Related Experiment Video
Updated: Jun 24, 2026
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
The Management of Acetabular Labral Tears: A Contemporary Review.
Joseph C Brinkman1, Kyle N Kunze1, Ty L Monty1
1Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, 1611 W Harrison St, Chicago, 60612, IL, USA.
Acetabular labral tears, often linked to femoroacetabular impingement syndrome (FAIS), require a structured approach. Management includes nonoperative care and, for select patients, arthroscopic hip preservation surgery for optimal outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Hip Arthroscopy
Background:
- Acetabular labral tears are a frequent cause of hip pain, commonly associated with femoroacetabular impingement syndrome (FAIS).
- The acetabular labrum plays a vital role in hip joint stability, load distribution, and maintaining a sealed joint.
Purpose of the Study:
- To review current diagnostic and management strategies for acetabular labral tears, focusing on FAIS.
- This includes evaluating nonoperative care, surgical decision-making, and rehabilitation protocols.
Main Methods:
- Comprehensive evaluation involving patient history, physical examination, radiographic assessment (including CAM and Pincer morphology), and advanced imaging.
- Review of contemporary nonoperative treatments (activity modification, physical therapy, injections) and surgical interventions (arthroscopic hip preservation).
Main Results:
- Nonoperative management is the initial approach, with physical therapy and injections being key components.
- Arthroscopic hip preservation surgery, prioritizing labral repair or reconstruction and correction of bony abnormalities, offers significant pain relief and functional improvement in appropriately selected patients.
- Rehabilitation is phased, individualized, and includes objective testing for return to activity, typically around 6-8 months post-surgery.
Conclusions:
- A structured diagnostic and stepwise management plan, combining nonoperative and surgical options, optimizes outcomes for acetabular labral tears associated with FAIS.
- Individualized rehabilitation is crucial for successful return to sport and activity.
- Labral preservation techniques and addressing underlying osseous deformities are central to modern surgical management.