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The primary aim of surgery is to correct the fit of the femoral head and acetabulum to create a hip socket that reduces contact between the two, allowing a greater range of movement. [30] This includes femoral head sculpting and/or trimming of the acetabular rim. [30] [31] Surgery may be arthroscopic or open. [7]
The acetabular labrum is a fibrous structure, which surrounds the femoral head. It forms a seal to the hip joint, [ 15 ] although its true function is poorly understood. Recent evidence has demonstrated that this hydraulic seal is vital for maintaining stability of the ball and socket joint [ 16 ] and reducing contact pressures of the femur to ...
There is little evidence for the benefit of physical therapy for the acetabular labrum. [11] Some studies though report that physical therapy could be of benefit in restoring "sports-ready" capabilities. [1] Following surgery, crutches will be needed for up to six weeks and physical exercise such as running, curtailed for at six months. [12]
The applicability of these methods to severe or widespread labral damage is less than ideal. Since then, surgeons have reported on a variety of graft choices and surgical techniques, and an arthroscopic approach has usurped open dislocation, due to fewer complications, a lower need for revision surgery and quicker recovery time. [9] [10]
Total hip replacement is most commonly used to treat joint failure caused by osteoarthritis.Other indications include rheumatoid arthritis, avascular necrosis, traumatic arthritis, protrusio acetabuli, [5] certain hip fractures, benign and malignant bone tumors, [6] arthritis associated with Paget's disease, [7] ankylosing spondylitis [8] and juvenile rheumatoid arthritis. [9]
X-ray of Femoral Osteotomy hardware to correct femoral rotation caused by hip dysplasia. X-ray of the right hip in female patient in early thirties. Two main types of osteotomies are used in the correction of hip dysplasias and deformities to improve alignment/interaction of acetabulum – (socket) – and femoral head – (ball), innominate osteotomies and femoral osteotomies.
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 ...
Elementary fracture Description Associated fractures Description Posterior wall: This is the most common variety of acetabular fracture. It typically occurs due to dashboard injury; when a person travelling in a vehicle involved in a head-on collision, the force applied over the flexed knee travels along the femur bone to the head of the femur, breaking the posterior wall of the acetabulum.