Acetabular labrum

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Acetabular Labrum[edit | edit source]

Diagram of the hip joint, showing the acetabular labrum.

The acetabular labrum is a ring of cartilage that surrounds the acetabulum of the hip joint. It is a fibrocartilaginous structure that plays a crucial role in maintaining the stability and function of the hip joint.

Anatomy[edit | edit source]

The acetabular labrum is attached to the rim of the acetabulum, which is the cup-shaped socket of the pelvis that accommodates the head of the femur. The labrum is triangular in cross-section and is composed of dense fibrous tissue. It extends the depth of the acetabulum, increasing the surface area of the joint and providing a seal that helps to maintain the negative intra-articular pressure within the joint.

Function[edit | edit source]

The primary functions of the acetabular labrum include:

  • Joint Stability: The labrum deepens the acetabulum, enhancing the stability of the hip joint by providing a larger surface area for the femoral head to articulate with.
  • Shock Absorption: It acts as a cushion, absorbing forces transmitted through the hip joint during activities such as walking, running, and jumping.
  • Joint Lubrication: The labrum helps to maintain the synovial fluid within the joint, which is essential for lubrication and nutrition of the articular cartilage.
  • Pressure Distribution: It aids in the even distribution of pressure across the joint surfaces, reducing wear and tear on the articular cartilage.

Clinical Significance[edit | edit source]

Injuries to the acetabular labrum, such as tears, can lead to hip pain and dysfunction. Labral tears are often associated with femoroacetabular impingement (FAI), a condition where abnormal contact between the femur and acetabulum leads to damage. Symptoms of a labral tear may include pain in the hip or groin, clicking or locking of the joint, and decreased range of motion.

Diagnosis of labral tears typically involves a combination of physical examination, imaging studies such as MRI, and sometimes diagnostic arthroscopy. Treatment options vary depending on the severity of the tear and may include physical therapy, anti-inflammatory medications, or surgical intervention such as arthroscopic labral repair.

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Contributors: Prab R. Tumpati, MD