Acetabular labral tears are a rare but well recognized cause of hip symptom
s in young adults. Both clinical and radiographic diagnoses are difficult.
The treatment of choice in the past has been either conservative or open ar
throtomy. Hip arthroscopy has proved to be an effective tool for both diagn
ostic and therapeutic purposes in patients with chronic hip pain refractory
to conservative treatment. We reviewed a series of 76 arthroscopic limbect
omies. All patients had experienced hip symptoms for more than 6 months. No
ne responded to nonsurgical treatment. Results were evaluated with the Harr
is Hip Score and with a questionnaire. Fifty-eight cases had a mean 3.5 yea
rs follow-up (range, 24 to 61 months). Thirty-nine patients (67.3%) were pl
eased with the result of their operation. The remaining 19 (32.7%) were not
satisfied. Arthroscopy is an effective noninvasive procedure for the asses
sment and treatment of labral lesions. Short-term follow-up shows encouragi
ng results.