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Biomechanics, anatomy, pathology, imaging and clinical evaluation of the acetabular labrum: current concepts
  1. David E Hartigan1,2,
  2. Itay Perets1,
  3. Mitchell B Meghpara3,
  4. Mitchell R Mohr1,
  5. Mary R Close1,
  6. Leslie C Yuen1,
  7. Benjamin G Domb1,4
  1. 1American Hip Institute, Westmont, Illinois, USA
  2. 2Orthopedic Surgery; Sports Medicine, Mayo Clinic, Phoenix, Arizona, USA
  3. 3University of Illinois, Chicago, Illinois, USA
  4. 4Sports Medicine; Orthopaedic Sugery; Arthroscopic Surgery, Hinsdale Orthopaedics, Hinsdale, Illinois, USA
  1. Correspondence to Dr Benjamin G Domb, American Hip Institute, Westmont, IL 60559, USA; DrDomb{at}americanhipinstitute.org

Abstract

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.

  • hip
  • arthroscopy

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Footnotes

  • Contributors All authors have made significant contributions to this paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests DEH receives consulting fees from Arthrex. BGD is a board member for American Hip Institute, AANA Learning Center Committee and Arthroscopy Journal; receives research support to AHI from American Hip Institute, Arthrex, Medacta, Pacira and Stryker; consulting fees from Adventist Hinsdale Hospital, Arthrex, Medacta, Pacira, and Stryker; and receives royalties from Arthrex, DJO Global and Orthomerica.

  • Patient consent Obtained.

  • Provenance and peer review Commissioned; externally peer reviewed.

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  • Current concepts
    David E Hartigan Itay Perets Mitchell B Meghpara Mary R Close Leslie C Yuen Mitchell R Mohr Benjamin G Domb