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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2012, Number 2

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An Med Asoc Med Hosp ABC 2012; 57 (2)

Arthroscopic acetabular labral ruptures: two years follow-up

Camacho GJ, Sánchez BM, González UH

Language: Spanish
References: 26
Page: 129-135
PDF size: 78.69 Kb.


ABSTRACT

Introduction: Acetabular labral tears have a 22-25% of frequency in patients with hip or groin pain. Degenerative articular changes are associated with labral tears. Method: We present the experience of 15 patients with acetabular labral tears that underwent hip arthroscopy between 2007 to 2010 and a literature review. Pain localization, intensity, associated symptoms, activities, time and treatments before surgery and related sports were documented. Results: The mean time of attention was 21.5 months. Mean age were 47.6 years old. Preoperative pain intensity was 7. All the patients had anterior hip pain; anterior impingement sign and log roll sign during the assessment. Femoroacetabular impingement and chondral lesions were the associated diagnosis. X rays and Magnetic artroresonance with gadolinium were used for the diagnosis; labral and condral lesions were founded during surgery. 66.6% of the labral lesions were debrided and the rest were sutured with anchors. We found 13 chondral lesions that were related with the labral tear cause. All patients report a range of motion increase and pain control in 4.6 months after the treatment. Conclusion: Labral lesions are the cause of hip pain, early diagnosis and treatment allow a better pain control and better functional results, decreasing the risk of hip arthritis.


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