• Spectrum of disease entities, from single focal defects to advanced degenerative disease of articular cartilage
  • Cartilage injuries have limited spontaneous healing and propensity to worsen over time
  • complain of effusion, motion deficits, mechanical symptoms (e.g., catching, instability)
  • Outerbridge Arthroscopic Grading System
  • Visco supplementatoin, corticosteroid injections, unloader brace can be tried as first line of management 
  • Active patients where full-thickness lesions expose underlying subchondral bone, symptomatic patients require surgical management
  • Surgical options include microfracture, OATS, ACI and MACI

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