Osteochondral lesions of the femoral head in elite athletes

Abstract

Osteochondral lesions, such as Osteochondritis dissecans (OCD) are common in the elbow and knee joints due to overuse in athletes, but are relatively rare at the femoral head of the hip joint.

We have experienced three cases with osteochondral lesions of the femoral head among elite athletes. Two of the three may have been caused by iliopsoas impingement, and the other one was caused by impaction between the femoral head and the acetabulum.

None of these cases had signs of impingement of the hip joint and the lesions were not located in a weight bearing area, and could be successfully treated with conservative methods, and could return to play at the same level as before.

Osteochondral lesions of the femoral head are caused by chronic disorders due to the instability of the pelvic or hip joints. We therefore considered that a comprehensive approach, such as assuring the stability of the hip and pelvis accompanied by kinematic chain training and form check, is necessary for the successful treatment.