Labrumläsion: Basic detected - no danger
What is a labrum injury?
Under a labrum injury is a tear of the articular lip (labrum). When healthy people dress Ausstülpung from a thick fibrous tissue from the hip socket. The labrum, the function of the joint and provides cushioning while a smooth surface for the femoral head, so that those in the socket can glide. However, the torn labrum, it affects the normal movement of the hip joint.
What are the causes of a labrum injury?
Labrumverletzungen typically arise during physical activity, especially in sports with repetitive motions. You can also for an injury or illness, have the bone or cartilage of the hip detrimental. Even when a hip dysplasia can lead to Labrumveränderungen come.
For smaller Labrumrissen it is possible that no symptoms are noticed. However, for most Labrumverletzungen of a clamp or stabbing pain in the joints during specific movements perceived. Movements can cause pain and thus the normal scope of the joint motion affect.
How is the diagnosis?
Computer or magnetic resonance imaging of the hip can sometimes negative results. Moreover, the symptoms of injuries to the labrum on Hüftpfannenrand difficult in some cases, complaints from bar to differ. Diagnostic is the groundbreaking history of a rotation mechanism immediately prior to onset of symptoms and a positive pain provocation test. Here, the hips flexed 90 degrees, internally rotates and adduziert. In the arthroscopy is a labrum tear-sure to identify them. For a preoperative diagnosis should be MR Arthrographie, especially if surgical treatment is required. In the MR-Arthrographie (MRA) can be between Labrumdegeneration (stage I), Labrumeinriss
(Stage II) and Labrum tears (stage III) can be distinguished. Normal hip lips are in the MRA signalarm. Minor in the MRA Labrumverändeungen show a signal increase in the center of the labrum, without any relationship to gelenkseitigen Labrumoberfläche exists. This change is detectable and corresponds to a degeneration. Moderate Labrumveränderung
s easy to show gelenkseitigen Labrumoberfläche reaching signal increase. The labrum has a triangular shape. There is no demolition of the acetabulum, but a thickening, this represents a Labrumeinriss. High Labrumveränderungen show a complete disruption of continuity on labrum. This represents a complete Labrum tears.
What treatment options are there?
The treatment options range from physical therapy, via injections, anti-inflammatory drugs to Arthroscopic surgery.
