Skip to main content

Cartilage Defects

  • Chapter
  • First Online:
Book cover Shoulder Instability Across the Life Span
  • 1164 Accesses

Abstract

Articular cartilage shows very limited self-healing capacity, which is why damages to this tissue can lead to significant impairment of the joint function. Despite scientific progress regarding diagnosis and treatment of cartilage defects in recent years, they still represent a challenge to orthopedic clinicians, which is even more applicable for the shoulder in comparison to other joints. Since lesions of the chondral layer are a risk factor for the development of osteoarthritis, early detection and adequate therapy are crucial, especially in young and active patients, to avoid rapid deterioration of the joint function and the need for early arthroplasty.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Anderl W, Kriegleder B, Neumaier M, Laky B, Heuberer P. Arthroscopic partial shoulder resurfacing. Knee Surg Sports Traumatol Arthrosc. 2015;23(5):1563–70. doi:10.1007/s00167-00014-02981-x. Epub 02014 Apr 00122.

  2. Buchmann S, Salzmann GM, Glanzmann MC, Wortler K, Vogt S, Imhoff AB. Early clinical and structural results after autologous chondrocyte transplantation at the glenohumeral joint. J Shoulder Elbow Surg. 2012;21(9):1213–21. doi:10.1016/j.jse.2011.1207.1030. Epub 2011 Nov 1212.

  3. Cameron ML, Kocher MS, Briggs KK, Horan MP, Hawkins RJ. The prevalence of glenohumeral osteoarthrosis in unstable shoulders. Am J Sports Med. 2003;31(1):53–5.

    PubMed  Google Scholar 

  4. Elser F, Braun S, Dewing CB, Millett PJ. Glenohumeral joint preservation: current options for managing articular cartilage lesions in young, active patients. Arthroscopy. 2010;26(5):685–96. doi:10.1016/j.arthro.2009.1010.1017. Epub 2010 Apr 1018.

  5. Frank RM, Van Thiel GS, Slabaugh MA, Romeo AA, Cole BJ, Verma NN. Clinical outcomes after microfracture of the glenohumeral joint. Am J Sports Med. 2010;38(4):772–81. doi:10.1177/0363546509350304. Epub 0363546509352010 Jan 0363546509350321.

  6. Hodler J, Loredo RA, Longo C, Trudell D, Yu JS, Resnick D. Assessment of articular cartilage thickness of the humeral head: MR-anatomic correlation in cadavers. AJR Am J Roentgenol. 1995;165(3):615–20.

    Article  CAS  PubMed  Google Scholar 

  7. Kircher J, Patzer T, Magosch P, Lichtenberg S, Habermeyer P. Osteochondral autologous transplantation for the treatment of full-thickness cartilage defects of the shoulder: results at nine years. J Bone Joint Surg Br. 2009;91(4):499–503. doi:10.1302/0301-1620X.1391B1304.21838.

  8. Krych AJ, Sousa PL, King AH, Morgan JA, May JH, Dahm DL. The effect of cartilage injury after arthroscopic stabilization for shoulder instability. Orthopedics. 2015;38(11):e965–9. doi:10.3928/01477447-20151020-01477403.

    Article  PubMed  Google Scholar 

  9. Minas T, Gomoll AH, Rosenberger R, Royce RO, Bryant T. Increased failure rate of autologous chondrocyte implantation after previous treatment with marrow stimulation techniques. Am J Sports Med. 2009;37(5):902–8. doi:10.1177/0363546508330137. Epub 0363546508332009 Mar 0363546508330134.

  10. Ruckstuhl H, de Bruin ED, Stussi E, Vanwanseele B (2008) Post-traumatic glenohumeral cartilage lesions: a systematic review. BMC Musculoskelet Disord 9:107. doi:10.1186/1471-2474-1189-1107.

  11. Saxena V, D’Aquilla K, Marcoon S, Krishnamoorthy G, Gordon JA, Carey JL, Borthakur A, Kneeland JB, Kelly JDt, Reddy R, Sennett BJ. T1rho magnetic resonance imaging to assess cartilage damage after primary shoulder dislocation. Am J Sports Med. 2016:0363546516655338.

    Google Scholar 

  12. Scheibel M, Bartl C, Magosch P, Lichtenberg S, Habermeyer P. Osteochondral autologous transplantation for the treatment of full-thickness articular cartilage defects of the shoulder. J Bone Joint Surg Br. 2004;86(7):991–7.

    Article  CAS  PubMed  Google Scholar 

  13. Steadman JR, Rodkey WG, Briggs KK. Microfracture to treat full-thickness chondral defects: surgical technique, rehabilitation, and outcomes. J Knee Surg. 2002;15(3):170–6.

    PubMed  Google Scholar 

  14. Zumstein V, Kraljevic M, Conzen A, Hoechel S, Muller-Gerbl M. Thickness distribution of the glenohumeral joint cartilage: a quantitative study using computed tomography. Surg Radiol Anat. 2014;36(4):327–31. doi:10.1007/s00276-00013-01221-00272. Epub 02013 Oct 00231.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Julian Mehl .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 ISAKOS

About this chapter

Cite this chapter

Mehl, J., Beitzel, K. (2017). Cartilage Defects. In: Imhoff, A., Savoie III, F. (eds) Shoulder Instability Across the Life Span. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54077-0_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-54077-0_26

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-54076-3

  • Online ISBN: 978-3-662-54077-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics