Lesiones labrales de cadera: Revisión, diagnósis y manejo. (Inglés)

Matt Schmerl MChiroa, Henry Pollard Grad DC, MSportSc, PhDb, , and Wayne Hoskins MChiroc

aResearch Associate, Macquiare Injury Management Group, Department Health and Chiropractic, Macquarie University, Australia bSenior Lecturer, Macquarie Injury Management Group, Department Health and Chiropractic, Macquarie University, Australia cPhD Candidate, Macquarie Injury Management Group, Department Health and Chiropractic, Macquarie University, Australia

Objective

To report the current knowledge of the diagnosis and treatment of acetabular labral tears.

Methods A search of the MEDLINE, CINAHL, and Science Direct indexing systems (1966 to September 2004) was conducted using the following key indexing terms: labrum, labral, hip, acetabulum, injury, and treatment. One hundred eighty-six publications were sourced using this methodology and were considered in this review. The literature was sorted according to publication date and relevance.

Results

There is a small amount of literature on the topic of labral lesions. This is particularly true of the use of conservative (manual therapy) methods for the treatment of labral lesions. The literature on surgical diagnosis and management is more mature; however, longer-term follow-up studies are required to conclusively show the benefit of surgical intervention.

Conclusions Early diagnosis is important as labral tears may be linked to the progression of hip osteoarthritis. Initial treatment consisting of partial weight-bearing may respond if initiated early. Arthroscopy currently represents the gold standard in both the diagnosis and treatment of labral tears. Future research must investigate the long-term outcomes of partial labrectomy, as well as the efficacy of conservative approaches to care.

J Manipulative Physiol Ther 2005;28:000-000).