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Labral Tears

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A Case-Based Approach to Hip Pain

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Abstract

Hip disorders can be subdivided into pediatric and adult, soft tissue and bony, intra-articular and extra-articular and extended even further to include advanced intra-articular hip disorders. The acetabular labrum is a thin fibrocartilage ring surrounding the joint and functions to stabilize and seal the joint acting as a shock absorber by transferring forces away from the articular surfaces. Labral tears are the most common form of intra-articular hip pathology. Injuries to this structure result from acute or repetitive trauma, hypermobility, and dysplasia of the hip joint as well as underlying morphologic abnormalities of the femoral head or acetabulum. This chapter will focus specifically on the pathology, clinical presentation, diagnosis and treatment of adult hip labral tears of a pre-arthritic, intra-articular and soft tissue etiological nature. Discussion of other hip-related disorders including pediatric hip pathology are covered in other sections.

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References

  1. Groh MM, Herrera J. A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med. 2009;2(2):105–17. https://doi.org/10.1007/s12178-009-9052-9.

    Article  Google Scholar 

  2. Mitra R. Principles of rehabilitation medicine. New York: McGraw-Hill Education; 2019.

    Google Scholar 

  3. Ferguson SJ, Bryant JT, Ganz R, Ito K. An in vitro investigation of the acetabular labral seal in hip joint mechanics. J Biomech. 2003;36:171–8.

    Article  CAS  Google Scholar 

  4. Lewis CL, Sahrmann SA. Acetabular labral tears. Phys Ther. 2006;86:110–21.

    Article  Google Scholar 

  5. Martin RRL, Enseki KR, Draovitch P, Trapuzzano T, Philippon MJ. Acetabular labral tears of the hip: examination and diagnostic challenges. J Orthop Sports Phys Ther. 2006;36:503–15.

    Article  Google Scholar 

  6. Cifu DX, Kaelin DL, Braddom RL. Braddom’s physical medicine & rehabilitation. Philadelphia, PA: Elsevier; 2016.

    Google Scholar 

  7. McCarthy JC, Busconi B. The role of hip arthroscopy in the diagnosis and treatment of hip disease. Orthopedics. 1995;18:753–6.

    Article  CAS  Google Scholar 

  8. Maslowski E, Sullivan W, Forster Harwood J, Gonzalez P, Kaufman M, Vidal A, Akuthota V. The diagnostic validity of hip provocation maneuvers to detect intra-articular hip pathology. PM&R. 2010;2:174–81.

    Article  Google Scholar 

  9. Lee SW. Musculoskeletal injuries and conditions: assessment and management. New York: Demos Medical; 2017.

    Book  Google Scholar 

  10. Narvani AA, Tsiridis E, Tai CC, et al. Acetabular labrum and its tears. Br J Sports Med. 2003;37:207–11.

    Article  CAS  Google Scholar 

  11. David XC. Braddom’s physical medicine and rehabilitation. Philadelphia, PA: Elsevier; 2021.

    Google Scholar 

  12. Nagpal A, Ramamurthy S. Ramamurthy’s decision making in pain management: an algorithmic approach. New Delhi: Jaypee Brothers Medical Publishers; 2018.

    Google Scholar 

  13. Czerny C, et al. Lesions of the acetabular labrum: accuracy of MR imaging and MR arthrography in detection and staging. Radiology. 1996;200(1):225–30. https://doi.org/10.1148/radiology.200.1.8657916.

    Article  CAS  Google Scholar 

  14. Wyss JF, Patel A. Therapeutic programs for musculoskeletal disorders. New York: Demos Medical Publishing; 2013.

    Google Scholar 

  15. Malanga GA, Ibrahim V. Regenerative treatments in sports and orthopedic medicine. New York: Demos Medical Publishing; 2018.

    Google Scholar 

  16. Hurley ET, et al. Repair versus debridement for acetabular labral tears—a systematic review. Arthrosc Sports Med Rehabil. 2021;3(5):e1569–76.

    Article  Google Scholar 

  17. Lage LA, Patel JV, Villar RN. The acetabular labral tear: an arthroscopic classification. Arthroscopy. 1996;12(3):269–72.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Anesthesiology, Critical Care and Pain Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Fabienne Saint-Preux & Tochi J. Nworu

Authors
  1. Fabienne Saint-Preux
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  2. Tochi J. Nworu
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Editor information

Editors and Affiliations

  1. Physical Medicine and Rehabilitation, Sports Medicine, Peachtree Spine and Sports Physicians, Atlanta, GA, USA

    Jasmine H. Harris

  2. Princeton Spine and Joint Center, Princeton, NJ, USA

    Grant Cooper

  3. Sports MedicineDepartment of Rehabilitation and Human Performance, Mount Sinai Health System, New York, NY, USA

    Joseph E. Herrera

  4. Princeton Spine and Joint Center, Princeton, NJ, USA

    Ana Bracilovic

  5. Princeton Spine and Joint Center, Princeton, NJ, USA

    Arth Patel

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Saint-Preux, F., Nworu, T.J. (2022). Labral Tears. In: Harris, J.H., Cooper, G., Herrera, J.E., Bracilovic, A., Patel, A. (eds) A Case-Based Approach to Hip Pain. Springer, Cham. https://doi.org/10.1007/978-3-031-17154-3_3

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  • DOI: https://doi.org/10.1007/978-3-031-17154-3_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-17153-6

  • Online ISBN: 978-3-031-17154-3

  • eBook Packages: MedicineMedicine (R0)

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