Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 8 , Pages 632.e1-632.e8 , October 2005

Labral Injuries of the Hip: A Review of Diagnosis and Management

  • Matt Schmerl, MChiro

      Affiliations

    • Research Associate, Macquiare Injury Management Group, Department Health and Chiropractic, Macquarie University, Australia
    • ,
  • Henry Pollard, Grad DC, MSportSc, PhD

      Affiliations

    • Senior Lecturer, Macquarie Injury Management Group, Department Health and Chiropractic, Macquarie University, Australia
    • Corresponding Author InformationSubmit requests for reprints to: Henry Pollard, Grad DC, MSportSc, PhD, Department Health & Chiropractic, Macquarie University, C/-: PO Box 448 Cronulla, 2230 Australia
    • ,
  • Wayne Hoskins, MChiro

      Affiliations

    • PhD Candidate, Macquarie Injury Management Group, Department Health and Chiropractic, Macquarie University, Australia

Received 15 March 2004 ,Revised 1 October 2004

References 

  1. McCarthy J, Noble P, Aluisio FV, Schuck M, Wright J, Lee J. Anatomy, pathologic features and treatment of acetabular labral tears. Clin Orthop. 2003;406:38–47
  2. Peterson I. The torn acetabular labrum: a block to reduction of dislocated hip. J Bone Joint Surg Br. 1957;39:306–309
  3. Dameron T. Bucket-handle tear of the acetabular labrum accompanying posterior dislocation of the hip. J Bone Joint Surg Am. 1959;41:131–134
  4. Altenberg A. Acetabular labrum tears: a cause of hip pain and degenerative arthritis. South Med J. 1977;70:174–175
  5. Suzuki S, Awaya G, Okada Y, Maekawa M, Ikeda T, Tada H. Arthroscopic diagnosis of the ruptured acetabular labrum. Acta Orthop Scand. 1986;57:513–515
  6. Horii M, Kubo T, Hachiya Y, Nishimura T, Hirasawa Y. Development of the acetabulum and the acetabular labrum in the normal child: analysis with radial-sequence magnetic resonance imaging. J Pediatr Orthop. 2002;22:222–227
  7. Mason JB. Acetabular labral tears in the athlete. Clin Sports Med. 2001;20:779–791
  8. Huffman GR, Safran M. Arthroscopic treatment of labral tears. Oper Tech Sports Med. 2002;10:205–214
  9. Cotton A, Boutry N, Demandion X, Paret C, Dewatre F, Liesse A, et al. Acetabular labrum: MRI in asymptomatic volunteers. J Comput Assist Tomogr. 1998;22:1–7
  10. Lecouvet FE, Vand Gerg BC, Malghem J, Lebon CJ, Moysan P, Jamart J, et al. MR imaging of the acetabular labrum: variations in 200 asymptomatic hips. Am J Radiol. 1996;167:1025–1028
  11. Aydingoz U, Ozturk MH. MR imaging of the acetabular labrum: a comparative study of both hips in 180 asymptomatic volunteers. Eur Radiol. 2001;11:567–574
  12. Pertersilge C. MR arthrography for evaluation of the acetabular labrum. Skeletal Radiol. 2001;30:423–430
  13. Seldes R, Tan V, Hunt J, Katz M, Winiarsky R, Fitzgerald R. Anatomy, histologic features and vascularity of the adult acetabular labrum. Clin Orthop. 2001;382:232–240
  14. Kim YT, Azuma H. The nerve endings of the acetabular labrum. Clin Orthop. 1995;320:176–181
  15. Konrath GA, Hamel Al, Olsen SA, et al. The role of the acetabular labrum and the transverse acetabular ligament in load transmission in the hip. J Bone Joint Surg Am. 1998;80:1781–1787
  16. Tan V, Seldes M, Katz M, Freehand A, Klimkiewitcz J, Fitzgerald H. Contribution of acetabular labrum to articulating surface area and femoral head coverage in adult hip joints: an anatomic study in cadavera. Am J Ortho. 2001;11:809–812
  17. Byers PD, Contepomi CA, Farkas TA. A post mortem study of the hip joint. Ann Rheum Dis. 1970;29:15–31
  18. Fitzgerald R. Acetabular labral tears diagnosis and treatment. Clin Orthop. 1995;311:60–68
  19. Byrd JW. Labral lesions: an elusive source of hip pain case reports and literature review. J Arthro Joint Surg. 1996;12:603–612
  20. McCarthy JC, Noble P, Schuck M, Alusio FV, Wright J, Lee J. Acetabular and labral pathology. In:  McCarthy JC editors. Early hip disorders. New York: Springer Verlag; 2003;p. 113–133
  21. Ikeda T, Awaya G, Suzuki S, Okada Y, Tada H. Torn acetabular labrum in young patients. J Bone Joint Surg. 1988;70B:13–16
  22. Lage LA, Patel JV, Villar RN. The acetabular labral tear: an arthroscopic classification. Arthroscopy. 1996;12:269–272
  23. Hammer WI. The hip and thigh. In:  Hammer WI editors. Functional soft tissue examination and treatment by manual methods. Gaithersburg (Md): Aspen Publ; 1999;p. 231–232
  24. Suenaga E, Noguchi Y, Jingushi S, Shuto T, Nakashima Y, Miyanishi K, et al. Relationship between the maximum flexion–internal rotation test and the torn acetabular labrum of a dysplastic hip. J Orthop Sci. 2002;7:26–32
  25. Wiberg C. Studies on dysplastic acetabula and congenital subluxation of the hip joint. Acta Orthop Scand. 1939;83:1–5
  26. Newberg A, Newman J. Imaging the painful hip. Clin Orthop. 2003;406:19–28
  27. Narvani A, Tsiridis E, Tai CC, Thomas P. Acetabular labrum and its tears. BMJ. 2003;37:207–211
  28. Czerny C, Hoffman S, Nuhold A. Lesions of the acetabular labrum: accuracy of MR imaging and MR arthrography in detection and staging. Radiology. 1996;200:225–230
  29. Hase T, Ueo T. Acetabular labrum tear: arthroscopic diagnosis and treatment. Arthroscopy. 1999;15:138–141
  30. Hickman J, Peters C. Hip pain in the young adult: diagnosis and treatment of disorders of the acetabular labrum and acetabular dysplasia. Am J Orthop. 2001;30:459–467
  31. Pollard H. The effect of chiropractic manual therapy on the spine, hip and knee. PhD thesis. Wollongong (Australia): University of Wollongong; 2000. p. 141-96.
  32. Janda V. In: Evaluation of muscular imbalance: rehabilitation of the spine. Baltimore: Lippincott Williams & Wilkins; 1996;p. 97–112
  33. Dirocco S, McCarthy J, Busconi B, Dick B, Flaherty K. Rehabilitation after hip arthroscopy. In:  McCarthy JC editors. Early hip disorders. New York: Springer Verlag; 2003;p. 175–190
  34. Griffin K. Rehabilitation of the hip. Clin Sports Med. 2001;4:837–844
  35. Byrd T. Hip arthroscopy: the supine position. Clin Sports Med. 2001;20:702–729
  36. O'leary JA, Berend K, Vail TP. The relationship between diagnosis and outcome in arthroscopy of the hip. Arthroscopy. 2001;17:181–188
  37. Santori N, Villar R. Acetabular labral tears: results of arthroscopic partial linbectomy. Arthroscopy. 2000;16:11–55
  38. Byrd JWT, Jones KS. Prospective analysis of hip arthroscopy with 2 year follow-up. Arthroscopy. 2000;16:578–587
  39. Farjo L, Glick J, Sampson T. Hip arthroscopy for acetabular labral tears. Arthroscopy. 1999;15:132–137

 Sources of support: No external funding was provided for this study.

PII: S0161-4754(05)00248-4

doi: 10.1016/j.jmpt.2005.08.018

Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 8 , Pages 632.e1-632.e8 , October 2005

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