Acetabular labral tear: Arthroscopic diagnosis and treatment

Authors
Citation
T. Hase et T. Ueo, Acetabular labral tear: Arthroscopic diagnosis and treatment, ARTHROSCOPY, 15(2), 1999, pp. 138-141
Citations number
13
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
ARTHROSCOPY
ISSN journal
0749-8063 → ACNP
Volume
15
Issue
2
Year of publication
1999
Pages
138 - 141
Database
ISI
SICI code
0749-8063(199903)15:2<138:ALTADA>2.0.ZU;2-P
Abstract
We reviewed the cases of 10 patients with acetabular labral tear diagnosed and treated arthroscopically. The posterior portion of the labrum had a tea r lesion in 7 patients, the anterior portion in 4, and the superior portion in 1. A longitudinal tear was found in 8 patients, a degenerative tear in 1, and fibrillation in 1. Eight patients who were treated by arthroscopic p artial limbectomy experienced prompt pain relief, and were free of symptoms at the latest follow-up. The remaining 2 patients were treated conservativ ely but their symptoms did not subside. The following three findings were h ighly indicative of a torn acetabular labrum in the current study: (1) Pain elicited by internal rotation with the joint flexed 90 degrees, (2) pain e licited by axial compression to the joint flexed 90 degrees and slightly ad ducted, and (3) tenderness posterior to the greater trochanter. These findi ngs were positive in 7, 10, and 8 patients, respectively. To diagnose aceta bular labral tear, these signs and arthroscopy are useful.