Abstract
Management of Hip Labral Tears in Athletes: An Evidence-Based Review of the Literature
Highlights
The acetabular labrum is a complex fibro cartilaginous ring which is attached circumferentially to the bony rim of the acetabulum [1] (Figure 1)
While further research is needed to determine the prevalence of labral tears among the public, some evidence showed that labral tear has a prevalence of around 66% among patients with mechanical hip pain [3]
Greaves et al [27] conducted a study to evaluate the effect of labral debridement versus repair on the hip articular cartilage [27]. While it was performed on cadaveric models, it showed a significant decrease in the mean cartilage strain when labral repair was conducted, compared to labral resection, which was associated with even a higher load compared to the unmanaged labral tears
Summary
J Phy Fit Treatment & Sports Copyright © All rights are reserved by Walid Ben Nafa. Hip labral tears have been increasingly regarded as a major cause of hip pain and disability among the athletes. Various modes of management are available for the management of labral tears. Limited evidence is found to support theses treatment options, especially when it comes to conservative management. Surgical option appears to be the most accepted management option, with more evidence available to support its use in the literature. While debridement was considered as a main surgical option, increasing evidence about its detrimental effect on the hip joint, especially on the longterm were noted. There is a growing interest in preserving the acetabular labrum using repair/re-attach techniques, with potentially better outcomes observed compared to the debridement option. Proper evaluation of the patient’s condition including any concomitant pathology as well as the type and location of the labral tear must be duly considered, as these are important factors when deciding the management option.
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