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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 10, 1289-1292.
doi: 10.1302/0301-620X.89B10.17319  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Hip dysplasia and the torn acetabular labrum

AN INEXACT RELATIONSHIP

R. A. Haene, MBBCh, MRCS(Ed), Orthopaedic Specialist Registrar1; M. Bradley, MSc, Medical Statistician2; and R. N. Villar, BSc(Hons), MS, FRCS, Orthopaedic Consultant3

1 Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK.
2 East Midlands Public Health Observatory, Mill 3, Pleasley Vale Business Park, Outgang Lane, Mansfield NG19 8R, UK.
3 The Wellington Hospital, Wellington Place, St. Johns Wood, London NW8 9LE, UK.

Correspondence should be sent to Mr R. N. Villar; e-mail: rnv{at}myself.com

The epidemiological data and intra-operative findings from 260 consecutive arthroscopically-diagnosed acetabular labral tears seen over a ten-year period were analysed. Radiographs of 128 of these patients were assessed for dysplasia using established radiological parameters. Patients with acetabular dysplasia were then compared against those without in order to identify any differences in gender, age, the side of the tear, the pattern of the tear, the number of quadrants involved, the quadrant preference and the prevalence of intra-articular comorbidity. Dysplasia was found in 46% (59 of 128) of the hips. No significant differences existed between the dysplastic and non-dysplastic subgroups as regards gender distribution, the side of the lesion, the number of quadrants involved or the distribution of tears among the quadrants. However, tears associated with dysplasia were diagnosed in an older age group, had a different pattern and were associated with a much higher prevalence of osteoarthritis.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General