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Surgical Technique: Arthroscopic Labral Management

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

The acetabular labrum is instrumental in maintaining the suction seal of the hip and thus allowing for cartilage load disbursement, synovial fluid distribution, and adds to joint stability. Acetabular labral tears are the most common indication for hip arthroscopy and are highly associated with femoral acetabular impingement (FAI). The intrinsic labral blood supply is poor, so acetabular bony decortication is used to access biologic healing factors, and the nervous pain generators are of highest density at the anterosuperior labral region. Recent studies demonstrate benefit to repairing labral defects over debridement. A reproducible, reliable, and successful surgical technique for arthroscopic labral repair and the intraoperative surgical decision-making is described.

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Author information

Authors and Affiliations

  1. Hip Preservation Center, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Rush Medical College, Rush University, Chicago, IL, USA

    Frank McCormick

  2. Midwest Orthopaedics at Rush, Hip Preservation Center, Rush University Medical Center, Chicago, IL, USA

    Andrew E. Federer

  3. Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  4. Midwest Orthopaedics at Rush, Hip Preservation Center, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

Authors
  1. Frank McCormick
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  2. Andrew E. Federer
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  3. Shane J. Nho
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Corresponding author

Correspondence to Frank McCormick .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Shane J. Nho

  2. Department of Orthopaedic Surgery, Schulthess Klinik, Zurich, Switzerland

    Michael Leunig

  3. Minnesota Orthopedic Sports Medicine Institute, Twin Cities Orthopedics - Edina, Edina, Minnesota, USA

    Christopher M. Larson

  4. Department of Orthopaedics, University of Michigan, Ann Arbor, Michigan, USA

    Asheesh Bedi

  5. Sports Medicine and Shoulder Service and Center for Hip Preservation Surgery, Hospital for Special Surgery, New York, New York, USA

    Bryan T. Kelly

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© 2015 Springer Science+Business Media New York

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McCormick, F., Federer, A.E., Nho, S.J. (2015). Surgical Technique: Arthroscopic Labral Management. In: Nho, S., Leunig, M., Larson, C., Bedi, A., Kelly, B. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6965-0_57

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  • DOI: https://doi.org/10.1007/978-1-4614-6965-0_57

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6964-3

  • Online ISBN: 978-1-4614-6965-0

  • eBook Packages: MedicineReference Module Medicine

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