Arthroscopic Labral Management: Ignore, Debride, Repair or Reconstruct

Abstract

Since its inception, there has been considerable advancement made in the field of hip arthroscopy in not only the technological and technical capabilities but our overall understanding of hip biomechanics and pathology. At the center of much of this progress is the surgeon's approach to the acetabular labrum. In this section, we will discuss the treatment considerations regarding the acetabular labrum and the various treatment modalities that have been tried and tested over time. To refer to the various techniques as treatment options would erroneously imply that all treatment modalities are considered equally in the management of each form of labral pathology. We will discuss the variety of techniques as it is presented in the literature, their respective outcomes, as well as our preferred method for each type of acetabular labral pathology.