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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 .
Femoroacetabular impingement (FAI) is a condition involving one or more anatomical abnormalities of the hip joint, which is a ball and socket joint. [1] It is a common cause of hip pain and discomfort in young and middle-aged adults. [2]
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 labrum is attached onto the bony rim and transverse acetabular ligament. It is triangular in cross-section (with the ...
An intact labrum also helps to buttress the hip joint to distraction forces. [7] The labrum, when damaged, is also a pain generator, due to a large concentration of type II pain-associated free nerve endings found throughout the tissue, most pronounced at the labral base. [8] Hip joint, front view. The capsular ligament has been largely removed.
MR arthrography is most often used in evaluation of the hip and acetabular labrum, of the shoulder rotator cuff and glenoid labrum, and less often in the wrist. [2] Arthrograms can be diagnostic and therapeutic. Therapeutic arthrograms often distend the joint with cortisone and lidocaine, with a common site being the shoulder.
The acetabular labrum reduces the size of the opening of the acetabulum and deepens the surface of the hip joint. At the lower part of the acetabulum is the acetabular notch, which is continuous with a circular depression, the acetabular fossa, at the bottom of the cavity of the acetabulum. The rest of the acetabulum is formed by a curved ...
The edge of the acetabulum is surrounded by the acetabular labrum, a fibrous structure that envelops the femoral head. (See fig. 1) The labrum acts as a seal, or gasket, around the femoral head. However, this is not its only function, as it has been shown to contain nerve endings, which may cause pain if damaged. [18]
The ligament becomes taut when the thigh is both flexed and either adducted or laterally/externally rotated. The ligament is usually too weak to actually function as a ligament [4] past childhood; [5] excessive movement at the hip joint is instead primarily limited by the three capsular ligament of the hip joint. [4]