Update in Labral Treatment of the Hip (ICL 12)
Labral tears have been described as a cause of hip pain in young, active patients . It has been shown that those lesions can initiate joint osteoarthritis . Some authors suggest that labral tear is a highly prevalent lesion with up to 90 % of labral detachment in elderly people . On the other side, studies like the one of Wenger et al.  conclude that is a rare lesion in the absence of any structural or mechanic evident cause. That means that labral tear treatment is a complex one, because even if we decide a labral debridement, repair, or substitution, biomechanics must be restored, and that means that bony structural abnormalities must be addressed. Acetabular labrum is a complex structure, with an inner part of circumferential fibrocartilage fibers, surrounded by dense connective tissue where we can find nerves and vascular vessels. The shape of that labrum can be different in the different acetabular areas, and some shapes can predispose to labral tears, while different attachment patterns may difficult tear recognition . Thorough knowledge of labral vascularity is important to understand healing patterns of labral detachment and repair .
KeywordsJoint Space Width Labral Tear Attachment Pattern Dense Connective Tissue Labral Repair
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