Hip Labral Disorders: Difference between revisions
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<div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | <div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | ||
'''Original | '''Original Editor '''- [[User:Karolyn Conolty|Karolyn Conolty]], [[User:Kenny Bosmans|Kenny Bosmans]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
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== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
The labrum of the hip is responsible for deepening the acetabulum to provide increased joint stability. It contains nerve endings to enhance proprioception, but may also be a source of pain. | |||
== Epidemiology /Etiology == | == Epidemiology /Etiology == | ||
The labrum is susceptible to traumatic injury from shearing forces that occur with twisting, pivoting and falling. The most common mechanism is an external rotation force in a hyperextended position.<br> | |||
== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation == | ||
Symptoms may include pain, clicking, locking, catching, instability, giving way, and/or stiffness. A labral tear commonly refers pain to the anterior groin. <br> | |||
<br>Labral tears have been classified into 4 types:<br> - radial flap: most common, disruption of free margin of the labrum<br> - radial fibrillated: fraying of the free margin, associated with degenerative joint disease<br> - longitudinal peripheral: least common<br> - abnormally mobile: can result from a detached labrum<br> | |||
== Differential Diagnosis<br> == | |||
Chondral lesion, osteoarthritis, hip dysplasia, Legg-Calve Perthes, Slipped Capital Femoral Epiphysis, trochanteric bursitis, psoas bursitis, stress fracture, lumbar radiculopathy, piriformis syndrome, avascular necrosis<br> | |||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
add text here related to medical diagnostic procedures | add text here related to medical diagnostic procedures | ||
MRa is thought to be the diagnostic imaging of choice to evaluate an acetabular labral tear.<br> | |||
add links to outcome measures here (also see [[Outcome Measures|Outcome Measures Database]]) | == Outcome Measures == | ||
add links to outcome measures here (also see [[Outcome Measures|Outcome Measures Database]]) | |||
== Examination == | == Examination == | ||
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add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | ||
Austin A, Meyer J, Powers C, Souza R. Identification of abnormal hip motion associated with acetabular labral pathology. J Orthop Sports Phys Ther. 2008;38(9):558-565.<br> | |||
== Resources <br> == | == Resources <br> == | ||
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add text here <br> | add text here <br> | ||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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Enseki K, Martin R, Draovitch P, Kelly B, Philippon M, Schenker M. The hip joint: Arthroscopic procedures and postoperative rehabilitation. J Orthop Sports Phys Ther. 2006;36(7):516-525.<br> | Enseki K, Martin R, Draovitch P, Kelly B, Philippon M, Schenker M. The hip joint: Arthroscopic procedures and postoperative rehabilitation. J Orthop Sports Phys Ther. 2006;36(7):516-525.<br> | ||
[[Category:Articles]] [[Category:Condition]] [[Category:Hip]] [[Category:EIM_Student_Project_2]] [[Category:Musculoskeletal/Orthopaedics]] | [[Category:Vrije_Universiteit_Brussel_Project|Template:VUB]] [[Category:Articles]] [[Category:Condition]] [[Category:Hip]] [[Category:EIM_Student_Project_2]] [[Category:Musculoskeletal/Orthopaedics]] |
Revision as of 12:11, 11 November 2010
Original Editor - Karolyn Conolty, Kenny Bosmans
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Search Strategy[edit | edit source]
add text here related to databases searched, keywords, and search timeline
Definition/Description[edit | edit source]
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Clinically Relevant Anatomy[edit | edit source]
The labrum of the hip is responsible for deepening the acetabulum to provide increased joint stability. It contains nerve endings to enhance proprioception, but may also be a source of pain.
Epidemiology /Etiology[edit | edit source]
The labrum is susceptible to traumatic injury from shearing forces that occur with twisting, pivoting and falling. The most common mechanism is an external rotation force in a hyperextended position.
Characteristics/Clinical Presentation[edit | edit source]
Symptoms may include pain, clicking, locking, catching, instability, giving way, and/or stiffness. A labral tear commonly refers pain to the anterior groin.
Labral tears have been classified into 4 types:
- radial flap: most common, disruption of free margin of the labrum
- radial fibrillated: fraying of the free margin, associated with degenerative joint disease
- longitudinal peripheral: least common
- abnormally mobile: can result from a detached labrum
Differential Diagnosis
[edit | edit source]
Chondral lesion, osteoarthritis, hip dysplasia, Legg-Calve Perthes, Slipped Capital Femoral Epiphysis, trochanteric bursitis, psoas bursitis, stress fracture, lumbar radiculopathy, piriformis syndrome, avascular necrosis
Diagnostic Procedures[edit | edit source]
add text here related to medical diagnostic procedures
MRa is thought to be the diagnostic imaging of choice to evaluate an acetabular labral tear.
Outcome Measures[edit | edit source]
add links to outcome measures here (also see Outcome Measures Database)
Examination[edit | edit source]
add text here related to physical examination and assessment
Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Austin A, Meyer J, Powers C, Souza R. Identification of abnormal hip motion associated with acetabular labral pathology. J Orthop Sports Phys Ther. 2008;38(9):558-565.
Resources
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Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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Martin R, Enseki K, Draovitch P, Trapuzzano T, Philippon M. Acetabular labral tears of the hip: Examination and diagnostic challenges. J Orthop Sports Phys Ther. 2006:36(7):503-515.
Enseki K, Martin R, Draovitch P, Kelly B, Philippon M, Schenker M. The hip joint: Arthroscopic procedures and postoperative rehabilitation. J Orthop Sports Phys Ther. 2006;36(7):516-525.