20Shoulder Care
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

CARTILAGE INJURY

The ends of the femur and acetabulum – the hip bones – are capped with a smooth surface called articular cartilage.  Cartilage protects the ends of bone; it can withstand a tremendous amount of force and is significantly smoother than ice, which allows smooth motion in the hip joint. An articular cartilage injury (or “chondral” injury), may occur following a twisting injury to the hip, a direct blow to the hip, or wear and tear as a one ages. Small pieces of articular cartilage can break off and float around in the hip as loose bodies, causing locking, catching and/or swelling.

Symptoms

  • Groin discomfort
  • Instability with walking, turning and pivoting
  • Catching or locking in the hip

Diagnosis And Treatment

Dr. Keller considers each patient’s symptoms, as well as a detailed physical examination, x-rays, and usually an MRI of the hip to make the diagnosis of cartilage injury.

In patients with limited cartilage damage in the hip, non-surgical treatment with physical therapy is usually very helpful. The physical therapy program focuses on strengthening core and hip muscles around the hip joint. Non-surgical treatment also includes activity modification, non-steroidal anti-inflammatory drugs, and on occasion, steroid or other types of injections. In those patients with recurrent symptoms, surgical intervention may be the best option.