<p>The acetabular labrum ensures stability, even weight distribution and compensation for the incongruence between the femoral head and acetabulum. A lesion leads to pain and limited mobility of the hip. In the case presented, a 31-year-old female patient complained of pain in her left hip that had been present for a year, radiating into her left leg. The pain occurred both at rest and during exercise (VAS 7-8/10). The physical examination revealed painfully limited internal rotation with simultaneous flexion and adduction (positive impingement test). The diagnosis was confirmed by MRI and then treated arthroscopically. As part of this procedure, a labrum refixation was performed with a suture anchor and the excess bone due to a pincer impingement was removed. There are various surgical procedures for labral lesions. While labrum removal used to be a common treatment method, recent studies show better long-term results for labrum refixation and therefore recommend it as the preferred treatment method. These studies show that labral refixation leads to an improvement in hip function and patient satisfaction. In addition, the onset of osteoarthritis and the associated total hip replacement could be delayed. In the case of an irreversible rupture, which leads to progressive degeneration of the hip, there is the possibility of reconstruction by, for example, autotransplantation of the iliotibial tract. </p>

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Arthroskopische Labrumrefixation bei Labrumriss der Hüfte

  • Jan Krautter,
  • Fritz Thorey

摘要

The acetabular labrum ensures stability, even weight distribution and compensation for the incongruence between the femoral head and acetabulum. A lesion leads to pain and limited mobility of the hip. In the case presented, a 31-year-old female patient complained of pain in her left hip that had been present for a year, radiating into her left leg. The pain occurred both at rest and during exercise (VAS 7-8/10). The physical examination revealed painfully limited internal rotation with simultaneous flexion and adduction (positive impingement test). The diagnosis was confirmed by MRI and then treated arthroscopically. As part of this procedure, a labrum refixation was performed with a suture anchor and the excess bone due to a pincer impingement was removed. There are various surgical procedures for labral lesions. While labrum removal used to be a common treatment method, recent studies show better long-term results for labrum refixation and therefore recommend it as the preferred treatment method. These studies show that labral refixation leads to an improvement in hip function and patient satisfaction. In addition, the onset of osteoarthritis and the associated total hip replacement could be delayed. In the case of an irreversible rupture, which leads to progressive degeneration of the hip, there is the possibility of reconstruction by, for example, autotransplantation of the iliotibial tract.