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. 2017:3:73.
doi: 10.1051/sicotj/2017040. Epub 2017 Dec 22.

Basics in hip chondrolabral lesions and state of the art

Mohamed Abd El-Radi  1 , Oliver R Marin-Peña  2 , Hatem Galal Said  1 , Marc Tey-Pons  3
Affiliations

Basics in hip chondrolabral lesions and state of the art

Mohamed Abd El-Radi et al. SICOT J. 2017.

Abstract

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.

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Figures

Figure 1.
Figure 1.
Diagram showing the transition zone of chondrolabral complex.
Figure 2.
Figure 2.
Damage of the chondrolabral transition (“weak zone”) in a cam FAI.
Figure 3.
Figure 3.
MAHORN classification. Bubble (upper left), separation (upper right), pocket (bottom left), flap (bottom right).
Figure 4.
Figure 4.
Cartilage lesion ALAD 4 treated with debridement and stabilization of the borders together with microfracturing.
Figure 5.
Figure 5.
Chondrolabral lesions management.
See this image and copyright information in PMC

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