Severe Arthritic Changes Following Acetabular Labral Repair and Femoroplasty in an Air Force Pilot

Aerospace Medicine and Human Performance
Christopher J Sardon, Mathew L Resnick

Abstract

Acetabular labral tears in the hip have become an increasingly common finding in active duty members due to improved diagnostic capabilities. This has led to a dramatic increase in operative management despite a lack of evidence to support clear long-term benefits. Literature review demonstrated overwhelmingly positive short-term outcomes for labral repairs; however, scattered case reports exist demonstrating debilitating outcomes in young patients, ultimately resulting in total hip arthroplasty. A 27-yr-old pilot originally presented with groin pain. Initial X-ray demonstrated a CAM lesion of the right hip and subsequent MRA showed an acetabular labral tear. The patient underwent open arthrotomy with labral repair and femoroplasty with minimal improvement in symptoms. Repeat imaging over 2 yr showed early onset osteoarthritis with rapid progression and a recurrent labral tear. Due to the significant progression of osteoarthritis, the patient was given the choice between a repeat labral repair and total hip arthroplasty. The patient elected for hip arthrotomy with labral repair and extensive synovectomy, which yielded minimal improvement in symptoms. Acetabular labral tears have become a hot topic in the field of orthopedics as...Continue Reading

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