Acetabular labral tears are usually diagnosed clinically and present in a similar manner as meniscal pathology in the knee. Labral pathology is often associated with femoral acetabular impingement. Patients can present with complaints of mechanical symptoms, such as popping or painful clicking and catching, and demonstrate a reduced range of motion of the hip. Longitudinal, peripheral, and intrasubstance tears are amenable to repair with suture anchors. On occasion, the labrum is beyond repair and allograft tissue can be used to reconstruct the labrum.

Procedure

Achieve labral fixation by placing sutures through the labrum in simple or labral base stitch configurations using any Arthrex suture passer. Standard and Knotless SutureTak® and FiberTak® anchors should be placed prior to passing the repair suture, while PushLock® anchors should be placed after passing the repair suture.

Labral Fixation

Suture passing is made easy with the wide variety of instruments from Arthrex, including SwiftStitch™, SutureLasso™, BirdBeak®, Penetrator™, Hip Labral Scorpion™ and CapsuleClose Scorpion™ suture passers.

Suture Passing

Labral Repair/Reconstruction

Place sutures in the labrum using a number of Arthrex suture-passing devices and fixate the labrum to the 
acetabulum using circumferential or labral base stitch techniques. Insert SutureTak® and FiberTak® suture anchors into the acetabulum before passing suture through and around the labrum. PushLock® suture anchors require the suture to be passed through and around the labrum prior to inserting the anchor into the acetabulum.

Hip Labral Tear/Insufficiency

Labral Repair/Reconstruction