Hip Preservation

Hip Cartilage Injuries

Damage to the articular cartilage of the hip can cause mechanical pain and stiffness, and may occur with FAI, labral injury or previous trauma.

Symptoms

Pain is commonly felt in the groin and may worsen with deep flexion or activity. Some patients report catching, clicking or stiffness.

Diagnosis

Assessment combines examination and radiographs, with MRI used when needed to evaluate cartilage, labrum and associated pathology.

Nonoperative Treatment

Activity modification, targeted physiotherapy and appropriate analgesic or anti-inflammatory medication may be used first.

When Is Arthroscopy Considered?

In selected patients with persistent symptoms and limited degenerative change, hip arthroscopy may address treatable associated pathology such as FAI or labral tears.

Treatment Goals

The aim is to relieve symptoms and preserve the joint where possible. Outcomes depend on the size and location of cartilage damage and the degree of arthritis.

Frequently Asked Questions

Does every cartilage injury need surgery?

No. Many patients start with nonoperative treatment. Surgery is considered when symptoms persist and there is a treatable structural problem.

Does cartilage damage mean I need a hip replacement?

Not necessarily. The decision depends on how extensive the damage is, whether arthritis is present and how much symptoms affect function.

Individualized Care

Treatment decisions depend on symptoms, examination, imaging, activity level and the goals of the individual patient.