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It involves the surgical correction of any bony abnormalities causing the impingement and correction of any soft tissue lesions, such as labral tears. [6] 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 ]
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 (see fig. 6) Labral tears (see fig. 7) Loose / foreign body removal Hip washout (for infection) or biopsy Chondral (cartilage) lesions (see fig. 8) Osteochondritis dissecans Ligamentum teres injuries (and reconstruction) Iliopsoas tendinopathy (or 'snapping psoas') Trochanteric pain syndrome Snapping iliotibial band
The most common indication currently is for the treatment of femoroacetabular impingement (FAI) and its associated pathologies. Hip conditions that may be treated arthroscopically also includes labral tears, loose / foreign body removal, hip washout (for infection) or biopsy, chondral (cartilage) lesions, osteochondritis dissecans, ligamentum ...
It is most often utilized in order to surgically correct the damage resulting from femoroacetabular impingement (FAI), a condition in which the femoral head articulates imperfectly with the acetabular cup. Labral damage resulting from FAI or other conditions exists on a spectrum, with varying degrees of labral damage necessitating different ...
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.
Snapping hip, a condition caused by iliotibial band snap, iliopsoas tendon snap, and hip labral tear, usually only in one hip; may be accompanied by an audible "snap" when the hip joint is moved Paget's disease , enlarged or deformed bones of the hip, a genetic disorder; pain is usually in both hips simultaneously
tear of the abdominal internal oblique muscle from the pubic tubercle; entrapment of the ilioinguinal nerve or genitofemoral nerve [9] Several of these lesions may occur simultaneously. Also, many athletes have concomitant weakness or tearing of the adductor muscles or labral tears of the hip.