ICL 305-1 Arthroscopic Management of Hip Labral Pathology and Impingement: 2014-Labral Injury and Compromised Hip Joint Function

Video Transcription

Video Summary

This presentation reviews the anatomy, function, pathology, and treatment rationale for the acetabular labrum in hip disorders. The labrum, a specialized structure with distinct collagen layers and rich innervation, contributes to hip stability via the suction seal effect and fluid pressurization, increasing acetabular surface area and volume. Labral tears cause pain and joint deterioration by destabilizing the hip and altering cartilage nutrition and function. Treatment aims to repair or reconstruct the labrum, which has healing capacity, while managing underlying conditions. Common associated pathologies include femoroacetabular impingement (CAM and pincer types), hip dysplasia, iliopsoas impingement, and anterior inferior iliac spine impingement. Each condition presents distinct injury patterns and requires tailored surgical approaches like rim resection, labral repair/reconstruction, or careful management of capsules and ligaments to avoid instability. The speaker emphasizes comprehensive assessment and combined treatment of labral and bony/soft tissue pathology for optimal patient outcomes.

Keywords

acetabular labrum

hip stability

labral tears

femoroacetabular impingement

labral repair