Skip to main content

Treatment of Labral Pathology: Reattachment and Replacement

  • Chapter
  • First Online:
The Young Adult Hip in Sport
  • 1722 Accesses

Abstract

The acetabular labrum has an important role in the structure and function of the hip. In young, active patients, painful labral tears can limit activities or sports. These may be the result of an acute hip injury but can also be the first indicators of subtle acetabular dysplasia, femoroacetabular impingement, or joint laxity. The biomechanical function of the labrum is complex and continues to be debated. Furthermore, although it is an area of intense interest and current research, it is not yet known if current joint-preserving strategies will ultimately prevent hip arthritis. Nonetheless, addressing labral pathology and contributing bony anomalies can resolve hip pain and allow patients to return to their activities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lee MC, Eberson CP. Growth and development of the child’s hip. Orthop Clin North Am. 2006;37:119–32.

    Article  PubMed  Google Scholar 

  2. Cashin M, Uhthoff H, O’Neill M, Beulé PE. Embryology of the acetabular labral-chondral complex. J Bone Joint Surg Br. 2008;90-B:1019–24.

    Google Scholar 

  3. Wantanabe RS. Embryology of the human hip. Clin Orthop Relat Res. 1974;98:8–26.

    Article  Google Scholar 

  4. Türker M, Kilicoglu Ö, Göksan B, Gilgic B. Vascularity and histology of fetal labrum and chondrolabral junction: its relevance to chondrolabral detachment tears. Knee Surg Sports Traumatol Arthrosc. 2012;20(2):381–6.

    Article  PubMed  Google Scholar 

  5. Maslon A, Grzegorzewski A, Lebiedzinski R, Topol M. Vascularity of the hip labrum during the foetal period. Ann Anat. 2011;193:37–42.

    Article  PubMed  Google Scholar 

  6. Putz R, Schrank C. Anatomie des labrokapsulären Komplexes. Orthopade. 1998;27:675–80.

    PubMed  CAS  Google Scholar 

  7. Seldes RM, Tank V, Hunt J, Katz M, Winiarsky R, Fitzgerald RH. Anatomy, histologic features, and vascularity of the adult acetabular labrum. Clin Orthop Relat Res. 2001;382:232–40.

    Article  PubMed  Google Scholar 

  8. 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;123:283–8.

    Article  PubMed  Google Scholar 

  9. Kim YT, Azuma H. The nerve endings of the acetabular labrum. Clin Orthop Relat Res. 1995;320:176–81.

    PubMed  Google Scholar 

  10. Kalhor M, Horowitz K, Beck M, Nazparvar B, Ganz R. Vascular supply to the acetabular labrum. J Bone Joint Surg Am. 2010;92-A:2570–5.

    Article  Google Scholar 

  11. Kelly BT, Shapiro GS, Digiovanni CW, Buly RL, Potter HG, Hannafin JA. Vascularity of the hip labrum: a cadaveric investigation. Arthroscopy. 2005;21:3–11.

    Article  PubMed  Google Scholar 

  12. Smith CD, Masouros S, Hill AM, Amis AA, Bull AMJ. A biomechanical basis for tears of the human acetabular labrum. Br J Sports Med. 2009;43:574–8.

    Article  PubMed  CAS  Google Scholar 

  13. Ferguson SJ, Bryant JT, Ito K. The material properties of the bovine acetabular labrum. J Orthop Res. 2001;19:887–96.

    Article  PubMed  CAS  Google Scholar 

  14. Temple-Wong MM, Bae WC, Chen MQ, Bugbee WD, Coutts RD, Lotz M, Sah RL. Biomechanical, structural, and biochemical indices of degenerative and osteoarthritic deterioration of adult human articular cartilage of the femoral condyle. Osteoarthritis Cartilage. 2009;17:1469–76.

    Article  PubMed  CAS  Google Scholar 

  15. Safran MR, Giordano G, Lindsey DP, Gold GE, Rosenberg J, Zaffagnini S, Giori NJ. Strains across the acetabular labrum during hip motion: a cadaveric model. Am J Sports Med. 2011;39 Suppl 1:92S–102.

    Article  PubMed  Google Scholar 

  16. Ferguson SJ. Background. In: Biomechanics of the acetabular labrum. Davos: AO Publishing; 2000.

    Google Scholar 

  17. 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  PubMed  CAS  Google Scholar 

  18. Ferguson SJ, Bryant JT, Ganz R, Ito K. The acetabular labrum seal: a poroelastic finite element model. Clin Biomech. 2000;15:463–8.

    Article  CAS  Google Scholar 

  19. Ferguson SJ, Bryant JT, Ganz R, Ito K. The influence of the acetabular labrum on hip joint cartilage consolidation: a poroelastic finite element model. J Biomech. 2000;33:953–60.

    Article  PubMed  CAS  Google Scholar 

  20. Greaves LL, Gilbart MK, Yung AC, Kozlowski P, Wilson DR. Effect of acetabular labral tears, repair and resection on hip cartilage strain: a 7T MRI study. J Biomech. 2010;43:858–63.

    Article  PubMed  Google Scholar 

  21. Henak CR, Ellis BJ, Harris MD, Anderson AE, Peters CL, Weiss JA. Role of the acetabular labrum in load support across the hip joint. J Biomech. 2011;44:2201–6.

    Article  PubMed  Google Scholar 

  22. Safran MR. The acetabular labrum: anatomic and functional characteristics and rationale for surgical intervention. J Am Acad Orthop Surg. 2010;18:338–45.

    PubMed  Google Scholar 

  23. Williams CRP, Kernohan JG, Sherry PG. A more stable posterior approach for hemiarthroplasty of the hip. Injury. 1997;28:279–81.

    Article  PubMed  CAS  Google Scholar 

  24. Crawford MJ, Dy CJ, Alexander JW, Thompson M, Schroder SJ, Vega CE, Patel RV, Miller AR, McCarthy JC, Lowe WR, Noble PC. The biomechanics of the hip labrum and the stability of the hip. Clin Orthop Relat Res. 2007;465-:16–22.

    PubMed  Google Scholar 

  25. Myers CA, Register BC, Lertwanich P, Ejnisman L, Pennington WW, Giphart JE, LaPrade RF, Philippon MJ. Role of the acetabular labrum and the iliofemoral ligament in hip stability. Am J Sports Med. 2011;39 Suppl 1:85S–91.

    Article  PubMed  Google Scholar 

  26. Smith MV, Panchal HB, Ruberte Thiele RA, Sekiya JK. Effect of acetabular labrum tears on hip stability and labral strain in a joint compression model. Am J Sports Med. 2011;39 Suppl 1:103S–10.

    Article  PubMed  Google Scholar 

  27. Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87:1012–8.

    Google Scholar 

  28. Ilizaliturri VM, Gonzalez-Gutierrez B, Gonzalez-Ugalde H, Camacho-Galindo J. Hip arthroscopy after traumatic hip dislocation. Am J Sports Med. 2011;39 Suppl 1:50S–7.

    Article  PubMed  Google Scholar 

  29. Philippon MJ, Kuppersmith DA, Wolff AB, Briggs KK. Arthroscopic findings following traumatic hip dislocation in 14 professional athletes. Arthroscopy. 2009;25:169–74.

    Article  PubMed  Google Scholar 

  30. Damron TB. Bucket-handle tear of the acetabular labrum accompanying posterior dislocation of the hip. J Bone Joint Surg Am. 1959;41-A:131–4.(Reprinted with commentary in: Clin Orthop Relat Res. 2003;406:8–10).

    Google Scholar 

  31. Leunig M, Sledge JB, Gill TJ, Ganz R. Traumatic labral avulsion from the stable rim: a constant pathology in displaced transverse acetabular fractures. Arch Orthop Trauma Surg. 2003;123:392–5.

    Article  PubMed  Google Scholar 

  32. Haene RA, Bradley M, Villar RN. Hip dysplasia and the torn acetabular labrum: an inexact relationship. J Bone Joint Surg Br. 2007;89-B:1289–92.

    Google Scholar 

  33. Leunig M, Podeszwa D, Beck M, Werlen S, Ganz R. Magnetic resonance arthrography of labral disorders in hips with dysplasia and impingement. Clin Orthop Relat Res. 2004;418:74–80.

    Article  PubMed  Google Scholar 

  34. Ross JR, Zaltz I, Nepple JJ, Schoenecker PL, Clohisy JC. Arthroscopic disease classification and interventions as an adjunct in the treatment of acetabular dysplasia. Am J Sports Med. 2011;39 Suppl 1:72S–8.

    Article  PubMed  Google Scholar 

  35. Fujii M, Nakashima Y, Jingushi S, Yamamoto T, Noguchi Y, Suenaga E, Iwamoto Y. Intraarticular findings in symptomatic developmental dysplasia of the hip. J Pediatr Orthop. 2009;29:9–13.

    Article  PubMed  Google Scholar 

  36. Jessel RH, Zurakowski D, Zilkens C, Burstein D, Gray ML, Kim YJ. Radiographic and patient factors associated with pre-radiographic osteoarthritis in hip dysplasia. J Bone Joint Surg Am. 2009;91 A:1120–9.

    Article  Google Scholar 

  37. Parvizi J, Bican O, Bender B, Mortazavi SMJ, Purtill JJ, Erickson J, Peters C. Arthroscopy for labral tears in patients with developmental dysplasia of the hip: a cautionary note. J Arthroplasty. 2009;24 Suppl 1:110–3.

    Article  PubMed  Google Scholar 

  38. Kain MSH, Novais EN, Vallim C, Millis MB, Kim YJ. Periacetabular osteotomy after failed hip arthroscopy for labral tears in patients with acetabular dysplasia. J Bone Joint Surg Am. 2011;93A Suppl 2:57–61.

    Article  Google Scholar 

  39. Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock K. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.

    PubMed  Google Scholar 

  40. Nepple JJ, Carlisle JC, Nunley RM, Clohisy JC. Clinical and radiographic predictors of intra-articular hip disease in arthroscopy. Am J Sports Med. 2011;39:296–303.

    Article  PubMed  Google Scholar 

  41. Tannast M, Goricki D, Beck M, Murphy SB, Siebenrock KA. Hip damage occurs at the zone of femoroacetabular impingement. Clin Orthop Relat Res. 2008;466:273–80.

    Article  PubMed  CAS  Google Scholar 

  42. Anderson LA, Peters CL, Park BB, Stoddard GJ, Erickson JA, Crim JR. Acetabular cartilage delamination in femoroacetabular impingement. J Bone Joint Surg Am. 2009;91-A:305–13.

    Article  Google Scholar 

  43. Kohl S, Hosalkar HS, Mainil-Varlet P, Krueger A, Buechler L, Siebenrock K. Histology of damaged acetabular cartilage in symptomatic femoroacetabular impingement: an observational analysis. Hip Int. 2011;22:154–62.

    Article  Google Scholar 

  44. Leunig M, Nho SJ, Turchetto L, Ganz R. Protrusio acetabuli: New insights and experience with joint preservation. Clin Orthop Relat Res. 2009;467:2241–50.

    Article  PubMed  Google Scholar 

  45. Byrd JWT, Jones KS. Arthroscopic management of femoroacetabular impingement in athletes. Am J Sports Med. 2011;39:7S–13.

    Article  PubMed  Google Scholar 

  46. Corten K, Ganz R, Chosa E, Leunig M. Bone apposition of the acetabular rim in deep hips: a distinct finding of global pincer impingement. J Bone Joint Surg Am. 2011;93 Suppl 2:10–6.

    PubMed  Google Scholar 

  47. Reichenbach S, Leunig M, Werlen S, Nüesch E, Pfirrmann CW, Bonel H, Odermatt A, Hofstetter W, Ganz R, Jüni P. Association between cam-type deformities and MRI-detected structural damage of the hip: a cross-sectional study in young males. Arthritis Rheum. 2011;63(12):4023–30.

    Article  PubMed  Google Scholar 

  48. Silvis ML, Mosher TJ, Smetana BS, Chinchilli VM, Flemming DJ, Walker EA, Black KP. High prevalence of pelvic and hip magnetic resonance imaging findings in asymptomatic collegiate and professional hockey players. Am J Sports Med. 2011;39:715–21.

    Article  PubMed  Google Scholar 

  49. Martin RL, Irrgang JJ, Sekiya JK. The diagnostic accuracy of a clinical examination in determining intra-articular hip pain for potential hip arthroscopy candidates. Arthroscopy. 2008;24:1013–8.

    Article  PubMed  Google Scholar 

  50. Kivlan BR, Martin RL, Sekiya JK. Response to diagnostic injection in patients with femoroacetabular impingement, labral tears, chondral lesions, and extra-articular pathology. Arthroscopy. 2011;27:619–27.

    Article  PubMed  Google Scholar 

  51. Blakey CM, Field MH, Singh PJ, Tayar R, Field RE. Secondary capsular laxity of the hip. Hip Int. 2010;20:497–504.

    PubMed  Google Scholar 

  52. Dy CJ, Thompson MT, Crawford MJ, Alexander JW, McCarthy JC, Noble PC. Tensile strain in the anterior part of the acetabular labrum during provocative maneuvering of the normal hip. J Bone Joint Surg Am. 2008;90-A:1464–72.

    Article  Google Scholar 

  53. Shu B, Safran MR. Hip instability: anatomic and clinical considerations of traumatic and atraumatic instability. Clin Sports Med. 2011;30:349–67.

    Article  PubMed  Google Scholar 

  54. Charbonnier C, Kolo FC, Duthon VB, Magnenat-Thalmann N, Becker CD, Hoffmeyer P, Menetrey J. Assessment of congruence and impingement of the hip joint in professional ballet dancers: a motion capture study. Am J Sports Med. 2011;39:557–66.

    Article  PubMed  Google Scholar 

  55. Philippon MJ, Zehms CT, Briggs KK, Manchester DJ, Kuppersmith DA. Hip instability in the athlete. Oper Tech Sports Med. 2007;15:189–94.

    Article  Google Scholar 

  56. Dolan MM, Heyworth BE, Bedi A, Duke G, Kelly BT. CT reveals a high incidence of osseous abnormalities in hips with labral tears. Clin Orthop Relat Res. 2011;469:831–8.

    Article  PubMed  Google Scholar 

  57. Wenger DE, Kendell KR, Miner MR, Trousdale RT. Acetabular labral tears rarely occur in the absence of bony abnormalities. Clin Orthop Relat Res. 2004;426:145–50.

    Article  PubMed  Google Scholar 

  58. Burnett RSJ, Della Rocca GJ, Prather H, Curry M, Maloney WJ, Clohisy JC. Clinical presentation of patients with tears of the acetabular labrum. J Bone Joint Surg Am. 2006;88-A:1448–57.

    Article  Google Scholar 

  59. Byrd JWT, Jones KS. Hip arthroscopy for labral pathology: prospective analysis with 10-year follow-up. Arthroscopy. 2009;25:365–8.

    Article  PubMed  Google Scholar 

  60. McCarthy JC, Jarrett BT, Ojeifo O, Lee JA, Bragdon CR. What factors influence long-term survivorship after hip arthroscopy? Clin Orthop Relat Res. 2011;469:362–71.

    Article  PubMed  Google Scholar 

  61. Streich NA, Gotterbarm T, Barié A, Schmitt H. Prognostic value of chondral defects on the outcome of arthroscopic treatment of acetabular labral tears. Knee Surg Sports Traumatol Arthrosc. 2009;17:1257–63.

    Article  PubMed  Google Scholar 

  62. Smith TO, Hilton G, Toms AP, Donell ST, Hing CB. The diagnostic accuracy of acetabular labral tears using magnetic resonance imaging and magnetic resonance arthrography: a meta-analysis. Eur Radiol. 2011;21:863–74.

    Article  PubMed  Google Scholar 

  63. Dudda M, Albers C, Mamisch TC, Werlen S, Beck M. Do normal radiographs exclude asphericity of the femoral head-neck junction? Clin Orthop Relat Res. 2009;467:651–9.

    Article  PubMed  Google Scholar 

  64. Philippon MJ, Arnoczky SP, Torrie A. Arthroscopic repair of the acetabular labrum: a histologic assessment of healing in an ovine model. Arthroscopy. 2007;23:376–80.

    Article  PubMed  Google Scholar 

  65. Lertwanich P, Ejnisman L, Torry MR, Giphart JE, Philippon MJ. Defining a safety margin for labral suture anchor insertion using the acetabular rim angle. Am J Sports Med. 2011;39 Suppl 1:111S–6.

    Article  PubMed  Google Scholar 

  66. Barton C, Banga K, Beaulé PE. Anterior hueter approach in the treatment of femoroacetabular impingement: rationale and technique. Ortho Clin North Am. 2009;40:389–95.

    Article  Google Scholar 

  67. Philippon MJ, Briggs KK, Hay CJ, Kuppersmith DA, Dewing CB, Huang MJ. Arthroscopic labral reconstruction in the hip using iliotibial band autograft: technique and early outcomes. Arthroscopy. 2010;26:750–6.

    Article  PubMed  Google Scholar 

  68. Sierra RJ, Trousdale RT. Labral reconstruction using the ligamentum teres capitis: report of a new technique. Clin Orthop Relat Res. 2009;467:753–9.

    Article  PubMed  Google Scholar 

  69. Matsuda DK. AANA e-poster. http://aana.omnibooksonline.com/2010/data/papers/e-posters/E-51.pdf. Accessed 17 Sept 2011.

  70. Matsuda DK. AAOS video. http://www3.aaos.org/product/productpage.cfm?code=20233. Accessed 17 Sept 2011.

  71. Dombs B. YouTube video. http://www.youtube.com/watch?v=-BqTnxSiX7M. Accessed 17 Sept 2011.

  72. Carreira D. Blog and link to local news story. http://footanklehip.blogspot.com/. Accessed 17 Sept 2011.

  73. Bedi A, Chen N, Robertson W, Kelly BT. The management of labral tears and femoroacetabular impingement of the hip in the young, active patient. Arthroscopy. 2008;24:1135–45.

    Article  PubMed  Google Scholar 

  74. Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz R. Anterior femoroacetabular impingement. Part II. Midterm results of surgical treatment. Clin Orthop Relat Res. 2004;418:67–73.

    Article  PubMed  Google Scholar 

  75. Larson CM, Giveans MR. Arthroscopic debridement versus refixation of the labrum associated with femoroacetabular impingement. Arthroscopy. 2009;25:369–76.

    Article  PubMed  Google Scholar 

  76. Haviv B, O’Donnell J. Arthroscopic treatment for acetabular labral tears of the hip without bony dysmorphism. Am J Sports Med. 2011;39 Suppl 1:79S–84.

    Article  PubMed  Google Scholar 

  77. Schilders E, Dimitrakopoulou A, Bismil Q, Marchant P, Cooke C. Arthroscopic treatment of labral tears in femoroacetabular impingement. A comparative study of refixation and resection with a minimum two-year follow-up. J Bone Joint Surg Br. 2011;93-B:1027–32.

    Google Scholar 

  78. Matsuda DK, Carlisle JC, Arthurs SC, Wierks CH, Philippon MJ. Comparative systematic review of the open dislocation, mini-open, and arthroscopic surgeries for femoroacetabular impingement. Arthroscopy. 2011;27:252–69.

    Article  PubMed  Google Scholar 

  79. Sink EL, Beaulé PE, Sucato D, Kim YJ, Mills MB, Dayton M, Trousdale RT, Sierra RJ, Zaltz I, Schoenecker P, Monreal A, Clohisy J. Multicenter study of complications following surgical dislocation of the hip. J Bone Joint Surg Am. 2011;93:1132–6.

    Article  PubMed  Google Scholar 

  80. Espinosa N, Rothenfluh DA, Beck M, Ganz R, Leunig M. Treatment of femoro-acetabular impingement: preliminary results of labral refixation. J Bone Joint Surg Am. 2006;88 A:925–35.

    Article  Google Scholar 

  81. Espinosa N, Beck M, Rothenfluh DA, Ganz R, Leunig M. Treatment of femoro-acetabular impingement: preliminary results of labral refixation. Surgical technique. J Bone Joint Surg Am. 2007;89-A(Suppl 2, Part 1):36–53.

    Google Scholar 

  82. Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA. Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction. J Bone Joint Surg Br. 2009;91-B:16–23.

    Google Scholar 

  83. Heyworth BE, Shindle MK, Voos JE, Rudzki JR, Kelly BT. Radiologic and intraoperative findings in revision hip arthroscopy. Arthroscopy. 2007;23:1295–302.

    Article  PubMed  Google Scholar 

  84. Philippon MJ, Schenker ML, Briggs KK, Kuppersmith DA, Maxwell RB, Stubbs AJ. Revision hip arthroscopy. Am J Sports Med. 2007;35:1918–21.

    Article  PubMed  Google Scholar 

  85. Krueger A, Leunig M, Siebenrock KA, Beck M. Hip arthroscopy after previous surgical hip dislocation for femoroacetabular impingement. Arthroscopy. 2007;23:1285–9.

    Article  PubMed  Google Scholar 

  86. Naal FD, Miozzari HH, Wyss TF, Nötzli HP. Surgical hip dislocation for the treatment of femoroacetabular impingement in high-level athletes. Am J Sports Med. 2011;39:544–50.

    Article  PubMed  Google Scholar 

  87. Beck M, Büchler L. Prevalence and impact of pain at the greater trochanter after open surgery for the treatment of femoro-acetabular impingement. J Bone Joint Surg Am. 2011;93 Suppl 2:6–69.

    Google Scholar 

  88. Nho SJ, Magennis EM, Singh CK, Kelly BT. Outcomes after the arthroscopic treatment of femoroacetabular impingement in a mixed group of high-level athletes. Am J Sports Med. 2011;39 Suppl 1:14S–9.

    Article  PubMed  Google Scholar 

  89. Singh PJ, O’Donnell JM. The outcome of hip arthroscopy in Australian football league players: a review of 27 hips. Arthroscopy. 2010;26:743–9.

    Article  PubMed  Google Scholar 

  90. Philippon MJ, Schenker M, Briggs K, Kuppersmith D. Femoroacetabular impingement in 45 professional athletes: associated pathologies and return to sport following arthroscopic decompression. Knee Sports Traumatol Arthrosc. 2007;15:908–14.

    Article  Google Scholar 

  91. Byrd JWT, Jones KS. Arthroscopic femoroplasty in the management of cam-type femoroacetabular impingement. Clin Orthop Relat Res. 2009;467:739–46.

    Article  PubMed  Google Scholar 

  92. Randelli F, Pierannunzii L, Banci L, Ragone V, Aliprandi A, Buly R. Heterotopic ossifications after arthroscopic management of femoroacetabular impingement: the role of NSAIDs. J Orthop Traumatol. 2010;11:245–50.

    Article  PubMed  Google Scholar 

  93. Funke EL, Munzinger U. Complications in hip arthroscopy. Arthroscopy. 1996;12:156–9.

    Article  PubMed  CAS  Google Scholar 

  94. Nwachukwu BU, McFeely ED, Nasreddine AY, Krick JA, Frank J, Kocher MS. Complications of hip arthroscopy in children and adolescents. J Pediatr Orthop. 2011;31:227–31.

    Article  PubMed  Google Scholar 

  95. Souza BGS, Dani WS, Honda EK, Ricioli W, Guimarães RP, Ono NK, Polesello GC. Do complications in hip arthroscopy change with experience? Arthroscopy. 2010;26:1053–7.

    Article  PubMed  Google Scholar 

  96. Griffin DR, Villar RN. Complications of arthroscopy of the hip. J Bone Joint Surg Br. 1999;81-B:604–6.

    Article  Google Scholar 

  97. Konan S, Rhee SJ, Haddad FS. Hip arthroscopy: analysis of a single surgeon’s learning experience. J Bone Joint Surg Am. 2011;93 Suppl 2:52–6.

    Article  PubMed  Google Scholar 

  98. Clarke MT, Arora A, Villar RN. Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res. 2003;406:84–8.

    Article  PubMed  Google Scholar 

  99. Fowler J, Owens BD. Abdominal compartment syndrome after hip arthroscopy. Arthroscopy. 2010;26:128–30.

    Article  PubMed  Google Scholar 

  100. Verma M, Sekiya JK. Intrathoracic fluid extravasation after hip arthroscopy. Arthroscopy. 2010;26 Suppl 1:S90–4.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Martin Beck MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Tibor, L.M., Beck, M. (2014). Treatment of Labral Pathology: Reattachment and Replacement. In: Haddad, F. (eds) The Young Adult Hip in Sport. Springer, London. https://doi.org/10.1007/978-1-4471-5412-9_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-5412-9_19

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5411-2

  • Online ISBN: 978-1-4471-5412-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics