ePoster #106 - ISHA Annual Scientific Meeting 2016

The Reverse Contre-Coupe Labral Lesion in the Hip – A Case-Based Technique for the Management of a New Entity Based on an Understanding of the Pathomechanics

Sivashankar Chandrasekaran, MBBS, FRACS, Westmont, IL UNITED STATES
John P. Walsh, MA, Westmont, IL UNITED STATES
David E. Hartigan, MD, Westmont, IL UNITED STATES
Parth Lodhia CANADA
Carlos Suarez Ahedo, MD, Mexico City, DF MEXICO
Benjamin G. Domb, MD, Chicago, IL UNITED STATES

American Hip Institute, Westmont, IL, UNITED STATES

FDA Status Not Applicable

Summary: This article describes the arthroscopic approach and management of a 30-year-old female marathon runner with a “reverse contre-coup” injury to the hip labrum.

Abstract:
This article describes the arthroscopic approach and management of a 30-year-old female marathon runner with a “reverse contre-coup” injury to the hip labrum. The injury occurs in the setting of posterolateral acetabular rim over coverage impinging on the distal femoral neck in extension causing the femoral head to lever out anteriorly against the labrum. Ligamentous laxity and associated loss of anterior capsular restraint allows increased femoral head translation, adding further insult to the anterior labrum. The arthroscopic approach entails not only a labral repair with correction of the osseous conflict but also restoration of soft tissue stability to minimize anterior femoral translation.