Hip Labral Disorders: Difference between revisions

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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) ==
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== References  ==


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== Clinically Relevant Anatomy<br>  ==
== Clinically Relevant Anatomy<br>  ==



Revision as of 19:57, 8 December 2009

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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Clinically Relevant Anatomy
[edit | edit source]

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
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add text here relating to management approaches to the condition

Differential Diagnosis
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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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