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Cartilage Lesions of the Hip

  • 1Department of Orthopaedic Surgery, Orlando Health Jewett Orthopaedic Institute, 60 Columbia Street, Orlando, FL 32806, USA.
  • 2Department of Orthopaedic Surgery, Orlando Health Jewett Orthopaedic Institute, 60 Columbia Street, Orlando, FL 32806, USA; Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
  • 3Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
  • 4Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: Hevesi.Mario@mayo.edu.
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June 13, 2025

Abstract

Cartilage lesions of the hip are frequently encountered in the setting of multiple concomitant hip pathologies. For patients with symptoms refractory to comprehensive nonoperative management, numerous surgical treatments are available. To date, the ideal management strategy for hip chondral defects remains controversial, with patients best suited by an individualized approach accounting for the lesion being treated as well as any potentially modifiable underlying factors such as femoroacetabular impingement or dysplasia. Studies on the treatment of hip chondral defects continue to be published at a seemingly exponential rate, highlighting the evolution of treatment strategies for these patients.

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