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This is commonly associated with femoroacetabular impingement, particularly with cam deformities due to shearing of the cam on the acetabulum. Additionally, ACD associated with labral tears or chondrolabral separation, when untreated, can compromise labral repair outcomes. ACD is often missed on preoperative magnetic resonance imaging and magnetic resonance arthrography, which show a sensitivity of &lt;80%. Thus, given the ubiquity of ACD in patients undergoing femoroacetabular impingement surgery, a single\u2010stage treatment option is essential. Acetabular shape, depth, and constraint, coupled with the thinness of acetabular cartilage, make treatment technically difficult, particularly arthroscopically. Treatment generally falls within 3 categories: repair, repair with augmentation, or cell\u2010based cartilage transplantation. Currently, we most commonly employ primary repair and incorporate the cartilage flap into the labral repair.<\/jats:p>","DOI":"10.1016\/j.arthro.2024.12.008","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T19:14:08Z","timestamp":1734030848000},"page":"1849-1851","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary:<\/i>\n                    Acetabular Cartilage Delamination in Patients Having Femoroacetabular Impingement Syndrome Surgery Requires a Single\u2010Stage Solution"],"prefix":"10.1002","volume":"41","author":[{"given":"Nicole D.","family":"Rynecki","sequence":"first","affiliation":[{"name":"New York University Langone Health (T.Y.)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Youm","sequence":"additional","affiliation":[{"name":"New York University Langone Health 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