Biomechanics, anatomy, pathology, imaging and clinical evaluation of the acetabular labrum: current concepts

Author(s):  
David E Hartigan ◽  
Itay Perets ◽  
Mitchell B Meghpara ◽  
Mitchell R Mohr ◽  
Mary R Close ◽  
...  

The labrum has been recognised to play an important role in the hip in regard to stability, fluid regulation, decreasing contact forces, proprioception and nociception. These functions are all important for normal joint homeostasis in a well-functioning hip and can be responsible for increasing joint pain, damage, instability and dysfunction when compromised. The labrum has been studied intently in the last few decades to better understand its role in the normal and the pathologic hip and how best to treat pathology that causes debilitating hip pain and dysfunction. This current concept review discusses and summarises the current literature on labral anatomy, biomechanics, pathology, clinical exam and imaging.

2019 ◽  
Vol 43 (11) ◽  
pp. 2539-2547 ◽  
Author(s):  
Guang-Shu Yu ◽  
Yan-Bin Lin ◽  
Guo-Sheng Xiong ◽  
Hong-Bin Xu ◽  
You-Ying Liu

2006 ◽  
Vol 86 (1) ◽  
pp. 110-121 ◽  
Author(s):  
Cara L Lewis ◽  
Shirley A Sahrmann

Abstract Anterior hip or groin pain is a common complaint for which people are referred for physical therapy, with the hip region being involved in approximately 5% to 9% of injuries in high school athletes.1 Although anterior hip pain is known to result from a number of musculoskeletal and systemic pathologies, a tear of the acetabular labrum is a recent addition to the list that is of particular interest to physical therapists. This mechanically induced pathology is thought to result from excessive forces at the hip joint2,3 and has been proposed as part of a continuum of hip joint disease that may result in articular cartilage degeneration.2 Although the number of recent articles in the orthopedic literature identifying acetabular labral tears as a source of hip pain is increasing, labral tears often evade detection, resulting in a long duration of symptoms, greater than 2 years on average, before diagnosis.4–8 Studies have shown that 22% of athletes with groin pain9 and 55% of patients with mechanical hip pain of unknown etiology2 were found to have a labral tear upon further evaluation. In order to provide the most appropriate intervention for patients with anterior hip or groin pain, physical therapists should be knowledgeable about all of the possible sources and causes of this pain, including a tear of the acetabular labrum and the possible factors contributing to these tears. Therefore, the purpose of this article is to review the anatomy and function of the acetabular labrum and present current concepts on the etiology, clinical characteristics, diagnosis, and treatment of labral tears.


PAIN RESEARCH ◽  
1996 ◽  
Vol 11 (1) ◽  
pp. 29-34
Author(s):  
Sei Fukui ◽  
Kiyoshige Ohseto ◽  
Masahiro Shiotani ◽  
Satomi Arimura ◽  
Kenji Ohno ◽  
...  

2006 ◽  
pp. 055-061
Author(s):  
Aleksandr Ivanovich Prodan ◽  
Vladimir Aleksandrovich Kutsenko ◽  
Vera Anatolyevna Kolesnichenko

The article is a current concept review on the problem of differentiation of vertebrogenic pain by provoking discography. Abstracts from Medline, and such journals as Spine, European Spine Journal, Journal of Bone and Joint Surgery, and from leading periodicals of Russia and Ukraine within last 10 years were used in preparing the review.


2016 ◽  
Vol 30 (21) ◽  
pp. 2557-2563 ◽  
Author(s):  
Hamza M. Alrabai ◽  
Alex Farr ◽  
Dieter Bettelheim ◽  
Myriam Weber ◽  
Sebastian Farr

2019 ◽  
Vol 10 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Janine McKay ◽  
Kristian Frantzen ◽  
Neeltje Vercruyssen ◽  
Kholoud Hafsi ◽  
Tyler Opitz ◽  
...  

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