Evolution in Management of Labral Tears in Athletes: Options in 2021

Description

In a presentation delivered by Tony Andrade, a consultant orthopedic surgeon and President of the Hip Preservation Society, he discusses the evolving management methods for labral tears in athletes, particularly emphasizing the advancements that have occurred up to 2021. The presentation begins with Andrade introducing himself and expressing gratitude to the organizers for the opportunity to speak. He highlights key historical advancements in hip arthroscopy, particularly the development of the rod lens endoscope in the 1950s, which significantly improved visualization inside the joints.



The presentation further explores the timeline of femoroacetabular impingement (FAI), a key area in discussions of labral tears, and how it relates to hip arthroscopy. The importance of different management techniques for labral tears is discussed, such as whether to repair, debride, or reconstruct the labrum, considering factors like the patient's age, condition of the labrum, and the anatomical issues present.



A detailed examination of labral anatomy is presented, explaining the labrum's role in hip joint stability and how its removal increases frictional forces within the hip. Andrade illustrates various examples of labral tears, the history of repairs, and the differences between repair and reconstruction techniques. Recent outcomes and strategies for labral reconstruction, including the use of grafts and techniques for addressing severe labral damage, are emphasized.



Towards the end of the presentation, Andrade discusses the complications and associated factors such as tibial torsion and femoral version that influence surgical outcomes, reflecting on the current research trends and future directions in orthopedic sports medicine. Finally, he invites attendees to engage further with hip preservation advancements through upcoming ISHA meetings.

DOI: 10.1302/3114-210657

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