biostudies-literatureLi ZPeak Climbing Program, DalianNational Natural Science Foundation of ChinaDalian Science and Technology Innovation FundNatural Science Foundation of Liaoning Province886https://www.ebi.ac.uk/biostudies/studies/S-EPMC11684245biostudies-literatureUnknown19(1)The concept of femoroacetabular impingement syndrome (FAIS) has received much attention over the past 20 years. Currently, it is believed that FAIS can lead to intra-articular pathologies such as labral tears and articular cartilage lesions, resulting in clinical symptoms and subsequent poor clinical outcomes. FAIS-related articular cartilage lesions are common but unique, and their natural course always leads to early osteoarthritis of the hip. However, despite these cartilage lesions having gradually gained considerable attention, limited consensus has been reached on key aspects, such as diagnosis, mechanisms, classification, and management strategies, which limits clinical and research advances. Hence, an intensive comprehensive overview based on the existing evidence is necessary. The purpose of this review was to introduce the general consensus, controversial issues, and recent advances in FAIS-related articular cartilage lesions.Journal of orthopaedic surgery and researchCurrent understanding of articular cartilage lesions in femoroacetabular impingement syndrome.PMC11684245No.2019-MS-079No.2023JJ13SN051No.2022DF012No.81601901Zhang WTian KAn PLi ZYu JfalseCurrent understanding of articular cartilage lesions in femoroacetabular impingement syndrome.The concept of femoroacetabular impingement syndrome (FAIS) has received much attention over the past 20 years. Currently, it is believed that FAIS can lead to intra-articular pathologies such as labral tears and articular cartilage lesions, resulting in clinical symptoms and subsequent poor clinical outcomes. FAIS-related articular cartilage lesions are common but unique, and their natural course always leads to early osteoarthritis of the hip. However, despite these cartilage lesions having gradually gained considerable attention, limited consensus has been reached on key aspects, such as diagnosis, mechanisms, classification, and management strategies, which limits clinical and research advances. Hence, an intensive comprehensive overview based on the existing evidence is necessary. The purpose of this review was to introduce the general consensus, controversial issues, and recent advances in FAIS-related articular cartilage lesions.2024-01-01T00:00:00Z2024 Dec2025-04-04T08:11:57.214Z2025-04-04T08:11:57.214ZS-EPMC116842453973421410.1186/s13018-024-05322-6