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Update in Labral Treatment of the Hip (ICL 12)

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Abstract

Labral tears have been described as a cause of hip pain in young, active patients [1]. It has been shown that those lesions can initiate joint osteoarthritis [2]. Some authors suggest that labral tear is a highly prevalent lesion with up to 90 % of labral detachment in elderly people [3]. On the other side, studies like the one of Wenger et al. [4] conclude that is a rare lesion in the absence of any structural or mechanic evident cause. That means that labral tear treatment is a complex one, because even if we decide a labral debridement, repair, or substitution, biomechanics must be restored, and that means that bony structural abnormalities must be addressed. Acetabular labrum is a complex structure, with an inner part of circumferential fibrocartilage fibers, surrounded by dense connective tissue where we can find nerves and vascular vessels. The shape of that labrum can be different in the different acetabular areas, and some shapes can predispose to labral tears, while different attachment patterns may difficult tear recognition [5]. Thorough knowledge of labral vascularity is important to understand healing patterns of labral detachment and repair [6].

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Authors and Affiliations

  1. Orthopedic Rosenberg, St. Gallen, Switzerland

    Christoph Lampert

  2. Hip Unit, Orthopaedics Department, Hospital del Mar i Esperança, Avinguda del Santuari de St Josep de la Montanya 12, 08024, Barcelona, Spain

    Marc Tey

  3. Assiut, Egypt

    Hatem Galal Said

  4. Hospitalsenheden Horsens, Horsens, Denmark

    Bent Lund

  5. OCM München, Munich, Germany

    Michael Dienst MD, PhD

  6. Professor of Orthopaedic Sports Medicine, Hip Arthroscopy/Groin Injuries in Sports, Fortius Clinic and Leeds Beckett University, London, UK

    Ernest Schidlers

Authors
  1. Christoph Lampert
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  2. Marc Tey
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  3. Hatem Galal Said
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  4. Bent Lund
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  5. Michael Dienst MD, PhD
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  6. Ernest Schidlers
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Corresponding author

Correspondence to Christoph Lampert .

Editor information

Editors and Affiliations

  1. Med.Dir.Uni.Hosp.Brande."The.Fon.Med.Sch, Dept.ofOrtho.&Traumato.Cen.of Jt.Replac., Brandenburg, Brandenburg, Germany

    Roland Becker

  2. Academic Medical Center, Orthopaedic Surgery, AZ Amsterdam, The Netherlands

    Gino M.M.J. Kerkhoffs

  3. Universitat Autònoma de Barcelona, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

    Pablo E. Gelber

  4. Istituto Clinico Humanitas, Monza, Italy

    Matteo Denti

  5. Centre Hospitalier de Luxembourg, Clinique d'Eich, Luxembourg, Luxembourg

    Romain Seil

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Lampert, C., Tey, M., Said, H.G., Lund, B., Dienst, M., Schidlers, E. (2016). Update in Labral Treatment of the Hip (ICL 12). In: Becker, R., Kerkhoffs, G., E. Gelber, P., Denti, M., Seil, R. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49114-0_11

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  • DOI: https://doi.org/10.1007/978-3-662-49114-0_11

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  • Print ISBN: 978-3-662-49113-3

  • Online ISBN: 978-3-662-49114-0

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