What is the pathophysiology of chondrolabral separation?
Chondrolabral separation can occur as a result of femoroacetabular impingement with cam morphology, where the loss of sphericity of the femoral head-neck junction leads to shear forces at the chondrolabral junction during hip flexion and internal rotation. The labrum is hereby forced outward and the adjacent articular cartilage is compressed, wh...
What is a chondrolabral injury of the hip?
Chondrolabral separation refers to a form of chondrolabral injury, where the acetabular labrum is separated from the adjacent cartilage at the articular margin. Chondrolabral separation is referred to as a chondrolabral injury seen in the hip.
Can the chondrolabral junction be repaired?
Many current surgical techniques for repairing the chondrolabral junction involve working through the defect itself. “But in so doing, these acetabuloplasty techniques can do more damage to the junction by detaching the labrum and compromising labral vascularity,” explains Dr. Martin.
What is a watershed lesion of the chondral?
The severity of the chondral lesion is highly correlated with the surgical outcome. The most frequently observed chondral lesion is the watershed lesion, which consists of a labral tear with separation of the labrum from the articular surface at the labral-cartilage junction.
Can a labral tear heal on its own?
A hip labral tear won't heal on its own, but rest and other measures can help manage symptoms of a minor tear. Nonsurgical treatments include: Anti-inflammatory medications: Over-the-counter pain relievers like ibuprofen (Motrin®, Advil®) can reduce inflammation.
What is Chondrolabral Junction?
The chondrolabral complex structure has an intrinsic weak point or a transition zone between the acetabular labrum and the acetabular articular cartilage, especially in the anterior segment (Figure 1) [9].
What is a separated labrum?
Detachment is when the labrum is pulled away from the rim of the acetabulum and the underlying articular cartilage. Traumatic injuries or conditions like femoroacetabular impingement (FAI) can cause labral detachment.
What causes a labral tear?
Labral tears are typically caused by overuse, traumatic injuries or abnormalities in the shape or alignment of the hip bones. Hip labral tears can be treated with or without surgery. If surgery is needed, it can be done with a minimally invasive approach.
What is Chondrolabral separation hip?
Chondrolabral separation refers to a form of chondrolabral injury, where the acetabular labrum is separated from the adjacent cartilage at the articular margin.
What happens if a labral tear goes untreated?
If left untreated, this may lead to chronic or recurrent shoulder instability, pain, and weakness.
Does a labrum tear require surgery?
Most people with a torn labrum will not require surgery to repair the injury. When a tear does require surgery, a surgeon will typically use a procedure called arthroscopic surgery, which people often refer to as keyhole surgery.
How do you treat a labral tear in the shoulder without surgery?
Nonsurgical options such as physical therapy are usually the first treatment method employed in repairing a torn labrum. Physical therapy focuses on strengthening the muscles in the arm while increasing mobility and range of motion in the affected shoulder.
Does labral tear lead to hip replacement?
Studies suggest that when older people undergo hip surgery to repair a torn labrum the likelihood of needing a hip replacement increases. In these cases, a labral tear repair should be approached with caution,2 and hip replacement may be considered. An asymptomatic labral tear.
Is a labral tear serious?
The labrum runs from there around the joint, both in an anterior and in a posterior direction. Due to injury in this area where the biceps tendon attaches, the labrum also can get injured. The injury in this area can be mild or it can be severe.
How painful is a torn labrum?
In most cases, a labrum SLAP tear doesn't hurt all the time. The pain usually happens when you use your shoulder to do a task, especially an overhead activity. You may also notice: A catching, locking, or grinding feeling.
How long does a torn labrum take to heal?
It requires about 6 to 8 weeks to heal to the bone. During that time the less stress you put across the shoulder, the more likely it is for the labrum to heal. You will be allowed to move the arm gently with assistance. This is called passive motion, where the other arm or someone else helps move the operative arm.
What is labral tear?
A hip labral tear involves the ring of cartilage (labrum) that follows the outside rim of your hip joint socket. Besides cushioning the hip joint, the labrum acts like a rubber seal or gasket to help hold the ball at the top of your thighbone securely within your hip socket.
What causes a hip labral tear?
The cause of a hip labral tear might be: 1 Trauma. Injury to or dislocation of the hip joint — which can occur during car accidents or from playing contact sports such as football or hockey — can cause a hip labral tear. 2 Structural abnormalities. Some people are born with hip problems that can accelerate wear and tear of the joint and eventually cause a hip labral tear. 3 Repetitive motions. Sports-related and other physical activities — including long-distance running and the sudden twisting or pivoting motions common in golf or softball — can lead to joint wear and tear that ultimately result in a hip labral tear.
Can labral tears cause pain?
Many hip labral tears cause no signs or symptoms. Some people, however, have one or more of the following: Pain in your hip or groin, often made worse by long periods of standing, sitting or walking. A locking, clicking or catching sensation in your hip joint.
What is the procedure to repair labrum?
For cases in which the labrum is too damaged for reconstruction, Dr. Martin has developed an arthroscopic technique called capsular augmentation that restores labral structure without the use of grafted tissue from other regions of the patient’s body. This technique was published in Arthroscopy Techniques in 2015. With this approach, 5mm–8mm of hip capsular tissue located higher in the hip is surgically pulled down and attached to the labrum.
Can acetabuloplasty repair chondrolabral junction?
Many current surgical techniques for repairing the chondrolabral junction involve working through the defect itself. “But in so doing, these acetabuloplast y techniques can do more damage to the junction by detaching the labrum and compromising labral vascularity,” explains Dr. Martin.
