Subjects with developmental dysplasia of the hip (DDH) often show early-onset osteoarthritis (oA); however, the molecular mechanisms underlying this pathology are not known. We investigated whether cellular changes in chondrocytes from oA cartilage can be detected in chondrocytes from DDH cartilage before histological manifestations of degeneration. We characterized undamaged and damaged articular cartilage from 22 participants having hip replacement surgery with and without DDH (9 DDH-OA, 12 OA-only, one femoral fracture). Tissue immunostaining revealed changes in damaged oA-only cartilage that was also found in undamaged DDH-oA cartilage. chondrocytes in situ from both groups show: (i) thicker fibers of vimentin intermediate filaments, (ii) clusters of integrin α 5 β 1 , (iii) positive MMP13 staining and (iv) a higher percentage of cells expressing the serine protease HtrA1. Further characterization of the extracellular matrix showed strong aggrecan and collagen II immunostaining in undamaged DDH cartilage, with no evidence of augmented cell death by activation of caspase 3. These findings suggest that early events in DDH cartilage originate at the chondrocyte level and that DDH cartilage may provide a novel opportunity to study these early changes for the development of therapeutic targets for oA. Although aging is among the various factors associated with the development of Osteoarthritis (OA) 1 , the incidence of OA has been increasing in younger populations. One study projected that the percentage of patients younger than 65 years old requiring total hip arthroplasty would increase from 41% in 2006 to 52% in 2030 2. These younger patients have a number of etiologies, including those with developmental dysplasia of the hip (DDH). In this condition, abnormal biomechanics leads to anomalous stress distribution within the hip joint and subsequent damage to the joint tissues including articular cartilage 3-6 and DDH is considered to be part of the congenital-biomechanical causes of OA 7. Chondrocytes, the cells of cartilage, are metabolically stimulated by different forms of mechanical loading including strain, shear, compression, tension, and hydrostatic loads, all of which are related to the structural and mechanical integrity of the joint. At the tissue-level, the extracellular matrix (ECM) 8 , composed mostly of collagen II and proteoglycans, gives mechanical integrity, while at the cellular-level the cytoskeleton fulfills this role, with vimentin intermediate filaments playing a major function 9,10. Mechanical load, in turn, regulates both cytoskeleton dynamics 11,12 and the synthesis of key ECM proteins 13,14. Of the key ECM components regulating mechanical signals to chondrocytes, fibronectin mediates pathways associated with cell growth and survival, for example promoting chondrocyte survival via integrin α 5 β 1 binding 15. However, in contrast, fibronectin fragments, produced via cleavage by proteases such as the High-Temperature Requirement protein A1 (HtrA1) 16 , activate catabolic pathways 17,18. In...