Abstract
The diagnosis and classification of the chondral lesions are very crucial due to the ever-rising reported incidence of the cartilage lesions detected on arthroscopy, the complexity involved in their clinical presentations and treatment, and in the varied prognosis that various treatments offer [1]. An ideal classification system should properly document a lesion, guide for the best treatment options, help in interpreting and comparing the results of various treatments and help in determining the prognosis. The available cartilage classification systems are of two types, the magnetic resonance imaging (MRI) based and the arthroscopy based. MRI has a moderate sensitivity to detect chondral lesions, which may be due to less cartilage thickness (<4 mm) and the curved chondral knee surfaces [2, 3]. Type of injury, location, size of the lesion, MRI sequence, strength, etc. can also influence MRI sensitivity [2]. Arthroscopy is considered as the gold standard, even though there is a risk of missing a deeper hidden injury [3]. Thus, MRI and arthroscopy are complementary with MRI being an important non-invasive tool to evaluate the symptomatic knee and arthroscopy being an optimal confirmatory method [3].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
Personal Communication - Brittberg Mats.
References
Zhang M, Min Z, Rana N, Liu H. Accuracy of magnetic resonance imaging in grading knee chondral defects. Arthroscopy. 2013;29(2):349–56.
Ho YY, Stanley AJ, Hui JH-P, Wang S-C. Postoperative evaluation of the knee after autologous chondrocyte implantation: what radiologists need to know. Radiographics. 2007;27(1):207–20.
Danieli MV, Guerreiro JPF, Queiroz Ad, Pereira Hd, Tagima S, Marini MG et al. Diagnosis and classification of chondral knee injuries: comparison between magnetic resonance imaging and arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2016;24(5):1627–33.
Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg Br. 1961;43(4):752–7.
Brittberg M, Winalski CS. Evaluation of cartilage injuries and repair. J Bone Joint Surg Am. 2003;85-A(Suppl 2):58–69.
van den Borne MPJ, Raijmakers NJH, Vanlauwe J, Victor J, de Jong SN, Bellemans J et al. International cartilage repair society (ICRS) and oswestry macroscopic cartilage evaluation scores validated for use in autologous chondrocyte implantation (ACI) and microfracture. Osteoarthr Cartil. 2007;15(12):1397–402.
Dwyer T, Martin CR, Kendra R, Sermer C, Chahal J, Ogilvie-Harris D et al. Reliability and validity of the arthroscopic international cartilage repair society classification system: correlation with histological assessment of depth. Arthroscopy. 2017;33(6):1219–24.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Goyal, D.R. (2021). The Classifications of the Chondral Lesions. In: Goyal, D.R. (eds) The Illustrative Book of Cartilage Repair. Springer, Cham. https://doi.org/10.1007/978-3-030-47154-5_6
Download citation
DOI: https://doi.org/10.1007/978-3-030-47154-5_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-47153-8
Online ISBN: 978-3-030-47154-5
eBook Packages: MedicineMedicine (R0)