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An acetabular labrum tear or hip labrum tear is a common injury of the acetabular labrum resulting from a number of causes including running, hip dislocation, and deterioration with ageing. Most are thought to result from a gradual tear due to repetitive microtrauma .
A SLAP tear or lesion occurs when there is damage to the superior (uppermost) area of the labrum. These lesions have come into public awareness because of their frequency in athletes involved in overhead and throwing activities in turn relating to relatively recent description of labral injuries in throwing athletes, [ 7 ] and initial ...
A SLAP lesion (superior labrum, anterior to posterior) is a tear where the glenoid labrum meets the tendon of the long head of the biceps muscle. Symptoms include increased pain with overhead activity, popping or grinding, loss of strength, and trouble localizing a specific point of pain. [ 3 ]
The most severe degrees of labral pathology is often unresponsive to labral repair, with damage far too diffuse for focal debridement. In these cases, labral reconstruction is the best option for not only restoring the biomechanics of the acetabular labrum, but for treatment of the patient's pain. Diagram illustrating the two subtypes of FAI.
The acetabular labrum (glenoidal labrum of the hip joint or cotyloid ligament in older texts) is a fibrocartilaginous ring [1] [2] [3] which surrounds the circumference of the acetabulum of the hip, deepening the acetabulum.
The glenoid cartilage underneath the labrum in the glenohumeral (GH) joint is disrupted by glenolabral articular disruption. [5] The articulation of the humeral head inside the glenoid fossa of the scapula forms the GH joint itself, which is a synovial ball and socket joint.
A complex labral tear. An arthroscopic probe is seen at the junction of the labrum and acetabular rim. Hip arthroscopy was initially used for the diagnosis of unexplained hip pain, but is now widely used in the treatment of conditions both in and outside the hip joint itself.
However, early surgical treatment may be considered in significant (>1 cm – 1.5 cm) acute tears, in young individuals with full-thickness tears who have a significant risk for the development of irreparable rotator cuff damage, or the patient is very active and/or uses their arms for overhead work or sports.
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