Materiały źródłowe

• #1 A comprehensive review of hip labral tears

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2697339/

  The prevalence of labral tears in patients with hip or groin pain has been reported to be 22% to 55%. […] Studies have shown that there is on average greater than 2 years before diagnosis is achieved and patients often have to see multiple health care providers to obtain this diagnosis. […] MRA is now the diagnostic test of choice. […] When conservative measures fail, surgery is necessary and the philosophy behind this has shifted, now that there is evidence supporting the acetabular labrum’s role in preventing premature arthritis. […] Previously, the treatment was excision, now surgeons perform arthroscopic debridement of labral tears to preserve as much healthy labral tissue as possible.

• #2

  https://link.springer.com/article/10.1007/s12178-009-9052-9

  The prevalence of labral tears in patients with hip or groin pain has been reported to be 22% to 55%. […] Studies have shown that there is on average greater than 2 years before diagnosis and patients often have to see multiple health care providers to obtain this diagnosis. […] MRA is now the diagnostic test of choice. […] When conservative measures fail, surgery is necessary and the philosophy behind this has shifted, now that there is evidence supporting the acetabular labrum’s role in preventing premature arthritis.

• #3 Acetabular labral tear | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/acetabular-labral-tear-1?lang=us

  Acetabular labral tears are not infrequent. They are found in 55% arthroscopies for intractable hip pain 1. […] With the increasing use of hip arthroscopy in orthopedic surgery since the 1970s, pathologies of the acetabular labrum as a possible cause of chronic hip and groin pain have become more familiar to a wider medical audience.

• #4 The prevalence of acetabular labral tears and associated pathology in a young asymptomatic population – PubMed

  https://pubmed.ncbi.nlm.nih.gov/25922455/

  Acetabular labral tears and associated intra-articular pathology of the hip have been recognised as a source of symptoms. However, it is now appreciated that there is a relatively high prevalence of asymptomatic labral tears. In this study, 70 young asymptomatic adult volunteers with a mean age of 26 years (19 to 41) were recruited and underwent three tesla non-arthrographic MR scans. Labral tears were found in 27 volunteers (38.6%); these were an isolated finding in 16 (22.9%) and were associated with other intra-articular pathology in the remaining 11 (15.7%) volunteers. Furthermore, five (7.1%) had intra-articular pathology without an associated labral tear. Given the high prevalence of labral pathology in the asymptomatic population, it is important to confirm that a patient’s symptoms are due to the demonstrated abnormalities when considering surgery. […] Asymptomatic Diseases / epidemiology […] Cartilage Diseases / epidemiology […] Wounds and Injuries / epidemiology.

• #5 Hip Labral Tear – WikiMSK

  https://wikimsk.org/wiki/Hip_Labral_Tear

  Labral tears are present in 22% of athletes with groin pain and 55% of those with mechanical symptoms. Ligamentum Teres Tears are found in 70% of sportspeople’s hips when undergoing arthroscopy for FAI or labral tears. […] Whilst common in people with hip pain, labral tears are also common in individuals who may be asymptomatic. Therefore, the difficulty is in deciding which labral tears are clinically relevant. In a study on asymptomatic hockey players, 56% had labral tears, and a study on 70 asymptomatic young health professionals found labral tears in 38.6%. […] A study of young asymptomatic volunteers in a ski town demonstrated labral tears in approximately 69%. Other hip pathology was also common; 24% had a chondral lesion. In addition, 95% of those with FAI also had a labral tear.

• #6 The prevalence of acetabular labral tears and associated pathology in a young asymptomatic population | Bone & Joint

  https://boneandjoint.org.uk/Article/10.1302/0301-620X.97B5.35166

  Acetabular labral tears and associated intra-articular pathology of the hip have been recognised as a source of symptoms. However, it is now appreciated that there is a relatively high prevalence of asymptomatic labral tears. […] Labral tears were found in 27 volunteers (38.6%); these were an isolated finding in 16 (22.9%) and were associated with other intra-articular pathology in the remaining 11 (15.7%) volunteers. Furthermore, five (7.1%) had intra-articular pathology without an associated labral tear. […] Given the high prevalence of labral pathology in the asymptomatic population, it is important to confirm that a patient’s symptoms are due to the demonstrated abnormalities when considering surgery.

• #7 Ask Dr. Warner: Do I Have a Hip Labral Tear? | Summit Orthopedics

  https://www.summitortho.com/2019/04/15/ask-dr-warner-do-i-have-a-hip-labral-tear/

  Hip labral tears are extremely common in the general population, notes Dr. Warner. […] According to their MRIs, 69 percent of those volunteers had an identifiable labral abnormality. […] Hip impingement may be the most common cause of a hip labral tear, but there are a number of other risk factors. […] Gender is one of them. Hip impingement is definitely more common in women, says Dr. Warner. […] Labral injuries caused by impingement frequently require surgical correction.

• #8 Hip Labral Tears – KinectMD Podcast

  https://www.kelechiokorohamd.com/blog/hip-labral-tears-kinectmd-podcast-26240.html

  I am a big proponent of conservative management especially because like I stated there is a high percentage of people who have asymptomatic label tears. So just because we identify a labral tear on MRI doesn’t mean a person needs surgery. […] My indications for surgery are failure of non-operative treatment. So, failure of 6 – 12 weeks of physical therapy, anti-inflammatories and activity modification. If they fail and they’re still having pain they then I indicate them for surgery. […] Surgery is really a la carte. So, we’re going to identify everything thats abnormal in the hip and we address it at the same time. […] Genetic orders such as Marfans syndrome and Ehlers Danlos Syndrome can lead to Hip instability. When the hip is unstable, there is decreased coverage of the femoral head and decreased contact area. This increases the stress on different areas of the bone and that could be a risk factor for labral tears and hip instability.

• #8 Hip Labral Tears – KinectMD Podcast

  https://www.kelechiokorohamd.com/blog/hip-labral-tears-kinectmd-podcast-26240.html

  There is no difference in tear rates between males and females. However, what you’ll notice is that as people get older the incidence of labral tears increases similar to what we see with meniscus tears. […] We have found in our studies that a large percentage of people have what we call asymptomatic label tears. If you obtain an mri of everyone over the age of 40 or 50 a high percentage of people will have a label tear. As you get older and the cartilage and the labrum degenerate you’re going to have more labral tearing. […] One of the most common associated conditions is femoroacetabular impingement. Femoroacetabular impingement is when there is extra bone either on the femoral neck or extra bone on the acetabulum. This causes increased contact of the bones at earlier range of motion and that can lead to further bony abnormalities or labral tearing. This is a common factor especially in our high impact athletes.

• #8 Hip Labral Tears – KinectMD Podcast

  https://www.kelechiokorohamd.com/blog/hip-labral-tears-kinectmd-podcast-26240.html

  That’s a really good question and a lot of studies have tried to speculate whether hip labral repair decreases the risk of arthritis in the future. the short answer is we don’t know yet. Hip arthritis takes many years to develop and we just don’t have the research yet to answer that. But I my belief is that it probably does decreases the long term arthritis risk. […] The return of sports rates are actually pretty high. We’ve done multiple studies evaluating return to sports rates in different sports and found anywhere from 80 to 98% RTS when looking at football, basketball, hockey and soccer. They all have a high return to sport rate. […] I think it is actually more common than we think, however athletes don’t usually present with pain and if they do they are able to manage it. […] I don’t know if retired athletes per se are more susceptible to injuries but a lot of retired athletes have degenerative changes for instance degenerative meniscus tears, degenerative labral tears and those things can increase the contact stresses in the joint and lead to other injuries/arthritis.

• #9 Labral Tears | Gorav Datta

  https://goravdatta.com/labral-tears/

  Labral tears are more common in women. People with pre-existing hip abnormalities, like dysplasia or extra bone around the hip joint are also at greater risk. People whose sport requires regular rotating of the hip (golf, ballet and football) also have an increased risk. […] If a labral tear is suspected, your consultant is likely to request an MRI arthrogram. These images help the Surgeon identify if there is a Labral tear and also the degree of the tear.

• #10

  https://www.socalhip.com/labral-tear-caused-by-trauma/

  Labral tear injuries are attributed to several causes by researchers studying patients: […] This is not an age-related condition and can occur in anyone from 8 75 years of age.

• #11 Hip Labral Tear Risk Factors and Causes

  https://www.sports-health.com/sports-injuries/hip-injuries/hip-labral-tear-risk-factors-and-causes

  The primary cause of a hip labral tear is increased stress on the labrum from an underlying hip condition. […] Repetitive motions or overuse activities, common in athletes and those with physically demanding occupations, increase the likelihood of labral tears. […] Hip labral tears are more common in women and can occur at any age between 8 and 75 years. […] The following risk factors increase the possibility of a hip labral tear: Diagnosis of another hip condition, such as hip impingement. […] Athletic activities that increase stress on the hip and labrum, such as golf, soccer, and ballet. […] Contact sports that involve frequent twisting motions in the hip, such as checking in ice hockey and tackling in football. […] Developmental conditions, such as hip dysplasia, affecting the hips bones, resulting in a smaller acetabulum (hip socket) and/or larger femoral head (upper part of the thigh bone). […] Women aged 15 to 41 years. […] Lack of strength and flexibility in and around the hip. […] Ligament laxity or loose ligaments that causes the hip joint to bend more than usual.

• #12 Hip labral tear – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hip-labral-tear/symptoms-causes/syc-20354873

  Hip labral tears are more common in people who play certain sports or who have structural problems of the hip. […] Athletes who participate in sports such as ice hockey, soccer, football, golf and ballet are at higher risk of developing hip labral tears. […] People with structural problems in the hip such as impingement, dysplasia or loose ligaments are more likely to develop a hip labral tear over time. […] Participating in certain activities that involve repetitive or twisting motions can increase the risk of a hip labral tear. These include sports such as ballet, golf and swimming. Playing contact sports such as football and hockey also increase the risk of hip injuries, including hip labral tears.

• #13 Hip Labral Tears > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/hip-labral-tears

  A hip labral tear occurs when the labrum of the hip tears or detaches from the rim of the acetabulum. Tears can affect any part of the labrum and can occur in people of any age. They are more common in females than in males. […] A torn labrum can cause hip instability and can also reduce the labrum’s capacity to absorb shocks and keep fluid within the joint. These problems can increase the stress on the cartilage that lines the head of the femur and acetabulum, raising the risk for developing osteoarthritis in the affected hip. […] Labral tears may be caused by the following: Abnormally shaped bones in the hip joint. In people with certain hip disorders, the bones in the hip joint are not shaped properly, which can increase stress on the labrum and lead to tears. For instance, in femoroacetabular impingement (FAI), also known as hip impingement, excess bone growth occurs on the head of the femur, the rim of the acetabulum, or both.

• #13 Hip Labral Tears > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/hip-labral-tears

  Labral tears are more common in people who play such sports as soccer, basketball, and ballet, among many others. […] Outcomes for people with hip labral tears vary based on several factors, including age and general health, the presence of articular cartilage damage or osteoarthritis, as well as whether the underlying cause of the tear can be successfully treated. In general, though, people who receive appropriate treatment and follow a rehabilitation program are able to resume normal activities. […] Studies have shown that both nonsurgical and surgical treatments can improve symptoms and help people return to previous activity levels.

• #14

  https://www.orthobullets.com/knee-and-sports/3097/hip-labral-tear

  A hip labral tear is a traumatic tear of the acetabular labrum, mostly common seen in acetabular dysplasia, that may lead to symptoms of internal snapping hip as well hip locking with hip range of motion. […] Incidence highest incidence in patients with acetabular dysplasia. […] Demographics seen in all age groups. […] patients commonly active females. […] Anatomic location anterosuperior labrum most common location.

• #15

  https://link.springer.com/article/10.1007/s00167-022-06881-z

  Acetabular labral tear is associated with high pelvic incidence with or without FAI morphology. […] The aim of this study was to investigate the association between pelvic sagittal parameters and acetabular labral tears. […] Pelvic incidence was greater in the labral tear group than in the non-labral tear group (52.38.2 versus 47.16.8, p0.001). […] After accounting for potentially confounding variables, we found that higher age, FAI, and high pelvic incidence were independently associated with acetabular labral tear. […] The principal finding of this study was that higher age and high pelvic incidence were associated with acetabular labral tears. […] High pelvic incidence was associated with acetabular labral tears after controlling for age, sex, BMI, FAI, cartilage denudation, and synovial herniation pit. […] The assessment of pelvis incidence and FAI morphology in patients with hip pain may help surgeons to evaluate acetabular labral tears.

• #16 Hip labral tear | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/hip-labral-tear?content_id=CON-20209460

  Hip labral tears are more common in people who play certain sports or who have structural problems of the hip. […] Athletes who participate in sports such as ice hockey, soccer, football, golf and ballet are at higher risk of developing hip labral tears. Structural problems of the hip also can lead to a hip labral tear. […] People with structural problems in the hip such as impingement, dysplasia or loose ligaments are more likely to develop a hip labral tear over time. […] Participating in certain activities that involve repetitive or twisting motions can increase the risk of a hip labral tear. These include sports such as ballet, golf and swimming. Playing contact sports such as football and hockey also increase the risk of hip injuries, including hip labral tears.

• #17 Hip Labral Tears Video | Hip Orthopaedics Videos | Your Practice Online Education

  https://www.ypo.education/orthopaedics/hip/labral-tears-of-hip-t47/video/

  A hip labral tear can result from an acute injury or from wear and tear. […] Athletes who perform repeated hip movement such as runners, hockey players, soccer players, and football players are more susceptible to hip labral tears.

• #18 Hip Labral Tears Chapel Hill, NC | Minimally Invasive Hip Surgery Chapel Hill, NC

  https://www.uncortho.net/labral-tears-of-the-hip-orthopaedic-surgeons-chapel-hill-nc/

  A hip labral tear can result from an acute injury or from wear and tear. […] Athletes who perform repeated hip movements such as runners, hockey players, soccer players, and football players are more susceptible to hip labral tears.

• #19 Labral Tear Hip Pain Video

  https://www.sports-health.com/video/labral-tear-hip-pain-video

  Labral tears can occur in the younger population, including athletes, gymnasts, dancers. However, it can also occur in an older population where the type of tear is more degenerative. […] In diagnosing the labral tear, normally, the MRI will show where exactly in the labrum is the tear located. […] The labral tear can be treated with an intra-articular injection, ideally, of steroid and lidocaine. […] In recalcitrant cases, when the physical therapy and the injections haven’t been sufficiently helpful, then a surgical evaluation is recommended. […] The cartilage on its own wont, doesnt heal; it is not innervated.

• #20 MUSCLE PAIN OR BONE PAIN? It Could Be Hip Labral Tears

  https://www.drandrewdutton.com/blog/hip-labral-tears/

  Hip labral tears can destabilise the hip joint, leading to pain, reduced range of motion, and impaired athletic performance, manifesting in muscle or bone pain. Research indicates that 22% of athletes experiencing groin pain (Lewis & Sahrmann, 2006) and 55% of patients with unexplained mechanical hip pain (McCarthy et al., 2001) were diagnosed with a labral tear after further examination. […] Hip labral tears can develop due to various factors, and present with specific symptoms that affect the hip joint. […] Other symptoms of hip labral tear are locked hip joints, unequal leg lengths, and popping sensations. If any of these symptoms persist, seeking medical advice from a medical professional such as Dr Andrew Quoc Dutton for an early diagnosis is vital.

• #21 Hip Labral Tears: Why They’re Often Missed and How to Get the Right Diagnosis

  https://www.srinobharammd.com/blog/hip-labral-tears-why-theyre-often-missed-and-how-to-get-the-right-diagnosis-45038.html

  Hip labral tears are a common yet frequently overlooked cause of hip pain, with the prevalence in patients experiencing hip or groin pain reported to be 2255%.1 […] Despite its frequency, hip labral tears often go undiagnosed, leading to prolonged discomfort and mobility issues. […] Diagnosing a hip labral tear can be challenging due to its subtle symptoms and overlap with other conditions. […] Additionally, standard imaging techniques, such as X-rays, may not reveal labral tears. […] Accurately identifying a hip labral tear demands a thorough understanding of hip anatomy and an ability to correlate imaging results with a patients symptoms. […] Early detection and treatment not only alleviate pain but also preserve joint function.

• #22 Comparative analysis between operative and non-operative acetabular labral tear injuries in division 1 collegiate athletes | Scientific Reports

  https://www.nature.com/articles/s41598-023-36454-0

  Our findings did suggest a clinical trend in participants returning to pre-injury levels of competition in the operative arm (79% vs. 55%; Table 2), however, the results did not reach statistical significance (p-value=0.0834). […] Our secondary evaluation of lost days of sport revealed statistical significance in comparison of operative and non-operative arms (p-value0.001; Table 3). […] Comprehensive non-operative management should be pursued prior to consideration of surgical intervention, as a considerable number of athletes have demonstrated the ability to continue to compete successfully during rehabilitation. […] Although historical data suggests that surgical intervention is superior to non-operative management, these current findings suggest compelling findings that provide a different perspective.

• #23 Hip Labral Tears and Femoroacetabular Impingement A Frequent cause of Non-Arthritic Hip Pain – Derek Ochiai, MD | Nirschl Orthopaedic Center

  https://www.nirschl.com/hip-labral-tears-and-femoroacetabular-impingement-a-frequent-cause-of-non-arthritic-hip-pain-derek-ochiai-md/

  Hip labral tears have been diagnosed with increasing frequency. […] Statistically, patients who have labral tears in their hip are more likely to get hip arthritis than those without a labral tear. […] Most labral tears happen because of Femoroacetabular Impingement (FAI). […] Hip labral tears and FAI are a frequent cause of hip pain in younger patients.

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