Acetabular Labral Tear

synonyms:

Acetabular Labral Tear ICD-9

• 719.95 (Unspecified disorder of joint; pelvic region and thigh)

Acetabular Labral Tear Etiology / Epidemiology / Natural History

Acetabular Labral Tear Anatomy

Acetabular Labral Tear Clinical Evaluation

• Groin pain exacerbated by hip internal rotation.
• Duchene sign = pt leans to the affected side while in stance phase of gait; indicates hip pathology.
• Loss of motion suggests intra/juxta-articular process
• Patrick's test: Groin pain with forcing hip into figure-of-4 postion, indicates hip pathology
• Stinchfield test: resisted straight leg raise causes groin pain, indicates hip pathology
• Labral pathology indicated by palpable click with moving from flexion/IR/adduction to extention/ER/abduction
• Snapping:  Iliopsoas tendon snaps over iliopectineal eminence when flexed hip is extended with pt supine.  Iliotibial band snaps over greater trochanter when standing pt rotates the adducted hip in stance phase.

Acetabular Labral Tear Xray / Diagnositc Tests

• AP pelvis, cross-table lateral hip, AP hip c leg internally rotated 15.
• Cross-over sign: A/P hip view may demonstrates retroversion of the acetabulum in patients with acetabular impingement (Reynolds D, LBLS 1999;81Br:281).

Acetabular Labral Tear Classification / Treatment

Acetabular Labral Tear Associated Injuries / Differential Diagnosis

• Femoroacetabular Impingement
• Osteonecrosis
• Hip Arthritis
• Sports Hernia

Acetabular Labral Tear Complications

Acetabular Labral Tear Follow-up Care

Acetabular Labral Tear Review References

• McCarthy JC, ICL 2004;53:573
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