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anatomy

Labrum

A ring of fibrocartilage that deepens and stabilizes the hip and shoulder sockets. Labral tears can cause pain and may contribute to arthritis development.

Extended Definition

The labrum is a specialized rim of fibrocartilage found in ball-and-socket jointsโ€”primarily the hip (acetabular labrum) and shoulder (glenoid labrum). It increases joint stability and range of motion.

Functions

  1. Deepens the socket - Increases surface area by 25-30%
  2. Creates a seal - Helps maintain negative pressure in the joint
  3. Distributes forces - Spreads load across the joint surface
  4. Provides stability - Particularly in extreme positions

Labral Tears and Arthritis

Labral injuries are associated with increased OA risk:

  • Hip labral tears - Often from impingement (FAI), can accelerate cartilage wear
  • Shoulder labral tears - Less commonly linked to OA but can cause chronic pain

Treatment

While HA injections are primarily used for knee OA, hip injections (often off-label) may help some patients with labral-associated hip pain by improving joint lubrication.

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