Flashcards in 04 Articular Cartilage 1 Deck (21):
80% of all ACL reconstructions are done by
surgeons who do less than 10 per year
What is one of the most common problems in the knee (esp. at the knee joint)
What are examples of chondral injuries
What is the 2nd most common surgery performed in orthopedics (next to meniscectomy)
Hallmarks of OA aka
What are Fairbank's changes?
- joint space narrowing
- bone spurs
- sclerotic borders
- subchondral bone cysts
What are the nonsurgical treatments of OA?
- drug therapy
- weight loss
- aerobic exercise
What is often done along with PT as a nonsurgical treatment of OA?
- OA unloader brace
- nutritional supplements
- intra-articular injections
What is one type of intra-articular injection done for OA?
What are the 3 classification systems for articular cartilage defects?
- Outerbridge classification
- Kellgren and Lawrence
- Classification ICRS
international cartilage repair society
Outerbridge classification: how many grades?
Outerbridge classification: grade 1
softening of the cartilage
Outerbridge classification: grade 2
fibrillation of superficial part of cartilage
Outerbridge classification: grade 3
partial thickness lesion
Outerbridge classification: grade 4
full thickness lesion down to subchondral bone
What is the articular cartilage pathology that you "may not have seen, but it has seen you"
occult geographic bone contusions of the knee: the unknown
What are bone contusions?
trabecular micro-fractures that result from traumatic injuries to the bone
Where are bone contusions most common?
These patients have a high likelihood of getting a bone contusions. Where and what percentage?
- 80-100% of ACL patients also get bone contusions
- lateral compartment