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Management of Cartilage Injuries in the Hip

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Cartilage Repair Strategies

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Abstract

Within the discipline of sports medicine, articular cartilage injuries in the hip have received considerably less attention than other joints, largely due to the difficulty that practitioners have had with accurate assessment. Non-arthritic cartilage injuries in the hip refer to focal chondral defects on either the femoral or acetabular side of the joint. Focal chondral defects on the femoral side are relatively uncommon, however, and may result from axial loading or shear injury of the head within the socket. Subluxation events of the femoral head seen in high-energy contact sports may result in these types of focal chondral injuries. Cartilage injuries on the acetabular side are more common and typically present as localized cartilage delamination in the anterior-superior weight-bearing zone of the acetabular rim. The most common underlying condition resulting in these types of cartilage defects is femoroacetabular impingement. This chapter discusses current surgical indications and techniques appropriate for management of these injuries as well as clinical and radiographic methods to detect focal cartilage lesions in the hip joint.

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Authors and Affiliations

  1. Weill Medical College of Cornell University, New York, NY

    Bryan T. Kelly MD (Associate Professor of Orthopaedic Surgery, Assistant Attending Orthopaedic Surgeon) & Robert L. Buly MD (Assistant Professor of Orthopaedic Surgery, Assistant Attending Orthopaedic Surgeon)

  2. Hospital for Special Surgery, New York, NY

    Bryan T. Kelly MD (Associate Professor of Orthopaedic Surgery, Assistant Attending Orthopaedic Surgeon) & Robert L. Buly MD (Assistant Professor of Orthopaedic Surgery, Assistant Attending Orthopaedic Surgeon)

  3. Orthopaedic Department, Balgrist University Hospital, University of Zurich, Zurich, Switzerland

    Patrick P. Sussmann MD

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Editors and Affiliations

  1. Weill Medical College of Cornell University, USA

    Riley J. Williams III MD (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director) (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director)

  2. Institute for Cartilage Repair, Hospital for Special Surgery, New York, NY

    Riley J. Williams III MD (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director) (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director)

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Kelly, B.T., Sussmann, P.P., Buly, R.L. (2007). Management of Cartilage Injuries in the Hip. In: Williams, R.J. (eds) Cartilage Repair Strategies. Humana Press. https://doi.org/10.1007/978-1-59745-343-1_19

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  • DOI: https://doi.org/10.1007/978-1-59745-343-1_19

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