevation in dysplastic hips: a chronic overload model.
        J Orthop Surg Res. 2006; 1: 6
        • Mavcic B.
        • Iglic A.
        • Kralj-Iglic V.
        • et al.
        Cumulative hip contact stress predicts osteoarthritis in DDH.
        Clin Orthop Relat Res. 2008; 466: 884-891
        • Klaue K.
        • Durnin C.W.
        • Ganz R.
        The acetabular rim syndrome.
        J Bone Joint Surg Br. 1991; 73: 423-429
        • Lage L.A.
        • Patel J.V.
        • Villar R.N.
        The acetabular labral tear: an arthroscopic classification.
        Arthroscopy. 1996; 12: 269-272
        • Philippon M.J.
        • Schenker M.L.
        • Briggs K.K.
        • et al.
        Revision hip arthroscopy.
        Am J Sports Med. 2007; 35: 1918-1921
        • Philippon M.J.
        • Kuppersmith D.A.
        • Wolff A.B.
        • et al.
        Arthroscopic findings following traumatic hip dislocation in 14 professional athletes.
        Arthroscopy. 2009; 25: 169-174
        • Mitchell J.C.
        • Giannoudis P.V.
        • Millner P.A.
        • et al.
        A rare fracture-dislocation of the hip in a gymnast and review of the literature.
        Br J Sports Med. 1999; 33: 283-284
        • Hass J.
        • Hass R.
        Arthrochalasis multiplex congenita; congenital flaccidity of the joints.
        J Bone Joint Surg Am. 1958; 40: 663-674
      1. Philippon MJ, Shenker ML, Briggs KK. The log roll test for assessing hip capsular laxity. Presented at the 12th European Society for Sports Traumatology, Knee Surgery and Arthroscopy 2000 Congress. Innsbruck, May 24–27, 2006.

        • Philippon M.J.
        • Zehms C.T.
        • Briggs K.K.
        Hip instability in the athlete.
        Oper Tech Sports Med. 2007; 15: 189-194
        • Beighton P.
        • Solomon L.
        • Soskolne C.L.
        Articular mobility in an African population.
        Ann Rheum Dis. 1973; 32: 413-418
        • Notzli H.P.
        • Wyss T.F.
        • Stoecklin C.H.
        • et al.
        The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement.
        J Bone Joint Surg Br. 2002; 84: 556-560
        • Rakhra K.S.
        Magnetic resonance imaging of acetabular labral tears.
        J Bone Joint Surg Am. 2011; 93: 28-34
        • Kramer J.
        • Recht M.P.
        MR arthrography of the lower extremity.
        Radiol Clin North Am. 2002; 40: 1121-1132
        • Mintz D.N.
        • Hooper T.
        • Connell D.
        • et al.
        Magnetic resonance imaging of the hip: detection of labral and chondral abnormalities using noncontrast imaging.
        Arthroscopy. 2005; 21: 385-393
        • Yazbek P.M.
        Non-surgical treatment of acetabular labrum tears: a case series.
        J Orthop Sports Phys Ther. 2011; 41: 346-353
        • Philippon M.J.
        • Weiss D.R.
        • Kuppersmith D.A.
        • et al.
        Arthroscopic labral repair and treatment of femoroacetabular impingement in professional hockey players.
        Am J Sports Med. 2010; 38: 99-104
        • Farr D.
        • Selesnick H.
        • Janecki C.
        • et al.
        Arthroscopic bursectomy with concomitant iliotibial band release for the treatment of recalcitrant trochanteric bursitis.
        Arthroscopy. 2007; 23: 905.e1-905.e5
        • Lustenberger D.P.
        • Ng V.Y.
        • Best T.M.
        • et al.
        Efficacy of treatment of trochanteric bursitis: a systematic review.
        Clin J Sport Med. 2011; 21: 447
        • Casartelli N.C.
        • Maffiuletti N.A.
        • Item-Glatthorn J.F.
        • et al.
        Hip muscle weakness in patients with symptomatic femoroacetabular impingement.
        Osteoarthr Cartil. 2011; 19: 816-821
        • Bizzini M.
        • Notzli H.P.
        • Maffiuletti N.A.
        Femoroacetabular impingement in professional ice hockey players: a case series of 5 athletes after open surgical decompression of the hip.
        Am J Sports Med. 2007; 35: 1955-1959
        • Espinosa N.
        • Rothenfluh D.A.
        • Beck M.
        • et al.
        Treatment of femoro-acetabular impingement: preliminary results of labral refixation.
        J Bone Joint Surg Am. 2006; 88: 925-935
        • Naal F.D.
        • Miozzari H.H.
        • Wyss T.F.
        • et al.
        Surgical hip dislocation for the treatment of femoroacetabular impingement in high-level athletes.
        Am J Sports Med. 2011; 39: 544-550
        • Philippon M.
        • Schenker M.
        • Briggs K.
        • et al.
        Femoroacetabular impingement in 45 professional athletes: associated pathologies and return to sport following arthroscopic decompression.
        Knee Surg Sports Traumatol Arthrosc. 2007; 15: 908-914
        • Nho S.J.
        • Magennis E.M.
        • Singh C.K.
        • et al.
        Outcomes after the arthroscopic treatment of femoroacetabular impingement in a mixed group of high-level athletes.
        Am J Sports Med. 2011; 39: 14S-19S
        • Byrd J.W.
        • Jones K.S.
        Arthroscopic management of femoroacetabular impingement in athletes.
        Am J Sports Med. 2011; 39: 7S-13S
        • Byrd J.W.
        • Jones K.S.
        Hip arthroscopy in athletes: 10-year follow-up.
        Am J Sports Med. 2009; 37: 2140-2143
        • Larson C.M.
        • Giveans M.R.
        Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement.
        Arthroscopy. 2009; 25: 369-376
        • Byrd J.W.
        • Jones K.S.
        Hip arthroscopy for labral pathology: prospective analysis with 10-year follow-up.
        Arthroscopy. 2009; 25: 365-368
        • Farjo L.A.
        • Glick J.M.
        • Sampson T.G.
        Hip arthroscopy for acetabular labral tears.
        Arthroscopy. 1999; 15: 132-137
        • Haviv B.
        • O'Donnell J.
        Arthroscopic treatment for acetabular labral tears of the hip without bony dysmorphism.
        Am J Sports Med. 2011; 39: 79S-84S
        • Santori N.
        • Villar R.N.
        Acetabular labral tears: result of arthroscopic partial limbectomy.
        Arthroscopy. 2000; 16: 11-15
        • Larson C.M.
        • Giveans M.R.
        • Stone R.M.
        Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement: mean 3.5-year follow-up.
        Am J Sports Med. 2012; 40: 1015-1021
        • Philippon M.J.
        • Arnoczky S.P.
        • Torrie A.
        Arthroscopic repair of the acetabular labrum: a histologic assessment of healing in an ovine model.
        Arthroscopy. 2007; 23: 376-380
        • Philippon M.J.
        • Briggs K.K.
        • Hay C.J.
        • et al.
        Arthroscopic labral reconstruction in the hip using iliotibial band autograft: technique and early outcomes.
        Arthroscopy. 2010; 26: 750-756
        • Sierra R.J.
        • Trousdale R.T.
        Labral reconstruction using the ligamentum teres capitis: report of a new technique.
        Clin Orthop Relat Res. 2008; 467: 753-759
        • Walker J.A.
        • Pagnotto M.
        • Trousdale R.T.
        • et al.
        Preliminary pain and function after labral reconstruction during femoroacetabular impingement surgery.
        Clin Orthop Relat Res. 2012; 470: 3414-3420
        • Glick J.M.
        • Sampson T.G.
        • Gordon R.B.
        • et al.
        Hip arthroscopy by the lateral approach.
        Arthroscopy. 1987; 3: 4-12
        • Lertwanich P.
        • Ejnisman L.
        • Torry M.R.
        • et al.
        Defining a safety margin for labral suture anchor insertion using the acetabular rim angle.
        Am J Sports Med. 2011; 39: 111S-116S