Diagnosis and treatment of labral tear.
10.1097/CM9.0000000000000020
- Author:
Tiao SU
1
;
Guang-Xing CHEN
;
Liu YANG
Author Information
1. Department of Joint Surgery, Southwest Hospital, Army Medical University, Chongqing 400038, China.
- Publication Type:Journal Article
- MeSH:
Acetabulum;
injuries;
Arthroscopy;
Hip Injuries;
Humans;
Rotator Cuff Injuries;
Rupture;
diagnosis
- From:
Chinese Medical Journal
2019;132(2):211-219
- CountryChina
- Language:English
-
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.
