Diagnosis and treatment of labral tear

Abstract

Objective:To review the literature regarding diagnosis and treatment of labral tear.Data sources:A systematic search was performed in PubMed using various search terms and their combinations including hip, labrum, acetabular labral tear, arthroscopy, diagnosis, and anatomy.Study selection:For each included study, information regarding anatomy, function, etiology, diagnosis, and management of acetabular labral tear was extracted.Results:Five hundred and sixty abstracts about anatomy, function, etiology, diagnosis, and management of acetabular labral tear were reviewed and 66 selected for full-text review. The mechanism of labral tear has been well explained while the long-term outcomes of various treatment remains unknown.Conclusions:Labral tear is generally secondary to femoroacetabular impingement, trauma, dysplasia, capsular laxity, and degeneration. Patients with labral tear complain about anterior hip or groin pain most commonly with a most consistent physical examination called positive anterior hip impingement test. Magnetic resonance arthrography is a reliable radiographic examination with arthroscopy being the gold standard. Conservative treatment consists of rest, non-steroidal anti-inflammatory medication, pain medications, modification of activities, physical therapy, and intra-articular injection. When fail to respond to conservative treatment, surgical treatment including labral debridement, labral repair, and labral reconstruction is often indicated.

Caring for adults with hip pain

“…The leading causes of labral tears are FAI syndrome, trauma, dysplasia, capsular laxity, and degeneration that produce significant shear forces, eventually leading to failure of the labrum. 11 Patients will often report clicking or popping, and left untreated will contribute to the development of hip osteoarthirtis. 11,12 Clinical manifestations Patients with symptomatic hip OA report an insidious onset of pain during prolonged standing, walking, squatting, and crossing their legs.…”

“…Labral tears have been identified as a source of hip and groin pain. The leading causes of labral tears are FAI syndrome, trauma, dysplasia, capsular laxity, and degeneration that produce significant shear forces, eventually leading to failure of the labrum 11. Patients will often report clicking or popping, and left untreated will contribute to the development of hip osteoarthirtis 11,12…”

Діагностика Й Лікування Пошкоджень Хондролабрального Комплексу Кульшового Суглоба В Дорослих (Огляд Літератури)

“…Низкою досліджень встановлено, що губа збільшує суглобову поверхню приблизно на 22 %, а об'єм суглобової западини -на 33 % [2]. Крім того, губа створює вакуум, що ускладнює вивих стегна й утримує синовіальну рідину в центральному компартменті, запобігаючи ранньому розвитку артрозу [9].…”

Labral Degeneration Predicts Inferior Mid-Term Outcomes in Hip Labral Repair: A Multicenter Comparative Analysis

“…3,7 With respect to the etiology of labral tears, labral degeneration has been cited as a cause. 2 The presence of severe degeneration of the acetabular labrum may influence intraoperative decision-making, as labrums with severe degeneration may not be suitable candidates for labral repair. 8 While labral degeneration has been associated with increased pain and lower hip function preoperatively, 9 the postoperative outcomes of patients who present with labral degeneration are not well-documented in the literature.…”