Chondrolabral complex is a weak point along an histological transition zone. Most cartilage and labral lesions in the femoroacetabular impingement syndrome are located in this area. Different classifications are used to evaluate the severity and predict the prognosis of chondrolabral complex injuries. Acetabular Labrum Articular Disruption (ALAD) and Multicenter Arthroscopy of the Hip Outcomes Research Network (MAHORN) classifications are commonly used with a prognosis and treatment implication. Treatment of chondrolabral lesions detected on magnetic resonance imaging (MRI), should only be considered when clinical symptoms are presented. A wide range of treatment options include debridement with or without microfracture, repair or regenerate therapies. The future of hip joint preservation should be directed towards to the development of the treatment of chondrolabral injuries.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757388PMC
http://dx.doi.org/10.1051/sicotj/2017040DOI Listing

Publication Analysis

Top Keywords

chondrolabral lesions
8
chondrolabral complex
8
treatment chondrolabral
8
chondrolabral
5
basics hip
4
hip chondrolabral
4
lesions state
4
state art
4
art chondrolabral
4
complex weak
4

Similar Publications

Review of femoroacetabular impingement syndrome.

J Hip Preserv Surg

December 2024

Hip and Knee Adult Reconstruction Department, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra, Calzada México-Xochimilco No. 289 Colonia Arenal de Guadalupe Delegación, Tlalpan C.P., Ciudad de México 14389, México.

Femoroacetabular impingement syndrome (FAIS) is a common condition of the hip that can cause significant damage to the joint, leading to degeneration and osteoarthritis. FAIS constitutes an abnormal and dynamic contact between the femoral head-neck junction and the acetabular rim, resulting from altered bone morphology at one or both sites. Repetitive trauma at the site of impingement generates progressive damage to the acetabular labrum, chondrolabral junction, and articular cartilage.

View Article and Find Full Text PDF

Arthroscopic Reconstruction of the Acetabular Labrum Using an Autograft Hip Capsule.

JBJS Essent Surg Tech

December 2024

Sports Medicine Center, Department of Orthopaedics, Massachusetts General Hospital, Mass General Brigham, Boston, Massachusetts.

Background: Whereas uncomplicated labral tears with preserved fibers can be effectively treated with use of labral repair techniques, complex tears and hypoplastic labra require labral reconstruction. Standard reconstruction techniques feature grafted tissue that is added to existing, deficient tissue or that is utilized to replace a hypoplastic labrum entirely. However, such approaches utilizing allografts or remote autografts are limited because they often necessitate extensive debridement of the existing labrum to prepare a site for graft implantation, an approach that can damage and devascularize the chondrolabral junction.

View Article and Find Full Text PDF

Femoroacetabular Impingement: Preoperative Planning and Postoperative MR Imaging Evaluation.

Magn Reson Imaging Clin N Am

February 2025

Faculty of Medicine, Department of Radiology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, Zürich 8008, Switzerland.

Imaging plays a critical role in the preoperative and postoperative evaluation of patients with femoroacetabular impingement. Non-contrast MR imaging and direct magnetic resonance arthrography of the hip are the modalities of choice for the preoperative assessment of chondrolabral lesions. The MRI protocol should include radial images for detailed analysis of the cam deformity and fast sequences covering the pelvis and knee for measurement of femoral torsion.

View Article and Find Full Text PDF

An aspherical hip can mechanically damage the joint and lead to chondrolabral injury, functional pain, and potentially arthritis. Hip arthroscopy to address femoroacetabular impingement (FAI) and make the hip spherical, with treatment of concomitant labral pathology, can result in excellent outcomes in patients with this pathology. The goal is complete cam resection.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how pelvic incidence (PI) affects recovery outcomes after hip arthroscopy for femoroacetabular impingement (FAI) and acetabular labral tears.
  • Researchers reviewed data from 74 patients who had surgery between 2014 and 2022, categorizing them based on low, moderate, and high pelvic incidence.
  • Results showed that patients with high PI had worse postoperative pain, patient-reported outcomes, and overall satisfaction compared to those with moderate PI by the 12- and 24-month follow-ups.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!