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He or she may also ask the patient to move in certain ways for instance, if the knee is injured, the patient may be asked to perform a squat, walk, or “duck walk.” He or she may bend and rotate the joint to evaluate pain, swelling, range of motion and ligament stability. He or she may also ask about previous surgeries, whether any specific injury precipitated the symptoms, and the types of physical activities typically performed.ĭuring the physical exam, the doctor will observe how the joint moves. The doctor will start by asking about pain and other symptoms in and around the affected joint. (Chondral simply means “relating to cartilage.”) Chondral injuries typically don’t heal well on their own, in part, because articular cartilage does not have a blood supply, which promotes healing.ĭiagnosing cartilage injuries and damage usually entails obtaining a medical history, performing a physical exam, and ordering one or more diagnostic tests. In many cases, the damage is limited to the thin layer of articular cartilage at the end of a bone, which is referred to as a chondral injury or chondral defect. Poor alignment of joints due to a congenital (meaning “at-birth”) abnormality or previous injuryĪrticular cartilage injuries most frequently occur in the knee, but they may also involve the hip, ankle, shoulder, and ankle.Progressive wear and tear, usually over several decades of use.
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To understand articular cartilage, it’s best to start with the basics. Articular cartilage injuries are difficult to treat successfully and require technical expertise,” says Christina Allen, MD, chief of Yale Medicine Orthopaedics & Rehabilitation Sports Medicine and head team physician for Yale Athletics. “The treatment of cartilage injuries remains one of the most difficult challenges in medicine. While articular cartilage injuries can be painful and may make it difficult to go about your daily activities, there are several treatments available to both relieve bothersome symptoms and repair and restore damaged articular cartilage. This type of injury most frequently occurs in the knee, but it may also involve the hip, elbow, shoulder, and ankle. After doing a physical examination and running some diagnostic tests, the orthopaedist tells you that your daughter has suffered an injury to the articular cartilage, a type of connective tissue that covers the ends of the bone in joints like your knee and elbow.Īrticular cartilage injuries are a common joint injury, especially among those who are physically active. When these symptoms don’t go away after a few days, you set up a doctor’s appointment. After the game, her knee is swollen and stiff, and she tells you it’s really sore. She runs down the field, plants her foot, and cuts sharply to her left. You’re watching your daughter play in the high school championship soccer game.