Grade IV Chondrosis of the Medial Compartment Diagnosis Your diagnosis is full-thickness (Grade IV) cartilage loss of the inner (medial) weight-bearing compartment. Injury or Condition
What is Grade 4 chondrosis of the knee?
What is Grade 4 Chondrosis of the knee? Grade 1 severity indicates softening of the cartilage in the knee area. Grade 2 indicates a softening of the cartilage along with abnormal surface characteristics. Grade 4, the most severe grade, indicates exposure of the bone with a significant portion of cartilage deteriorated.
What does full thickness chondral defect mean?
What does full thickness chondral loss mean? A chondral defect refers to a focal area of damage to the articular cartilage (the cartilage that lines the end of the bones). These can occur from an acute traumatic injury to the knee or an underlying disorder of the bone. what causes Chondrosis?
What is high grade chondral loss?
What is high grade chondral loss? Chondral damage is graded from mild to severe, and all grades can have characteristics of osteoarthritis. Grade I - The cartilage "blisters" and becomes soft in the earliest form of damage. Grade II and III - As the condition worsens, the cartilage may become fibrillated (it has a shredded appearance).
Is chondrosis the same as chondromalacia?
What is chondrosis (chondromalacia)? Chondromalacia patella is a softening and deterioration of the cartilage on the back side of the kneecap. Pain, swelling, and a grinding sensation often accompany this pathology. (This answer provided for NATA by the Weber State University Athletic Training Education Program.)
How is Chondrosis treated?
Arthroscopic surgery to remove damaged and inflamed tissue. Surgical stabilization of the cartilage defect may be needed. Surgical stimulation to replace lost cartilage is successful in cases where the surrounding cartilage is healthy.
How do you treat full thickness of cartilage loss?
In the case of global thinning of the cartilage such as seen with osteoarthritis, the treatment is typically conservative including rest, ice, anti-inflammatory medication, cortisone injection, and physical therapy or a home exercise program.
What causes full thickness chondral loss?
Injury or Condition Cartilage cracking, fragmentation and erosion over time has resulted in full-thickness loss of your weight-bearing (articular) cartilage, often altering the alignment of your lower extremity towards bowing (bow-legged). This condition is osteoarthritic in nature.
Can Chondrosis be cured?
1 Chondrosis can't be cured, but the right treatment may help to slow progression of the disease, ease discomfort and restore mobility.
What grade is full thickness cartilage loss?
Grade 4 is the most severe and indicates full degradation of the cartilaginous surface exposing bone on bone rubbing.
What is a full thickness defect?
Full thickness defects are classified as a lesion that not only passes through articular cartilage but also penetrates the subchondral bone.
What does Chondrosis mean?
Chondrosis is the cartilage breakdown of the soft connective tissues in your joints. It happens due to excessive use, damage, and age factor. Commonly regarded as osteoarthritis, it usually attacks knees, hands, hips, neck, and lower backbone.
Does chondral defect need surgery?
Chondral defects are difficult to treat and can sometimes require surgical repair if all conservative measures have failed.
Does chondromalacia require surgery?
The treatments can include rest, activity modification, physical therapy, stretching, bracing, injections, or arthroscopic surgery. Arthroscopic surgery for patellar chondromalacia involves placing instruments into the knee to shave down any unstable cartilage flaps on the patella and the trochlear groove.
What is Chondrosis of the shoulder?
Glenohumeral chondrolysis is a rapidly destructive condition in the shoulder resulting in progressive loss of articular cartilage and early onset degenerative changes. Glenohumeral arthritis is typically grouped by either primary or secondary causes.
What is chondrolysis of the shoulder?
A: Chondrolysis is defined as a generalized (all over) loss of the articular (surface) cartilage of the glenohumeral joint. The glenohumeral joint refers to both sides of the shoulder joint: the round head at the top of the humerus (upper arm bone) and the glenoid (shallow groove that functions as the shoulder socket).
When do you need a knee replacement?
The most common reason for knee replacement surgery is to relieve severe pain caused by osteoarthritis. People who need knee replacement surgery usually have problems walking, climbing stairs, and getting in and out of chairs. Some also have knee pain at rest.
Can cartilage be repaired without surgery?
While cartilage does not regrow or replace itself, it can be repaired or supplanted by a few different treatment options. Many cartilage injuries can be treated without surgery, via physical therapy and anti-inflammatory medication. This is especially true if you have a sedentary to moderately active lifestyle.
Can cartilage be repaired?
Can cartilage be repaired without surgery? Simply, no. In most cases, surgery is required to repair articular cartilage. In rare cases, small traumatic cartilage lesions form a repair tissue called fibrocartilage on their own.
How can I rebuild my knee cartilage naturally?
Stretch as often as possible. A simple stretch can help prevent stiffness in your joints and lubricate and nourish the cartilage with synovial fluid. Stretch exercises like yoga and pilates can help alleviate the symptoms of osteoarthritis and also strengthen your muscles to prevent further joint injury.
What supplements build cartilage?
Glucosamine is one of the substances in your body that is used to build cartilage.
What is a full-thickness chondral defect?
A chondral defect is a concentrated region of articular cartilage injury (the cartilage that lines the ends of the bones). When cartilage is detach...
Is chondroma malignant?
Chondromas are benign (non-cancerous) cartilage tumors found mostly in the tiny bones of the hand and foot. They can also develop in the humerus (u...
What is a chondroblastoma?
Chondroblastoma is an uncommon form of noncancerous bone tumor that starts in the cartilage. This is the specialized, gristly connective tissue tha...
How is chondroma treated?
Replacement of the thighbone (femur). Chondrosarcomas are primarily treated surgically. The objective is to eliminate the malignancy as well as a h...
Is Sydenham chorea permanent?
Sydenham chorea, like arthritis, normally disappears without permanent harm, although it can occasionally linger for 2-3 years and be a severe issu...
What is choanal atresia in newborns?
Choanal atresia is a tissue constriction or obstruction of the nasal airway. It is a congenital condition, which means it exists from birth. Choana...
Is chondroma malignant?
Chondromas are benign (non-cancerous) cartilage tumors found mostly in the tiny bones of the hand and foot. They can also develop in the humerus (upper arm bone), femur (thigh bone), and ribs. These tumors seldom cause symptoms, but they can cause the damaged bone to shatter readily.
What is a chondroblastoma?
Chondroblastoma is an uncommon form of noncancerous bone tumor that starts in the cartilage. This is the specialized, gristly connective tissue that gives rise to most bones. It is very significant in the growing process. There are several forms of cartilage in the human body.
How is chondroma treated?
Replacement of the thighbone (femur). Chondrosarcomas are primarily treated surgically. The objective is to eliminate the malignancy as well as a healthy margin surrounding it. The sort of surgery you will have will be determined by the location of your chondrosarcoma.
Is Sydenham chorea permanent?
Sydenham chorea, like arthritis, normally disappears without permanent harm, although it can occasionally linger for 2-3 years and be a severe issue for the patient and her family. It is very rare for someone to develop sydenham chorea again after having done so.
What is choanal atresia in newborns?
Choanal atresia is a tissue constriction or obstruction of the nasal airway. It is a congenital condition, which means it exists from birth. Choanal atresia affects about 1 in 4,000 infants born alive. There are several types of choanal atresias.
Diagnosis
Your diagnosis is full-thickness (Grade IV) cartilage loss of the inner (medial) weight-bearing compartment.
Injury or Condition
Cartilage cracking, fragmentation and erosion over time has resulted in full-thickness loss of your weight-bearing (articular) cartilage, often altering the alignment of your lower extremity towards bowing (bow-legged). This condition is osteoarthritic in nature.
Cause
The most common cause is abnormal “wear and tear” of the weight-bearing (articular) cartilage layer within the medial (inner) weight-bearing compartment exposing bare bone. This may have evolved from an unrecognized, high-impact injury, excessive weight or prolonged weight-bearing on hard surfaces.
Symptoms
The typical symptom is increased pain related to weight-bearing activities which is relieved by rest. The pain is often consistently located along the medial (inner) aspect of the knee. Swelling and weakness are commonly present. A loss of knee motion (straightening or bending), and limping are often present.
Recovery
Total recovery is rare. Treatment is designed to relieve pain, improve knee function and delay the requirement of knee replacement surgery. In cases treated by arthroscopic surgery alone, recovery is gradual, over 2-6 months.
Diagnosis
Your diagnosis is full-thickness (Grade IV) cartilage loss of the outer (lateral) weight-bearing compartment.
Injury or Condition
Cartilage cracking, fragmentation and erosion over time has resulted in full thickness loss of your weight-bearing (articular) cartilage, exposing bone and often altering the alignment of your lower extremity (knock-kneed). This condition is also referred to as osteoarthritis.
Cause
The most common cause is abnormal “wear and tear” of the articular (weight-bearing) cartilage layer within the lateral (outer) weight-bearing compartment. This may have evolved from an unrecognized, high-impact injury, excessive body weight or prolonged weight-bearing on hard surfaces.
Symptoms
The typical symptom is increased pain related to weight-bearing activities, which is relieved by rest. The pain is often consistently located along the lateral (outer) aspect of the knee. Swelling and weakness are commonly present. A loss of motion (knee straightening or bending), and limping are often present.
Recovery
Total recovery is rare. Treatment is designed to improve knee function and delay the requirement of knee replacement surgery. In cases treated by arthroscopic surgery alone, recovery is gradual, over 2-6 months. If a correction bone cut (osteotomy) is performed, crutches are generally utilized for one month and full recovery may take 6-9 months.
What is a full thickness wound?
Full thickness wounds are wounds that extend past the two layers of skin (dermis and epidermis) and extend into the subcutaneous tissue (fat and muscle). Some full thickness wounds may even extend all the way to the bone. These types of wounds are usually the result of burns or pressure ulcers (damaged skin due to lack of movement).
What is the use of a sharp object such as scissors or a scalpel to cut out the dead tissue
Sharp debridement - the use of a sharp object such as scissors or a scalpel to cut out the dead tissue. Enzymatic debridement - the use of certain chemical substances that will breakdown and dissolve the dead tissue. Necrotic tissue in a wound.
What is the process of removing necrotic tissue from a wound?
It is important to remove any necrotic tissue from a full thickness wound, a process called debridement. Dr. Rasheed keeps the wound bed moist to improve granulation, the process of forming new tissue. There are various creams and gels that can be applied to the wound for this purpose. Bandaging.
What is the purpose of gauze in a wound?
Dr. Rasheed packs them with gauze prior to covering them up with a bandage. Packing these wounds with gauze helps to absorb blood and other fluids that come out of the wound. Once the wound is packed, Dr. Rasheed covers it with a bandage.
Why is it important to keep a full thickness wound clean?
It is very important to keep full thickness wounds clean in order to prevent infection. Dr. Rasheed is a healthcare professional treating Mary, a victim of full thickness wounds. To clean these wounds, the doctor gently cleanses the wound and surrounding skin, being sure not to scrub the area.
What is the procedure to remove dead tissue?
Therefore, in addition to cleaning the wound, Dr. Rasheed may also need to perform debridement, which is the removal of this dead tissue. There are several different methods of debridement, including: Irrigation debridement - the use of a gentle stream of water to remove the dead tissue.
Can pressure ulcers be full thickness?
Pressure ulcers can often become full thickness wounds. Burn wounds are another example of wounds likely to be classified as full thickness wounds. Extreme heat and fire can burn into tissue, burning past the dermis and epidermis and into the muscle and fat tissue. Burns can also be examples of full thickness wounds if there is damage past ...
Chondral Injuries
Have you been diagnosed with Chondral Injury to your Ankles? Have you experienced that locking of your ankles when you suddenly change in position? Well, that’s fairly common but should not be disregarded at all. Those seconds of pain are your body’s way of telling you that something is not perfectly fine. Let’s talk about the articular cartilage.
Common cartilage damages (Chondral Lesions)
Chondromalacia / Degenerative Chondrosis (Cartilage tears away unevenly, with shallow walls)
Treatment
Articular cartilage lesions in weight-bearing joints often fail to heal on their own and may be associated with pain, loss of function and long-term complications such as osteoarthritis.
Conservative Management
Medications such as analgesics and NSAIDs, Hormones, glucosamine/chondroitin (cartilage-protective agents), Steroid/hyaluronic acid injection. Hyaluronic acid works as a lubricant and cushion in the joints and other tissues, affecting the weight-bearing ability and the body’s response to injury.
What Is the Hip?
The “hip” is a term used to describe a large area of the body including the pelvis. The hip joint is the ball-and-socket joint where the ball-shaped top of the femur fits into the “socket” (acetabulum) of the pelvis. This joint is protected by a joint capsule, muscles, and ligaments to add to its stability.
What Are Labral Tears?
The rim of the socket of the hip joint is lined by a ring of cartilage called the labrum. The labrum provides additional support and cushioning at the rim of the joint, and facilitates adequate nutrition of the hip cartilage. It assists in normal motion of the hip. When the labrum is damaged, the hip can catch, lock, and cause pain.
What Are Chondral Lesions in the Hip?
In your joints, the ends of your bones are covered with articular cartilage, which is a tissue that reduces friction to allow for smooth joint mobility. This tissue also acts as a shock absorber by protecting the joint during impact activities such as running and jumping.
Common Causes
A labral tear or chondral lesion in the hip can occur from an injury, repetitive motion, soft tissue instability in connective tissue diseases (for example Ehlers Danlos Syndrome), or normal wear and tear. It is frequently associated with abnormality of the ball-and-socket joint called femoroacetabular impingement (FAI).
Diagnosis
Initially, a medical history and physical examination by a musculoskeletal expert should be completed. Diagnostic imaging like x-rays or MRI may be ordered.
Treatment Options
Non-Surgical To control pain, over-the-counter medications could be taken. Anti-inflammatory medications may be recommended. Injections may also be prescribed to relieve pain, but can also provide diagnostic information to differentiate from hip pain that might actually be caused by the spine or surrounding soft tissues.
How to treat chondromalacia patellae?
The goal of treatment is to reduce the pressure on your kneecap and joint. Resting, stabilizing, and icing the joint may be the first line of treatment. The cartilage damage resulting in runner’s knee can often repair itself with rest.
What is grade 1 knee?
Grade 1 is least severe, while grade 4 indicates the greatest severity. Grade 1 severity indicates softening of the cartilage in the knee area. Grade 2 indicates a softening of the cartilage along with abnormal surface characteristics. This usually marks the beginning of tissue erosion.
What to do if knee cartilage is softened?
If the cartilage is softened or shredded, damaged layers can be removed during the surgery, leaving healthy cartilage in place.
Why does my knee feel sore when I bend it?
In some cases, the painful knee also can appear puffy or swollen. Chondromalacia can cause a creaky sound or grinding sensation when you move your knee.
How to prevent chondromalacia?
You may be able to reduce your risk of chondromalacia by preventing knee injuries and overuse of your knee joints. To do this: 1 Warm up and stretch before you participate in athletic activities. 2 Do exercises to strengthen the leg muscles around your knee, especially the muscles in your thigh called the quadriceps. 3 Increase the intensity of your training program gradually. Never push yourself too hard, too fast. 4 Wear comfortable, supportive shoes that fit your feet and your sport. Problems with foot alignment can increase your risk of knee injuries. Ask your doctor about shoe inserts that can correct alignment problems. 5 If you ski or if you play football or soccer, ask your doctor or trainer about specific equipment that can help to reduce your risk of knee injuries. 6 If you often kneel on hard surfaces when you work, wear protective knee pads.
Where is the pain in the knee?
The ends of the bones can rub together, causing pain. Chondromalacia can affect any joint, but the most common location is the underside of the kneecap. It usually begins as a small area of softened cartilage behind the kneecap (patella) that can be painful.
What is the term for the soft tissue that covers the ends of bones?
Sometimes, the cartilage inside a joint softens and breaks down. This condition is called chondromalacia. The cartilage loses its ability to protect the ends ...
How to examine knees?
In some cases, your doctor may want to examine your knee through a type of surgery called arthroscopy. A tube-like instrument is inserted into your knee through a small incision to allow the doctor to look at the inside of the joint and correct problems.
Why do I have a swollen kneecap?
These causes include: Trauma , especially a fracture (break) or dislocation of the kneecap. An imbalance of the muscles around the knee (Some muscles are weaker than others.) Overuse (repeated bending or twisting) of the knee joint, especially during sports. Poorly aligned muscles or bones near the knee joint.
