Anatomy and Physiology
This is the concave surface of the pelvis in the hip joint.
What is the acetabulum?
(Groh et al., 2009)
This surgical procedure is generally less invasive and damaging than open surgical treatment, allowing patients to heal faster, begin rehabilitation sooner, and return to everyday life faster with minimal scarring.
What is arthroscopic surgery?
(Treuting, 2000)
This is the scoring system that measures the functional outcomes of hip surgery.
What is the Non-Arthritic Hip Score (NAHS)?
(May et al., 2020)
This is the most common indicator of an acetabular labral tear.
What is hip and groin pain?
(Groh et al., 2009)
This is the type of suture a patient approved for acetabular labral surgery should have if the patient has degenerative labral tissue.
What is a loop suture?
(May et al., 2020)
The hip joint is this type of joint.
What is a ball and socket joint?
(Groh et al., 2009)
These are the treatment options and types of sutures specific to acetabular labral surgery.
What are debridement, repair, reconstruction, and mattress and loop sutures?
(May et al., 2020)
Studies have shown that this percentage if patients experience a reduction in symptom severity and frequency after surgery.
What is up to 90%?
(Groh et al., 2009)
These are methodologies that indicate an acetabular labral tear and other acetabular impingements.
What are dynamic impact testing, computed tomography arthrography (CTA), and magnetic resonance imaging (MRI)?
(Berthelot et al., 2022)
A patient has more pain and difficulties with daily activities, but the labrum is still robust, this is the suture configuration that should be used.
What is a mattress suture?
(May et al., 2020)
This is the thick, fibrocartilaginous ring that surrounds the hip joint to provide a secure seal between the hip socket and femoral head.
What is the acetabular labrum?
(Groh et al., 2009)
This is the first step, regardless of the repair technique in acetabular labral surgery, to resolve impingements and classify cartilage condition of the joint.
What is to correct bone abnormalities and decide which repair technique will be most effective?
(May et al., 2020)
Patient-reported outcome measures (PROMs) show that this percentage of patients are satisfied with their surgical outcome three and a half years after hip arthroscopy.
What is up to 91%?
(Groh et al., 2009)
If labral tears and other lesions are not treated, these worsening symptoms are what patients will be left suffering with.
What are anterior hip and groin pain, limited range of motion, locking, and hip instability?
(Philippon et al., 2012)
This is the type of surgical method that should be used on a patient with a nonviable, which means tissue that cannot heal, labrum.
What is reconstruction?
(Lall et al., 2021)
This is the part of the acetabular labrum that is the most innervated, where the feelings of pain, pressure, and deep sensation are felt because of the free nerve endings.
What are the anterior and superior sections?
(Groh et al., 2009)
This is how to decipher which suture configuration should be used.
What is in degenerative cases use a loop suture and in robust cases use a mattress suture?
(May et al., 2020)
These reasons prove that hip arthroscopy is equally effective in both short and long-term outcomes.
What are even functional outcomes, both short- and long-term and no further lesions at any point?
(Deng et al., 2021)
If left untreated, labral tears can lead to further damage, complications, and instability; this is one complication that can happen when the labrum's function of sealing the joint is affected.
What is deterioration?
(Philippon et al., 2012)
This is the surgical method that should be used on an older patient who has a stable and viable labrum.
What is debridement?
(Lall et al., 2021)
These are the functions of the acetabular labrum.
What is to stabilize the joint, prevent bones from grinding against each other, distribute forces, and maintain synovial fluid pressure?
(Groh et al., 2009)
These characteristics make up the classification system of which surgical method should be used.
What are the labral tear location, tear morphology, labral consistency, age, thickness of the labrum, and angles of the tear?
(Lall et al., 2021)
To ensure functional outcomes are equally effective in both the short and long term with appropriate rehabilitation, patients follow this program.
What is a follow-up appointment at six weeks, three months, six months, twelve months, and twenty-four months post-operation?
(Deng et al., 2021)
If the tear is not repaired or done appropriately, complications such as these could arise.
What are chondrolysis, hip pain, loss of range of motion, fractures of the femoral neck, intra-articular adhesions, joint and cartilage damage, and retears of the labrum?
(Dietrich et al., 2013)
This is the surgical method that should be used for a young patient that has an unstable and viable labrum, and a normal labrum appearance that needs arthroscopic surgery to fix the tear.
What is labral repair?
(Lall et al., 2021)