<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Background:</bold> Chondral and osteochondral injuries of the knee joint are undervalued in subjects undergoing orthopedic surgery. Chondral lesions are difficult to diagnose as they do not present specific clinical signs. The objective of the study was to establish the prevalence of cartilage injuries in patients undergoing arthroscopy of the knee for knee pain or instability.<bold>Materials and methods:</bold> A retrospective study was conducted on 355 consecutive knee arthroscopies. Chondral lesions were found in 247 (69.6%) cases. Regarding their location, chondral lesions were more likely to be located on the medial femoral condyle (53.8%), while lesions on the lateral femoral condyle alone (0.8%) were the least frequent ones. Chondral injuries were frequently found with associated articular findings such as meniscal lesions (56.68%) and anterior cruciate ligament tears (2.84%) or both menisci and anterior cruciate ligament tear (15.38%). The ICRS grade II cartilage lesions were most frequently diagnosed (56.3%) while grade IV was the least frequent type (6.9%).<bold>Conclusions:</bold> Chondral damage is frequently diagnosed during knee arthroscopy, present in more than 50% of the arthroscopies performed for various indications, and an important part of cartilage injuries were linked with other intraarticular findings, such as anterior cruciate ligament tear and medial meniscus tear.</abstract>

Background: Chondral and osteochondral injuries of the knee joint are undervalued in subjects undergoing orthopedic surgery. Chondral lesions are difficult to diagnose as they do not present specific clinical signs. The objective of the study was to establish the prevalence of cartilage injuries in patients undergoing arthroscopy of the knee for knee pain or instability.Materials and methods: A retrospective study was conducted on 355 consecutive knee arthroscopies. Chondral lesions were found in 247 (69.6%) cases. Regarding their location, chondral lesions were more likely to be located on the medial femoral condyle (53.8%), while lesions on the lateral femoral condyle alone (0.8%) were the least frequent ones. Chondral injuries were frequently found with associated articular findings such as meniscal lesions (56.68%) and anterior cruciate ligament tears (2.84%) or both menisci and anterior cruciate ligament tear (15.38%). The ICRS grade II cartilage lesions were most frequently diagnosed (56.3%) while grade IV was the least frequent type (6.9%).Conclusions: Chondral damage is frequently diagnosed during knee arthroscopy, present in more than 50% of the arthroscopies performed for various indications, and an important part of cartilage injuries were linked with other intraarticular findings, such as anterior cruciate ligament tear and medial meniscus tear.

Prevalence of Chondral Lesions in Knee Arthroscopy

Department of Anesthesiology and Intensive Care

Department of Orthopedics and Traumatology

Journal of Interdisciplinary Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Prevalence of Chondral Lesions in Knee Arthroscopy"}

Background: Chondral and osteochondral injuries of the knee joint are undervalued in subjects undergoing orthopedic surgery. Chondral lesions are difficult to...

Prevalence of Chondral Lesions in Knee Arthroscopy

Published Online: Dec 18, 2018

Page range: 21 - 24

Received: Feb 01, 2018

Accepted: Mar 21, 2018

DOI: https://doi.org/10.2478/jim-2018-0008

Keywords
chondral injury, knee arthroscopy, ICRS classification

© 2018 Pál Fodor et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Prevalence of Chondral Lesions in Knee Arthroscopy

Published Online: Dec 18, 2018

Page range: 21 - 24

Received: Feb 01, 2018

Accepted: Mar 21, 2018

DOI: https://doi.org/10.2478/jim-2018-0008

Keywordschondral injury, knee arthroscopy, ICRS classification

© 2018 Pál Fodor et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
chondral injury, knee arthroscopy, ICRS classification