Acetabular labral tears of the hip in women.
Acetabular labral tears are a major cause of hip dysfunction in young patients and a primary precursor to hip osteoarthritis. In addition, labral disease more commonly occurs in women and can present with nonspecific symptoms. It is possible to diagnose, quantify, and treat labral tears before the onset of secondary joint deterioration. However, the diagnosis requires a high index of suspicion, special attention to subtle patterns of presentation, and timely consideration for imaging studies. Treatment options are still evolving and include a wide array of nonsurgical and surgical techniques. Treatment should also address secondary dysfunction that can be associated with hip pathology. An initial trial of conservative management is recommended and failure to progress is an indication for surgical consultation.
Department of Orthopaedic Surgery, Washington University School of Medicine, Washington University, 4921 Parkview Place, 6th floor, Campus Box 8605, St. Louis, MO 63110, USA. huntdm@wudosis.wustl.edu
Devyani
D
Hunt
John
J
Clohisy
Heidi
H
Prather
D000077:Acetabulum / Q000033:anatomy & histology / Q000293:injuries*; D002358:Cartilage, Articular / Q000033:anatomy & histology / Q000293:injuries; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005260:Female; D025981:Hip Injuries / Q000175:diagnosis* / Q000628:therapy; D006621:Hip Joint / Q000033:anatomy & histology; D006801:Humans; D017699:Pelvic Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D010808:Physical Examination