Surgical Technique: Arthroscopic Labral Management

  • Frank McCormick
  • Andrew E. Federer
  • Shane J. Nho
Reference work entry


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.


Labral Tear Labral Repair Anterolateral Portal Anterior Portal Capsular Tissue 
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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Frank McCormick
    • 1
  • Andrew E. Federer
    • 2
  • Shane J. Nho
    • 3
    • 4
  1. 1.Hip Preservation Center, Division of Sports Medicine, Department of Orthopaedic SurgeryRush University Medical Center, Rush Medical College, Rush UniversityChicagoUSA
  2. 2.Midwest Orthopaedics at Rush, Hip Preservation CenterRush University Medical CenterChicagoUSA
  3. 3.Department of Orthopaedic SurgeryRush University Medical CenterChicagoUSA
  4. 4.Midwest Orthopaedics at Rush, Hip Preservation CenterRush University Medical CenterChicagoUSA

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