Anatomy, Pathologic Features, and Treatment of Acetabular Labral Tears

McCarthy, Joseph C.; Noble, Philip C.; Aluisio, Frank V.; Schuck, Michael; Wright, John; Lee, Jo Ann

doi:10.1097/00003086-200301000-00008

Cited by 254 publications

(160 citation statements)

References 19 publications

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“…The status of the articular cartilage adjacent to a labral tear of the hip is a major determinant of the patient's outcome, and preoperative knowledge of the status of this cartilage is critical for appropriate surgical decision making and for counseling patients regarding their prognosis and recovery [6,10,17,30,31,34,42]. We identified patients who underwent hip arthroscopy for a labral tear and had delamination of the articular cartilage and then correlated the delamination with the presence of a previously undescribed finding on the preoperative plain radiographs, a delamination cyst.…”

Section: Discussionmentioning

confidence: 99%

“…3 of all labral tears seen during hip arthroscopy have associated articular cartilage damage, and it is the extent of this associated injury that is often the limiting determinant on the outcome of arthroscopic labral débridement [5,6,28,30,31,42]. MRI arthrograms are accurate for preoperatively detecting labral lesions, but they have limitations in detecting associated acetabular cartilage delamination [5,7,15,23,43].…”

Section: Discussionmentioning

confidence: 99%

“…Depending on the status of the acetabular articular cartilage, labral tears secondary to femoroacetabular impingement can be treated by various surgical procedures, including arthroscopic débridement, labral reattachment, labral surgery with concomitant chondral microfracture, or labral surgery with open or arthroscopic femoral head-neck osteochondroplasty [8,10,11,30,31,34,39,40]. The outcomes, complications, and postoperative recovery after these procedures are very different [6,10,16,17,30,31,37,42]. Therefore, preoperative knowledge of the status of the articular cartilage adjacent to the labral tear is critical for appropriate surgical decision making and for counseling patients regarding their prognosis and recovery.…”

Section: Introductionmentioning

confidence: 99%

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Delamination Cysts: A Predictor of Acetabular Cartilage Delamination in Hips with a Labral Tear

Gdalevitch

Smith

Tänzer

2008

Clin Orthop Relat Res

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The treatment and prognosis of labral tears of the hip depend primarily on whether there is concomitant injury of the adjacent acetabular articular cartilage. We asked whether a delamination cyst on the preoperative plain radiographs correlated with delamination of the acetabular articular cartilage at the time of hip arthroscopy. We reviewed the preoperative radiographs of 125 consecutive hips that had a labral tear at hip arthroscopy for the presence of a delamination cyst. A delamination cyst was defined as an acetabular subchondral cyst either directly adjacent to a lateral acetabular cyst or in relation to a subchondral crack in the anterosuperior portion of the acetabulum. All patients with acetabular cartilage delamination at arthroscopy were identified. There were 16 patients with delamination cysts on radiographs and 15 patients with cartilage delamination at arthroscopy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Delamination Cysts: A Predictor of Acetabular Cartilage Delamination in Hips with a Labral Tear

Gdalevitch

Smith

Tänzer

2008

Clin Orthop Relat Res

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“…McCarthy et al [20] reported that acetabular labral tears are generally secondary to trauma and are isolated to one particular region depending on the direction, strength and extension of trauma. Direct trauma, including motor vehicle accidents and falls with or without dislocation, is a recognized cause of labral tears.…”

Section: Discussionmentioning

confidence: 99%

Traumatic anterior hip dislocation associated with anterior and inferior iliac spines avulsions and a capsular–labral lesion

Reggiori¹,

Brugo²

2008

Strategies in Trauma and Limb Reconstruction

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A 16-year-old man had a traumatic accident during motor-cross racing and sustained an anterior hip dislocation with fracture of anterior superior and anterior inferior iliac spines. The hip was emergently reduced and further imaging was obtained to evaluate the lesion and bony fragments. Computed tomography confirmed the presence of two large fragments and a small fragment from the antero-inferior acetabulum. The patient underwent open reduction and internal fixation of the iliac spines and the reparation of anterior hip capsule. No complications occur after 1 year of follow-up. We present the case and a review of the literature for this lesion.

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“…Most labral abnormalities in patients with either femoroacetabular impingement (FAI) or dysplasia are anterosuperior or directly anterior [2,10,11,13,15,17,23]. Impingement and instability can, however, occur circumferentially around the acetabular rim [2,11] and can also be initiated extraarticularly, causing secondary intraarticular damage [5,9,14].…”

Section: Introductionmentioning

confidence: 99%

Case Reports: Anteroinferior Acetabular Rim Damage Due to Femoroacetabular Impingement

Tibor¹,

Ganz

Leunig

2013

Clinical Orthopaedics &Amp; Related Research

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Background The most common location of labral tears and chondral damage in the hip is the anterosuperior region of the acetabulum, which is associated with pain in flexion and rotation. We describe a case series of patients with labral tears, ganglion formation, and chondromalacia isolated to the anteroinferior acetabulum. Clinically, patients had pain in extension and internal rotation. Case Descriptions Isolated anteroinferior labral hypertrophy and ganglion were first observed in a patient with coxa valga. We retrospectively reviewed clinical and radiographic records and identified nine hips in seven patients with isolated anteroinferior damage. One patient with bilateral valgus femoral head tilt after slipped capital femoral epiphysis (SCFE) had impingement of the anteromedial metaphysis on the acetabulum from 3 to 6 o'clock.

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Anatomy, Pathologic Features, and Treatment of Acetabular Labral Tears

Cited by 254 publications

References 19 publications

Delamination Cysts: A Predictor of Acetabular Cartilage Delamination in Hips with a Labral Tear

Delamination Cysts: A Predictor of Acetabular Cartilage Delamination in Hips with a Labral Tear

Traumatic anterior hip dislocation associated with anterior and inferior iliac spines avulsions and a capsular–labral lesion

Case Reports: Anteroinferior Acetabular Rim Damage Due to Femoroacetabular Impingement

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