Conclusions
Summary The cadaveric data show that labral lesions are extremely common, present in 93% of specimens.
Because the labrum is thought to be a stabilizing structure in the hip, labral pathology might contribute to the development of osteoarthritis in a number of ways. Injury or degeneration of the labrum could result in instability of the femoral head in the acetabulum, resulting in cartilage damage adjacent to the damaged labrum. This instability might also be more “global”, resulting in cartilage damage in the weightbearing region of the acetabulum.
If it can be clearly shown that labral lesions contribute to cartilage degeneration, then the early recognition and treatment of these lesions will become an important part of osteoarthritis prevention.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
McCarthy JC, Busconi B. The role of hip arthroscopy in the diagnosis and treatment of hip disease. Orthopedics 1995;18:753–756.
Altenberg AR. Acetabular labrum tears: A cause of hip pain and degenerative arthritis. South Med J 1977;70:174–175.
Villar RN. Hip arthroscopy. Br J Hosp Med 1992;47:763–766.
Patterson I. The torn acetabular labrum: A block to reduction of a dislocated hip. J Bone Joint Surg Br 1957;39:306–309.
Dameron T. Bucket-handle tear of the acetabular labrum accompanying posterior dislocation of the hip. J Bone Joint Surg Am 1959;41:131–134.
Harris WH, Bourne RB, Oh I. Intra-articular acetabular labrum: A possible etiological factor in certain cases of osteoarthritis of the hip. J Bone Joint Surg Am 1979;61:510–514.
Cartlidge IJ, Scott JH. The inturned acetabular labrum in osteoarthrosis of the hip. J R Coll Surg Edinb 1982;27:339–344.
Ueo T, Hamabuchi M. Hip pain caused by cystic deformation of the labrum acetabulare. Arthritis Rheum 1984;27:947–950.
Ikeda T, Awaya G, Suzuki S, Okada Y, Tada H. Torn acetabular labrum in young patients. Arthroscopic diagnosis and management. J Bone Joint Surg Br 1988;70:13–16.
Dorrell JH, Catterall A. The torn acetabular labrum. J Bone Joint Surg Br 1986;68:400–403.
Nishina T, Saito S, Ohzono K, Shimizu N, Hosoya T, Ono K. Chiari pelvic osteotomy for osteoarthritis. The influence of the torn and detached acetabular labrum. J Bone Joint Surg Br 1990;72:765–769.
Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br 1991;73:423–429.
Grossbard GD. Hip pain during adolescence after Perthes’ disease. J Bone Joint Surg Br 1981;4:572–574.
McCarthy JC, Mason JB, Wardell SR. Hip arthroscopy for acetabular dysplasia: A pipe dream? Orthopedics 1998;21:977–979.
Lage LA, Patel JV, Villar RN. The acetabular labral tear: An arthroscopic classification. Arthroscopy 1996;12:269–272.
Farjo LA, Glick JM, Sampson TG. Hip arthroscopy for acetabular labral tears [in-process citation]. Arthroscopy 1999;15:132–137.
Aluisio F, Meehan J, Krebs V, McCarthy J. Intractable hip pain after occult trauma. Arthroscopic findings and treatment., AAOS, Anaheim, CA, 1999.
Griffin DR, Villar RN. Complications of arthroscopy of the hip. J Bone Joint Surg Br 1999;81:604–606.
Tschauner C, Hofmann S, Graf R, Engel A. [Labrum lesions and residual dysplasia of the hip joint. Definition and prospectives]. Orthopade 1998;27:772–778.
Konrath GA, Hamel AJ, Olson SA, Bay B, Sharkey NA. The role of the acetabular labrum and the transverse acetabular ligament in load transmission in the hip. J Bone Joint Surg Am 1998;80:1781–1788.
Byrd JW. Labral lesions: An elusive source of hip pain case reports and literature review. Arthroscopy 1996;12:603–612.
Fitzgerald RH, Jr. Acetabular labrum tears. Diagnosis and treatment. Clin Orthop 1995:60–68.
McCarthy J, Marchetti M, Newberg A, Palmer W, Bono J. Improving diagnostic accuracy of chondral injuries: Correlation of gadolinium MR imaging with arthroscopic surgery, AAOS, New Orleans, 1997.
Hodler J, Yu JS, Goodwin D, Haghighi P, Trudell D, Resnick D. MR arthrography of the hip: Improved imaging of the acetabular labrum with histologic correlation in cadavers [published erratum appears in AJR Am J Roentgenol 1996 Jul;167(1):282]. Am J Roentgenol 1995;165:887–891.
Czerny C, Hofmann S, Neuhold A, et al. Lesions of the acetabular labrum: Accuracy of MR imaging and MR arthrography in detection and staging. Radiology 1996;200:225–230.
Petersilge CA, Haque MA, Petersilge WJ, Lewin JS, Lieberman JM, Buly R. Acetabular labral tears: Evaluation with MR arthrography. Radiology 1996;200:231–235.
Leunig M, Werlen S, Ungersbock A, Ito K, Ganz R. Evaluation of the acetabular labrum by MR arthrography [published erratum appears in J Bone Joint Surg Br 1997 Jul;79(4):693]. J Bone Joint Surg Br 1997;79:230–234.
Keene GS, Villar RN. Arthroscopic anatomy of the hip: An in vivo study. Arthroscopy 1994;10:392–399.
Putz R, Schrank C. [Anatomy of the labro-capsular complex]. Orthopade 1998;27:675–680.
Dvorak M, Duncan CP, Day B. Arthroscopic anatomy of the hip. Arthroscopy 1990;6:264–273.
Hase T, Ueo T: Acetabular labral tear: Arthroscopic diagnosis and treatment. Arthroscopy 1999;15(2):138–141.
Suzuki S, Awaya G, Okada Y, Maekawa M, Ikeda T, Tada H. Arthroscopic diagnosis of ruptured acetabular labrum. Acta Orthop Scand 1986;57:513–515.
McCarthy JC, Noble PC, Schuck MR, Wright J, Lee J. The Otto E. Aufranc Award: The role of labral lesions to development of early degenerative hip disease. Clinical Orthop. 2001 (393):25–37.
Crock G.: Clinical syndromes of anterior segment ischaemia. Trans Ophthalmol Soc UK 1967;87:513–533.
Arnoczky SP, Warren RF: Microvasculature of the human meniscus. Am J Sports Med, 1982;10(2):90–95.
McCarthy J, Wardell S, Mason J, Stamos V, Bono J. Injuries to the acetabular labrum: Classification, outcome, and relationship to degenerative arthritis, AAOS Annual Meeting, San Francisco, CA, February, 1997.
Crowe JF, Mani VJ, Ranawat CS. Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am 1979;61:15–23.
Outerbridge R. The etiology of chondromalacia patellae. J Bone Joint Surg Br 1961;43B:752–754.
Rights and permissions
Copyright information
© 2003 Springer-Verlag New York, Inc.
About this chapter
Cite this chapter
McCarthy, J.C., Noble, P., Schuck, M., Aluisio, F.V., Wright, J., Lee, Ja. (2003). Acetabular and Labral Pathology. In: Early Hip Disorders. Springer, New York, NY. https://doi.org/10.1007/0-387-21795-9_12
Download citation
DOI: https://doi.org/10.1007/0-387-21795-9_12
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-98602-9
Online ISBN: 978-0-387-21795-6
eBook Packages: Springer Book Archive