Abstract
Articular cartilage pathology is a frequent finding at the time of hip arthroscopy. Hip joint chondral injuries can be the result of acute trauma, the result of underlying hip joint developmental pathomorphology, or less frequently the result of avascular necrosis. Traumatic chondral injuries include hip subluxation, dislocation, and “lateral impact syndrome.” Hip joint developmental pathomorphology that can result in chondral pathology includes femoroacetabular impingement (FAI), dysplasia, Legg-Calve-Perthes, and slipped capital femoral epiphysis. Chondroplasty and microfracture have traditionally been employed as first-line treatment for arthroscopic management of chondral disorders. As our understanding of intra-articular hip disorders advances and arthroscopic techniques improve, alternative treatment options are beginning to emerge and the indications for such procedures are evolving.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ferguson SJ, Bryant JT, Ganz R, Ito K. The acetabular labrum seal: a poroelastic finite element model. Clin Biomech (Bristol, Avon). 2000;15:463–8.
Larson CM. Management of pincer-type impingement. Sports Med Arthrosc. 2010;18(2):100–7.
Noguchi Y, Miura H, Takasugi S, Iwamoto Y. Cartilage and labrum degeneration in the dysplastic hip generally originates in the anterosuperior weight-bearing area: an arthroscopic observation. Arthroscopy. 1999;15(5):496–506.
Byrd JWT. Lateral impact injury a source of occult hip pathology. Clin Sports Med. 2001;20(4):801–15.
Philippon MJ, Kuppersmith DA, Wolff AB, Briggs KK. Arthroscopic findings following traumatic hip dislocation in 14 professional athletes. Arthroscopy. 2009;25(2):169–74.
Moorman III CT, Warren RF, Hershman EB, Crowe JF, Potter HG, Barnes R, O’Brien SJ, Guettler JH. Traumatic posterior hip subluxation in American football. J Bone Joint Surg Am. 2003;85-A(7):1190–6.
McCarthy JC, Lee JA. Arthroscopic intervention in early hip disease. Clin Orthop Relat Res. 2004;429:157–62.
Byrd JWT. Operative hip arthroscopy. 2nd ed. New York: Springer; 2005. p. 43.
Larson CM, Pierce BR, Giveans MR. Treatment of athletes with symptomatic intra-articular hip pathology and athletic pubalgia/sports hernia: a case series. Arthroscopy. 2011;27(6):768–75.
Larson CM, Giveans MR, Taylor M. Does arthroscopic correction improve function with radiographic arthritis? Clin Orthop Relat Res. 2010;468:555–64.
Czerny C, Hofmann S, Neuhold A, Tschauner C, Engel A, Recht MP, Kramer J. Lesions of the acetabular labrum: accuracy of MR imaging and MR arthrography in detection and staging. Radiology. 1996;200(1):225–30.
Keeney JA, Peell MW, Jackson J, Rubin D, Maloney WJ, Clohisy JC. Magnetic resonance arthrography versus arthroscopy in the evaluation of articular hip pathology. Clin Orthop Relat Res. 2004;429:163–9.
Byrd JWT, Jones KS. Diagnostic accuracy of clinical assessment, magnetic resonance imaging, magnetic resonance arthrography, intra-articular injection in hip arthroscopy patients. Am J Sports Med. 2004;32(7):1668–74.
Larson CM, Wulf CA. Intraoperative fluoroscopy for evaluation of bony resection during arthroscopic management of femoroacetabular impingement in the supine position. Arthroscopy. 2009;25:1183–92.
Steadman JR, Briggs KK, Rodrigo JJ, et al. Outcomes of microfracture for traumatic chondral defects of the knee: average 11-year follow-up. Arthroscopy. 2003;19:477–84.
Kelly BT, Williams 3rd RJ, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues. Am J Sports Med. 2003;31:1020–37.
Hardy P, Hinojosa JF, Coudane H. Osteochondritis dissecans of the acetabulum. Apropos of a case. Rev Chir Orthop Reparatrice Appar Mot. 1992;78:134–7.
Roy DR. Arthroscopic findings of the hip in new onset hip pain in adolescents with previous Legg-Calve-Perthes disease. J Pediatr Orthop. 2005;14:151–5.
McCarthy J, Barsoum W, Puri L, et al. The role of hip arthroscopy in the elite athlete. Clin Orthop Relat Res. 2003;406:71–4.
Byrd JWT, Jones KS. Microfracture for grade IV chondral lesions of the hip (SS-89). Arthroscopy. 2004;20 Suppl 1:e41.
Philippon MJ, Schenker ML, Briggs KK, Maxwell RB. Can microfracture produce repair tissue in acetabular chondral defects? Arthroscopy. 2008;24:46–50.
Villar RN. Arthroscopic fibrin fixation of chondral lesions. In: Vail hip arthroscopy symposium, Vail; 17 Mar 2011.
Fontana A. Arthroscopic approach in hip defects. In: Zanasi S, Brittberg M, Marcacci M, editors. Basic science, clinical repair and reconstruction of articular cartilage defects: current status and prospects. Bologna: TIMEO Editore; 2006. p. 419–22.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
Larson, C.M., Stone, R.M., Wulf, C.A. (2013). Hip Arthroscopy: Management of Chondral Injuries. In: Byrd, J. (eds) Operative Hip Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7925-4_14
Download citation
DOI: https://doi.org/10.1007/978-1-4419-7925-4_14
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-7924-7
Online ISBN: 978-1-4419-7925-4
eBook Packages: MedicineMedicine (R0)