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.
Highlights
OPEN ACCESSBasics in hip chondrolabral lesions and state of the art Mohamed Abd El-Radi, Oliver R
Chondrolabral complex is a weak point along an histological transition zone
The hip joint is a deeply seated weight-bearing articulation and has an important concern with anatomical stresses in comparison with the shoulder joint. It contains cartilage of two forms: hyaline cartilage, from the union of osteochondral complexes developed in gestational life, and labral fibrocartilage [1,2,3]
Summary
Basics in hip chondrolabral lesions and state of the art Mohamed Abd El-Radi, Oliver R. 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. A fibrocartilagenous tissue, named the labrum, is situated all around the bony acetabular rim and it adds to the stability and congruity of the joint It has the remarkable role of providing a tight biological seal that protects the articular cartilage [3, 7, 8]. The chondrolabral complex structure has an intrinsic weak point or a transition zone between the acetabular labrum and the acetabular articular cartilage, especially in the anterior segment (Figure 1) [9]. ALAD 3 cartilage injury correlates with flap lesion in MAHORN (Figure 4)
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