TY - JOUR
T1 - Labral injuries of the hip
T2 - A review of diagnosis and management
AU - Schmerl, Matt
AU - Pollard, Henry
AU - Hoskins, Wayne
PY - 2005/10
Y1 - 2005/10
N2 - Objective: To report the current knowledge of the diagnosis and treatment of acetabular labral tears. Methods: A search of the MEDLINE, CINAHL, and Science Direct indexing systems (1966 to September 2004) was conducted using the following key indexing terms: labrum, labral, hip, acetabulum, injury, and treatment. One hundred eighty-six publications were sourced using this methodology and were considered in this review. The literature was sorted according to publication date and relevance. Results: There is a small amount of literature on the topic of labral lesions. This is particularly true of the use of conservative (manual therapy) methods for the treatment of labral lesions. The literature on surgical diagnosis and management is more mature; however, longer-term follow-up studies are required to conclusively show the benefit of surgical intervention. Conclusions: Early diagnosis is important as labral tears may be linked to the progression of hip osteoarthritis. Initial treatment consisting of partial weight-bearing may respond if initiated early. Arthroscopy currently represents the gold standard in both the diagnosis and treatment of labral tears. Future research must investigate the long-term outcomes of partial labrectomy, as well as the efficacy of conservative approaches to care.
AB - Objective: To report the current knowledge of the diagnosis and treatment of acetabular labral tears. Methods: A search of the MEDLINE, CINAHL, and Science Direct indexing systems (1966 to September 2004) was conducted using the following key indexing terms: labrum, labral, hip, acetabulum, injury, and treatment. One hundred eighty-six publications were sourced using this methodology and were considered in this review. The literature was sorted according to publication date and relevance. Results: There is a small amount of literature on the topic of labral lesions. This is particularly true of the use of conservative (manual therapy) methods for the treatment of labral lesions. The literature on surgical diagnosis and management is more mature; however, longer-term follow-up studies are required to conclusively show the benefit of surgical intervention. Conclusions: Early diagnosis is important as labral tears may be linked to the progression of hip osteoarthritis. Initial treatment consisting of partial weight-bearing may respond if initiated early. Arthroscopy currently represents the gold standard in both the diagnosis and treatment of labral tears. Future research must investigate the long-term outcomes of partial labrectomy, as well as the efficacy of conservative approaches to care.
KW - Athletic Injuries
KW - Chiropractic
KW - Hip
KW - Hip Injuries
KW - Labral Tear
UR - http://www.scopus.com/inward/record.url?scp=26844456510&partnerID=8YFLogxK
U2 - 10.1016/j.jmpt.2005.08.018
DO - 10.1016/j.jmpt.2005.08.018
M3 - Review article
C2 - 16226633
AN - SCOPUS:26844456510
VL - 28
SP - e1-e8
JO - Journal of Manipulative and Physiological Therapeutics
JF - Journal of Manipulative and Physiological Therapeutics
SN - 0161-4754
IS - 8
M1 - 632
ER -