Department of Joint Surgery, Southwest Hospital, Army Medical University, Chongqing 400038, China.
Chin Med J (Engl). 2019 Jan 20;132(2):211-219. doi: 10.1097/CM9.0000000000000020.
To review the literature regarding diagnosis and treatment of labral tear.
A systematic search was performed in PubMed using various search terms and their combinations including hip, labrum, acetabular labral tear, arthroscopy, diagnosis, and anatomy.
For each included study, information regarding anatomy, function, etiology, diagnosis, and management of acetabular labral tear was extracted.
Five hundred and sixty abstracts about anatomy, function, etiology, diagnosis, and management of acetabular labral tear were reviewed and 66 selected for full-text review. The mechanism of labral tear has been well explained while the long-term outcomes of various treatment remains unknown.
Labral tear is generally secondary to femoroacetabular impingement, trauma, dysplasia, capsular laxity, and degeneration. Patients with labral tear complain about anterior hip or groin pain most commonly with a most consistent physical examination called positive anterior hip impingement test. Magnetic resonance arthrography is a reliable radiographic examination with arthroscopy being the gold standard. Conservative treatment consists of rest, non-steroidal anti-inflammatory medication, pain medications, modification of activities, physical therapy, and intra-articular injection. When fail to respond to conservative treatment, surgical treatment including labral debridement, labral repair, and labral reconstruction is often indicated.
回顾有关盂唇撕裂的诊断和治疗的文献。
在 PubMed 上使用各种搜索词及其组合（包括臀部、盂唇、髋臼盂唇撕裂、关节镜、诊断和解剖）进行了系统搜索。
对于每一项纳入的研究，提取有关髋臼盂唇撕裂的解剖学、功能、病因、诊断和治疗的信息。
共回顾了 560 篇关于髋臼盂唇撕裂的解剖学、功能、病因、诊断和治疗的摘要，并对 66 篇摘要进行了全文回顾。盂唇撕裂的机制已得到很好的解释，而各种治疗的长期结果仍不清楚。
盂唇撕裂通常继发于股骨髋臼撞击症、创伤、发育不良、囊松弛和变性。盂唇撕裂患者最常见的是髋关节前侧或腹股沟疼痛，最常见的体格检查是阳性髋关节前撞击试验。磁共振关节造影是一种可靠的影像学检查，关节镜检查是金标准。保守治疗包括休息、非甾体抗炎药、止痛药、活动改变、物理治疗和关节内注射。当保守治疗无效时，通常需要手术治疗，包括盂唇清创术、盂唇修复术和盂唇重建术。
