Hip Labral Disorders: Difference between revisions
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'''Original Editor '''- | '''Original Editor '''- [[User:Karolyn Conolty|Karolyn Conolty]] | ||
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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== References == | == References == | ||
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References will automatically be added here, see [[Adding References|adding references tutorial]]. | References will automatically be added here, see [[Adding References|adding references tutorial]]. | ||
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== Clinically Relevant Anatomy<br> == | == Clinically Relevant Anatomy<br> == | ||
Revision as of 19:58, 8 December 2009
Original Editor - Karolyn Conolty
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
Clinically Relevant Anatomy
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The labrum of the hip is responsible for deepening the acetabulum to provide increased joint stability. It contains nerve endings to enhance proprioception, but may also be a source of pain.
Mechanism of Injury / Pathological Process
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The labrum is susceptible to traumatic injury from shearing forces that occur with twisting, pivoting and falling. The most common mechanism is an external rotation force in a hyperextended position.
Clinical Presentation[edit | edit source]
Symptoms may include pain, clicking, locking, catching, instability, giving way, and/or stiffness. A labral tear commonly refers pain to the anterior groin.
Labral tears have been classified into 4 types:
- radial flap: most common, disruption of free margin of the labrum
- radial fibrillated: fraying of the free margin, associated with degenerative joint disease
- longitudinal peripheral: least common
- abnormally mobile: can result from a detached labrum
Diagnostic Procedures[edit | edit source]
MRa is thought to be the diagnostic imaging of choice to evaluate an acetabular labral tear.
Outcome Measures[edit | edit source]
add links to outcome measures here (see Outcome Measures Database)
Management / Interventions
[edit | edit source]
add text here relating to management approaches to the condition
Differential Diagnosis
[edit | edit source]
Chondral lesion, osteoarthritis, hip dysplasia, Legg-Calve Perthes, Slipped Capital Femoral Epiphysis, trochanteric bursitis, psoas bursitis, stress fracture, lumbar radiculopathy, piriformis syndrome, avascular necrosis
Case Studies[edit | edit source]
Austin A, Meyer J, Powers C, Souza R. Identification of abnormal hip motion associated with acetabular labral pathology. J Orthop Sports Phys Ther. 2008;38(9):558-565.
References[edit | edit source]
Martin R, Enseki K, Draovitch P, Trapuzzano T, Philippon M. Acetabular labral tears of the hip: Examination and diagnostic challenges. J Orthop Sports Phys Ther. 2006:36(7):503-515.
Enseki K, Martin R, Draovitch P, Kelly B, Philippon M, Schenker M. The hip joint: Arthroscopic procedures and postoperative rehabilitation. J Orthop Sports Phys Ther. 2006;36(7):516-525.
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