DefectsHyalineOsteoarthritisDefectTissueChondrocytesLesionsDegenerationBoneFibrocartilageMicrofractureSurface of the articular cartilageFunction of articular cartilageAnalysis of articular cartilageRegeneration of articular cartilageIntra-articularArthritisPorcine articular cartilageDiagnose articular cartilageExtracellular matrixHealthy cartilageInjuriesProgressive destruction of articularBreakdown of articularMeniscusJointArthroscopySurgicalSynovialThicknessFrictionSymptomsRegenerateStimulate the growth of new cartilageBovineMeniscalJointsAreas of cartilage lossRemove the damaged cartilageRepairImplantationTreatmentsInjuryBonesProteoglycanArthroscopicLesionSurgeryAvascularChondralPatient'sAnalyzed in vitroTreatmentBehavior
Defects14
- Several surgical techniques have been developed in the effort to repair articular cartilage defects. (wikipedia.org)
- 2006) found that small articular cartilage defects can progress to osteoarthritis over time if left untreated. (wikipedia.org)
- Untreated cartilage defects often lead to joint pain and degeneration over time, often requiring joint replacement. (ca.gov)
- The proposed candidate is a universal cell therapy designed to generate new articular cartilage in these defects and interrupt the cycle of degeneration. (ca.gov)
- These conservative strategies can alleviate pain symptoms, but they cannot terminate the progression of cartilage deterioration and repair cartilage defects. (biomedcentral.com)
- Microfracture is a surgical technique used to treat articular cartilage defects in joints. (thekneesurgeon.com)
- This method is used for smaller cartilage defects. (johnrudermd.com)
- In patients who do not have good edges of cartilage (well-shouldered) or with larger defects, there is a lesser chance that this clot will form in the correct position due to abrasion from the opposing cartilage surface or from the clot not having a proper edge to form along. (drrobertlaprademd.com)
- Knee cartilage restoration is a surgical technique to repair damaged articular cartilage in the knee joint by stimulating new growth of cartilage or by transplanting cartilage into areas with defects in order to relieve pain and restore normal function to the knee. (jonwhitehurstmd.com)
- 14.Steadman, J. R., Rodkey, W. G., Briggs, K. K. & Rodrigo, J. J. [The microfracture technic in the management of complete cartilage defects in the knee joint]. (howhelp.org)
- As such, Dr. Cunningham only considers Microfracture surgery for cartilage defects that are hard to access, and thus are not amenable to other cartilage procedures. (drrichardcunningham.com)
- Articular cartilage defects occur when cartilage of the knee becomes damaged and can eventually lead to osteoarthritis. (matthewprovenchermd.com)
- He will also perform a series of simple x-rays and an MRI scan to assess the amount of remaining cartilage and to identify defects in the cartilage surface. (matthewprovenchermd.com)
- This method is used to treat smaller cartilage defects since the graft that is taken from your own body will be limited. (ortholasvegas.com)
Hyaline12
- it is much denser and it doesn't withstand the demands of everyday activities as much as hyaline cartilage. (wikipedia.org)
- Articular cartilage is also called joint cartilage or hyaline cartilage . (kneeguru.co.uk)
- The defect area was successfully regenerated with hyaline cartilage in the Safranin-O stain and International Cartilage Repair Society (ICRS) scoring after 8 weeks of implantation. (nih.gov)
- However, this new formed tissue is a fibrocartilaginous type cartilage and no a hyaline cartilage, which finally leads to degeneration. (upv.es)
- However, clinical efficacy of these treatments is not conclusive, as these treatments do not consistently regenerate hyaline cartilage. (biomedcentral.com)
- Fibrocartilage is not the same as the original hyaline cartilage that covers joint surfaces, but it can provide some degree of cushioning and joint function. (thekneesurgeon.com)
- The fibrocartilage that forms after microfracture is not as durable or long-lasting as the original hyaline cartilage. (thekneesurgeon.com)
- Articular or hyaline cartilage is the tissue lining the surface of the two bones in the knee joint. (johnrudermd.com)
- The goal of cartilage replacement procedures is to stimulate the growth of new hyaline cartilage. (johnrudermd.com)
- Over time, the clot matures with the majority of patients having a combination of fibrocartilage and hyaline cartilage forming to repair the defect. (drrobertlaprademd.com)
- Articular or hyaline cartilage is a smooth tissue that covers the bone surfaces in a joint helping in smooth bony interactions during movements of the joint. (ortholasvegas.com)
- [ 1 ] It can be thought of as a degenerative disorder arising from the biochemical breakdown of articular (hyaline) cartilage in the synovial joints. (medscape.com)
Osteoarthritis12
- To retrospectively correlate radiographic findings of osteoarthritis of the tibiofemoral joint with arthroscopic findings of articular cartilage degeneration within the tibiofemoral joint in patients with chronic knee pain. (nih.gov)
- The sensitivity and specificity of the radiographic features of osteoarthritis for the detection of articular cartilage degeneration within the medial and lateral compartments of the tibiofemoral joint were determined. (nih.gov)
- The pathogenesis of osteoarthritis (OA) involves articular cartilage, synovial tissue and subchondral bone and is therefore a disease of the whole joint. (uni-frankfurt.de)
- Articular cartilage undergoes severe loss of proteoglycan and its constituent glycosaminoglycans (GAGs) in osteoarthritis. (cardiff.ac.uk)
- Osteoarthritis of the metacarpophalangeal joint is common cause of lameness in equine athletes, and is hallmarked by articular cartilage damage. (avmi.net)
- Articular cartilage repair is a critical issue in osteoarthritis (OA) treatment. (biomedcentral.com)
- Osteoarthritis (OA) is characterized by the progressive destruction of articular cartilage, which seriously restricts sports ability and impacts quality of life. (biomedcentral.com)
- Indeed, physiological loads are essential to maintain cartilage thickness in a healthy joint and excessive mechanical stress is associated with the breakdown of the matrix that is seen in osteoarthritis (OA). (ox.ac.uk)
- Obesity is associated with both the acceleration of cartilage degeneration and worsening of clinical symptoms in patients with osteoarthritis. (physio-network.com)
- Once the cartilage is torn it will not heal easily and can lead to degeneration of the articular surface, leading to the development of osteoarthritis. (johnrudermd.com)
- Over time, the articular cartilage will wear down to the bone and cause painful osteoarthritis. (matthewprovenchermd.com)
- However, the current view holds that osteoarthritis involves not only the articular cartilage but the entire joint organ, including the subchondral bone and synovium. (medscape.com)
Defect18
- citation needed] Articular cartilage does not usually regenerate (the process of repair by formation of the same type of tissue) after injury or disease leading to loss of tissue and formation of a defect. (wikipedia.org)
- An articular cartilage defect that initially may be small still has the potential to have a physical and chemical "domino effect" on the surrounding "normal" articular cartilage. (wikipedia.org)
- If left untreated, the cartilage lesions will gradually worsen and the grade of the lesion or defect will increase. (wikipedia.org)
- This finding provides early evidence that ASCs may be unsuitable for promoting chondrocyte migration in a cartilage defect model. (queensu.ca)
- Recently, injectable hydrogels have attracted attention for the tissue engineering of articular cartilage due to their ability to encapsulate cells, injectability in the injury with minimal invasive surgeries and adaptability to the shape of the defect. (upv.es)
- Once a cartilage defect occurs, self-repair is not easy [ 3 ]. (biomedcentral.com)
- When cartilage is damaged, MSCs derived from synovial fluid can partially move to the injured site and differentiate into chondrocytes to repair the defect, and IGF-1 induces chondrogenic differentiation [ 11 , 12 , 13 ]. (biomedcentral.com)
- What is an Articular Cartilage Defect? (drsathu.com.au)
- Microfracture surgery is performed to try to restore a full-thickness cartilage defect of the knee. (drrobertlaprademd.com)
- A thin wear spot in articular cartilage is called a chondral defect. (drrichardcunningham.com)
- The patient is then brought back to surgery, the knee joint is opened through a 3 inch incision, the area of exposed bone is prepared and the membrane with the patient's cartilage cells is imbedded into the cartilage defect and secured in place with a type of human glue. (drrichardcunningham.com)
- The cells will then continue to multiply, harden and fill the defect with actual articular cartilage as well as some fibrocartilage. (drrichardcunningham.com)
- If so, you may have an articular cartilage defect. (matthewprovenchermd.com)
- Articular cartilage treatment varies for each patient depending on patient's age, patient's activity level, defect size and location and associated knee injuries. (matthewprovenchermd.com)
- If a large, focal defect is present or conservative measures fail to alleviate symptoms, Dr. Provencher may recommend a surgical knee cartilage repair. (matthewprovenchermd.com)
- Autologous chondrocyte implantation (ACI): This is a two-step procedure, where the healthy cartilage cells are removed from the non-weight-bearing joint, grown in the laboratory and then implanted in the cartilage defect during the second procedure. (ortholasvegas.com)
- The new cartilage cells are then injected under the periosteum into the cartilage defect to allow the growth of new cartilage cells. (ortholasvegas.com)
- This is used as a graft and transplanted to the area of cartilage defect. (ortholasvegas.com)
Tissue33
- Scar tissue made up of a type of cartilage called fibrocartilage is then formed. (wikipedia.org)
- There are no nerves in cartilage tissue, but any lesions can cause the knee joint to become inflamed and painful. (zehrcenter.com)
- Moreover, the diffusion coefficient of Hexabrix was between 2.9 and 8.6 times lower than that of Visipaque that reflects the important effect of solute's charge on the transport through charged hydrated tissue such as articular cartilage. (tudelft.nl)
- We hypothesize that the low GAG content of osteoarthritic cartilage renders the tissue susceptible to pathological vascularization. (cardiff.ac.uk)
- EN] Articular cartilage is a tissue with low capacity for self-restoration due to its avascularity and low cell population. (upv.es)
- however, it does not have the adequate mechanical properties, does not provide the biological cues for cells and regenerated tissue is not articular cartilage but fibrocartilage. (upv.es)
- Their three-dimensionality plays a critical role in articular cartilage tissue engineering to maintain chondrocyte function, since monolayer culture of chondrocytes makes them dedifferentiate towards a fibroblast-like phenotype secreting fibrocartilage. (upv.es)
- Following this new approach we aimed at synthesizing two new families of injectable hydrogels based on the natural protein gelatin for the tissue engineering of articular cartilage. (upv.es)
- Localized areas of cartilage loss may be treated arthoscopically by various techniques including internal fixation, microfracture, cartilage replacement with patient's tissue or donor tissue, or cartilage regrowth techniques. (jeffreydcartermd.com)
- Literature review: The articular cartilage is a highly specialized tissue that reduces joint friction and distributes forces related to high mechanical loads between bone ends. (bvsalud.org)
- Accordingly, tissue engineering could overcome these limitations by producing in vitro cartilage substitutes. (bvsalud.org)
- The tough yet elastic tissue that covers the ends of bones in the knee is called articular cartilage. (sportsmedicineweekly.com)
- Aided by a small camera, surgeons can locate damaged tissue and trim away areas of torn cartilage. (sportsmedicineweekly.com)
- Microfracture aims to stimulate the growth of cartilage tissue within the knee. (sulishospital.com)
- Cartilage is the flexible tissue that covers the ends of your bones, enabling them to move over one another smoothly. (sulishospital.com)
- To identify mechanical changes due to cartilage treatments, a semiautomated indentation protocol for repeatable material characterization of the tissue was developed. (lievers.net)
- Crosslinking the impacted cartilage reversed the loss of the modulus and left the tissue 37% stiffer than initially. (lievers.net)
- Healthy cartilage tissue (graft) is taken from the bone that bears less weight and is transferred to the place of the injured joint. (johnrudermd.com)
- A cartilage tissue (graft) is taken from a donor and transplanted to the site of the injury. (johnrudermd.com)
- 50) have well-localized articular cartilage damage with good articular cartilage edges of the remaining cartilage present (well-shouldered) and who have good ligament stability of their knee (or who are undergoing concurrent ligament reconstruction), have normal lower extremity alignment, and who have good remaining meniscal tissue (the protective cushioning material for the articular cartilage). (drrobertlaprademd.com)
- In addition to making sure that one has the best prepared area for the clot to form, which involves removing the scar tissue and calcified cartilage layer, a well-shouldered rim of remaining cartilage and good joint stability is required. (drrobertlaprademd.com)
- We keep our patients non-weightbearing for 6-8 weeks after microfracture surgery and use a continuous passive motion machine for 8 hours a day to try to help the repair tissue to form the best quality-healing cartilage. (drrobertlaprademd.com)
- Articular cartilage is the smooth, shiny, white tissue covering the ends of bones that form a joint. (jonwhitehurstmd.com)
- This paper reclaims the term "mechanotherapy" and presents the current scientific knowledge underpinning how load may be used therapeutically to stimulate tissue repair and remodelling in tendon, muscle, cartilage and bone. (bmj.com)
- 1 - 4 But what happens at the tissue level to promote repair and remodelling of tendon, muscle, articular cartilage and bone? (bmj.com)
- Articular cartilage is a complex tissue, comprised of solid and electrolytic fluid constituents that continuously interact to generate remarkable mechanical responses. (uconn.edu)
- This thesis reports a novel tissue engineering strategy using a facile, very low cost-based microfluidic technique to produce visible light crosslinked microgels composed of protein-based material for human articular cartilage tissue regeneration. (monash.edu)
- This study demonstrates the superiority compared to conventional bulk hydrogel with encouraging potential of this system to be applied in the further cartilage tissue clinical translate studies, with additional potential for a broad range of regenerative medicine. (monash.edu)
- A variety of cell types emanate from the bone forming "fibrocartilage," which is a mixture of cartilage, bone, and scar tissue. (drrichardcunningham.com)
- Cartilage cells are harvested from the biopsy tissue, expanded in a lab and then replanted in the patient's knee during a second surgery, providing growth of new cartilage surfaces. (matthewprovenchermd.com)
- Osteochondral allograft transplantation: In this procedure, healthy cartilage tissue is taken from a donor from the bone bank. (ortholasvegas.com)
- Plain radiographic classification systems can describe clinical progression of arthropathy, but MRI has advantages over radiography because it can visualize soft tissue and cartilage changes in hemophilic joints. (medscape.com)
- Hemophilic arthropathy is caused by recurrent hemorrhage into joints and results in an arthritis that is characterized by soft tissue changes of proliferation of hemosiderin-laden synovium and osteochondral changes of subchondral erosions, cyst formation, and cartilage loss. (medscape.com)
Chondrocytes12
- Since articular cartilage does not have a blood supply and chondrocytes (cells in articular cartilage) have limited mobility, the articular cartilage has very limited ability to heal itself. (wikipedia.org)
- Rabbit articular chondrocytes were then seeded on three different HAM substrates: the epithelial side of intact HAM (IHE), basement side of denuded HAM (DHB), and stromal side of denuded HAM (DHS). (nih.gov)
- Long-term repair of porcine articular cartilage using cryopreservable, clinically compatible human embryonic stem cell-derived chondrocytes. (ca.gov)
- Mapping molecular landmarks of human skeletal ontogeny and pluripotent stem cell-derived articular chondrocytes. (ca.gov)
- Cartilage degeneration seemed to be driven mainly by the increased synovial inflammation accompanied by an increased MMP13 expression in synoviocytes and not in chondrocytes. (uni-frankfurt.de)
- Transplantation of autologous chondrocytes has been proposed to regenerate articular cartilage but this therapy fails mainly to the absence of a material support (scaffold) for the adequate stimulation of cells. (upv.es)
- Articular cartilage is mainly composed of chondrocytes and dense extracellular matrix (ECM) without blood vessels or innervation. (biomedcentral.com)
- Strategies for IGF delivery to chondrocytes and cartilage matrix are essential for its clinical application in OA treatment. (biomedcentral.com)
- Collagen, proteoglycans and chondrocytes can contribute to ultrasound scattering in articular cartilage. (jukkaliukkonen.fi)
- Cartilage is made up of cells called chondrocytes, which are contained in an extracellular matrix consisting of cross-linked type II collagen fibres. (trackactive.co)
- The displacement of water in and out of cartilage during loading assists in increasing the rate at which the chondrocytes receive nutrients (Handley, 1995). (trackactive.co)
- To understand the mechanism of cartilage degeneration and remodeling, it is important to know the mechanical stimuli to chondrocytes for physiological loading conditions. (cdc.gov)
Lesions10
- Our group of scientists and clinicians has been continuously funded by the California Institute of Regenerative Medicine (CIRM) to develop a first-in class pluripotent stem cell-based therapy for focal articular cartilage lesions. (ca.gov)
- The work described in this proposal is designed to produce a universal treatment for articular cartilage lesions. (ca.gov)
- To use the KOOS subscales in safety and efficacy trials assessing new treatments for patients with articular cartilage lesions, additional validation work, using input from patients with articular cartilage lesions, was necessary. (rti.org)
- Purpose: Qualitative and quantitative evaluations of the KOOS subscales' validity among patients with articular cartilage lesions were conducted to support their use as clinically meaningful end points in clinical trials. (rti.org)
- Results: Qualitative research confirmed that concepts measured on the KOOS are important to patients with articular cartilage lesions. (rti.org)
- Lesions can appear in the surface, damaging the articular cartilage. (zehrcenter.com)
- Grade 2 lesions were 1 to 2 cm in diameter and involved the "deeper layers" of cartilage. (musculoskeletalkey.com)
- Grade 3 indicated lesions that were 2 to 4 cm in diameter in which the cartilage was completely eroded and subchondral bone was exposed. (musculoskeletalkey.com)
- More than 50 percentage of the articular cartilage has lesions that have deep crevices. (epainassist.com)
- Quantitative T2 values enable early and sensitive detection of early cartilage lesions. (bvsalud.org)
Degeneration10
- The proposed treatment may be of major public benefit, as it would represent the first curative strategy for cartilage injury and subsequent degeneration, likely decreasing economic burden on the state and its people. (ca.gov)
- Data were correlated with cartilage damage, as quantified by the Cartilage Degeneration Index. (unboundmedicine.com)
- Sympathectomy leads to less pronounced cartilage degeneration (OARSI score) after DMM compared to DMM in WT mice. (uni-frankfurt.de)
- Furthermore, the release of the type II collagen degradation fragment CTX-II was abolished in Syx DMM mice compared to WT DMM mice, suggesting that less SNS activity due to sympathectomy reduced the cartilage degeneration during OA pathogenesis. (uni-frankfurt.de)
- The pathological changes in synovium and cartilage might also be linked to each other, as indicated by the moderate correlation between the synovial inflammation (synovitis score) and cartilage degeneration (OARSI score). (uni-frankfurt.de)
- The data on DMM induction in β2-AR deficient mice revealed that the β2-AR signaling is involved in cartilage degeneration and the aggravated subchondral bone changes as these mice had less pronounced cartilage degeneration compared to WT mice. (uni-frankfurt.de)
- While the cartilage degeneration was similar, the subchondral bone changes were more pronounced in β2-AR deficient mice compared to the Syx mice. (uni-frankfurt.de)
- A reduced SNS activity by sympathectomy attenuated cartilage degeneration and synovitis but aggravated the OA specific subchondral bone changes. (uni-frankfurt.de)
- Variations in the intrinsic mechanical properties of human articular cartilage with age, degeneration, and water content. (lievers.net)
- and degeneration of articular cartilage. (cdc.gov)
Bone26
- X-rays show only bone injuries and are therefore not very helpful in diagnosing cartilage damage, especially not in early stages. (wikipedia.org)
- TY - JOUR T1 - Nitrite and nitrotyrosine concentrations in articular cartilage, subchondral bone, and trabecular bone of normal juvenile, normal adult, and osteoarthritic adult equine metacarpophalangeal joints. (unboundmedicine.com)
- If the lesion is large enough, the bone below the cartilage will be exposed. (zehrcenter.com)
- OA is characterized by progressive degradation of cartilage, synovial inflammation, osteophyte formation and subchondral bone sclerosis. (uni-frankfurt.de)
- Subchondral bone volume as well the thickness of the subchondral bone plate (SCBP) and calcified cartilage (CC) were increased in Syx mice compared to WT after DMM. (uni-frankfurt.de)
- Overall, the SNS had differential effects in cartilage, synovium and subchondral bone. (uni-frankfurt.de)
- Articular cartilage thickness was measured in nine regions of the third metacarpal bone and proximal phalanx on sagittal plane MRI sequences. (avmi.net)
- Even with the use of intra-articular contrast, cartilage surfaces were difficult to differentiate in regions where the cartilage surfaces of the proximal phalanx and third metacarpal bone were in close contact with each other. (avmi.net)
- In a grade 4 lesion , the cartilage was eroded down to subchondral bone. (musculoskeletalkey.com)
- Also more pressure on knee cartilages over a period of time set off the cartilages thinner, then frictions starts off, then it leads to bone damage. (epainassist.com)
- The underlying sub chronal knee bone is visible and the knee articular cartilage has damaged severely. (epainassist.com)
- This technique, analogous to a hair-plug transfer, allows surgeons to remove a small section of the patient?s own bone and cartilage from an area of the knee that does not bear weight, and transfer the plug to a damaged portion of the knee. (sportsmedicineweekly.com)
- A procedure where a surgeon cuts the thigh or shin bone to realign the leg, shifting the weight-bearing burden from the painful portion of the knee, where cartilage is missing or damaged, to a healthier stronger portion of the knee. (sportsmedicineweekly.com)
- Tiny holes are drilled into the bone beneath the damaged cartilage, enabling some of the marrow to enter the cartilage, where it stimulates growth. (sulishospital.com)
- There is also a condition called Osteochondritis Dissecans, which is when a section of bone loses blood flow and breaks off, taking the attached cartilage with it. (sulishospital.com)
- Subfracture insult to a knee joint causes alterations in the bone and in the functional stiffness of overlying cartilage. (lievers.net)
- Using a specialized tools the surgeon creates multiple small holes (microfractures) in the underlying bone that lies beneath the damaged cartilage. (thekneesurgeon.com)
- When articular cartilage wears completely away from the ends of the bones in a joint, then the result is "bone on bone" arthritis. (drrichardcunningham.com)
- When areas of articular cartilage are lost in a knee joint and there is exposed bone with no overlying coating cartilage, patients typically experience pain, swelling, and catching in the knee. (drrichardcunningham.com)
- In this technique, an arthroscope is placed into an injured knee and two Tic Tac sized pieces of cartilage with some underlying bone are taken from peripheral areas of the knee. (drrichardcunningham.com)
- In an autograft OATs procedure, small plugs of cartilage and bone are removed from the healthy portion of a patient's knee and transferred to the damaged area. (matthewprovenchermd.com)
- In an allograft OATs procedure, the cartilage and bone plugs are harvested from a donor and transplanted to the damaged area. (matthewprovenchermd.com)
- The holes are made in the bone under the cartilage, called the subchondral bone. (ortholasvegas.com)
- Your knee joint is made up of bone, cartilage, ligaments and fluid. (medlineplus.gov)
- Intra-articular bleeding produces a direct chemical effect on the synovium, cartilage, and bone. (medscape.com)
- Damage to the bone and articular cartilage appears later. (medscape.com)
Fibrocartilage3
- Your body will form a scar in the area using a special type of cartilage called fibrocartilage. (zehrcenter.com)
- This cartilage fill is more durable and long lasting than the fibrocartilage that Microfracture results in. (drrichardcunningham.com)
- This gradually leads to a covering of new fibrocartilage that replaces the damaged cartilage. (matthewprovenchermd.com)
Microfracture6
- Microfracture surgery of the knee is indicated to resurface well-defined, small to medium size areas of full-thickness articular cartilage damage of the knee. (drrobertlaprademd.com)
- Through these studies, it was found that non-weightbearing with the use of a continuous passive motion machine for 6-8 weeks, having well-defined edges of the remaining cartilage, and removing the calcified cartilage layer was necessary to have optimal outcomes after a microfracture surgery. (drrobertlaprademd.com)
- Microfracture surgery has withstood the test of time in terms of the treatment of articular cartilage damage . (drrobertlaprademd.com)
- What Are The Symptoms Of An Articular Cartilage Injury That Can Be Treated With Microfracture Surgery? (drrobertlaprademd.com)
- After Articular Cartilage Damaged Has Been Diagnosed, What Factors Indicate Microfracture? (drrobertlaprademd.com)
- Chondroinduction is the main cartilage repair response to microfracture and microfracture with BST-CarGel: results as shown by ICRS-II histological scoring and a novel zonal collagen type scoring method of human clinical biopsy specimens. (howhelp.org)
Surface of the articular cartilage2
- However, it lacks the smooth, glassy surface of the articular cartilage that normally covers the surface of the knee joint. (zehrcenter.com)
- In addition, some water is displaced from the surface of the articular cartilage, which provides a lubricating film. (trackactive.co)
Function of articular cartilage2
- The primary function of articular cartilage is to reduce the friction between joints and make joint movement smooth, soft, and painless [ 1 ]. (biomedcentral.com)
- In this work we combined ex vivo mechanical experiments with imaging modalities to determine how mechanical impacts affect the structure and function of articular cartilage. (uconn.edu)
Analysis of articular cartilage2
- Dr. Karen Hambly, Articular Cartilage Repair of the Knee MRI-scans are becoming more valuable in the analysis of articular cartilage but their use is still expensive and time-consuming. (wikipedia.org)
- Texture analysis of articular cartilage applied on magnetic resonance relaxation time maps. (oulu.fi)
Regeneration of articular cartilage3
- Protein-based injectable hydrogels towards the regeneration of articular cartilage [Tesis doctoral]. (upv.es)
- This combination demonstrated ability for the differentiation of MSCs towards the chondrocytic lineage and makes these materials very good candidates for the regeneration of articular cartilage. (upv.es)
- Thus, IGF has great potential to promote the regeneration of articular cartilage after injur y[ 5 ]. (biomedcentral.com)
Intra-articular3
- After intra-articular contrast administration, the measurements were repeated on sagittal plane MRA and sagittal CTA reformations. (avmi.net)
- In an effort to increase cartilage conspicuity, the volume of intra-articular contrast was increased from 14.5 ml, to maximal distention for the second set of seven limbs. (avmi.net)
- Intra-articular hemarthroses affect approximately 90% of patients with severe hemophilia, with the most frequently involved joints being the ankles, knees, and elbows. (medscape.com)
Arthritis5
- It is damage to the articular cartilage which is called 'arthritis' and in the knee all efforts are geared towards preventing any damage or breakdown of this all-essential joint surface, as it has a poor blood supply and does not heal well if damaged. (kneeguru.co.uk)
- Cartilage replacement helps relieve pain, restore normal function, and can delay or prevent the onset of arthritis. (johnrudermd.com)
- The moral of the story is clear - when dealing with patients with articular damage such as arthritis, it is important that appropriate exercise programmes are prescribed in order to reduce disease progression. (trackactive.co)
- Because of its avascular nature (absence of blood supply), cartilage cannot repair itself and therefore surgical treatment is usually required to restore cartilage function and prevent progression of the damage into arthritis. (jonwhitehurstmd.com)
- This loss or wearing down of articular cartilage is called arthritis. (drrichardcunningham.com)
Porcine articular cartilage1
- The current work presents a tribological method for the characterization of frictional behavior of porcine articular cartilage and polyvinyl alcohol (PVA) hydrogels, with the latter as a possible replacement material for cartilage. (anton-paar.com)
Diagnose articular cartilage2
- No non-invasive tests are currently able to diagnose articular cartilage damage. (wikipedia.org)
- It was not easy to diagnose articular cartilage injury earlier, but now with the modern technology and smart tools and machineries it has become so convenient and less challenging to diagnose this injury. (epainassist.com)
Extracellular matrix1
- The second series of materials were inspired in the extracellular matrix of articular cartilage and consisted of injectable mixtures of gelatin and hyaluronic acid. (upv.es)
Healthy cartilage4
- Damaged cartilage needs to be replaced with healthy cartilage and the procedure is known as cartilage replacement. (johnrudermd.com)
- In this method, a piece of healthy cartilage from another site is removed using the arthroscopic technique and is cultured in a laboratory. (johnrudermd.com)
- The damaged cartilage needs to be replaced with healthy cartilage. (drsathu.com.au)
- Autologous chondrocyte implantation (ACI): ACI is a two stage procedure performed by Dr. Provencher where a biopsy of healthy cartilage is first removed from the knee. (matthewprovenchermd.com)
Injuries8
- Articular cartilage damage in the knee may be found on its own but it will more often be found in conjunction with injuries to ligaments and menisci. (wikipedia.org)
- Injuries to articular cartilage of the knee are becoming more common, and can result in significant pain and dysfunction. (nm.org)
- Articular cartilage injury often accompanies other knee injuries including knee instability, and meniscal tears. (jeffreydcartermd.com)
- Articular cartilage injuries often occur in conjunction with other hip injuries, and like labral tears, may require an MRI with a dye injection to confirm the diagnosis. (gallowayorthopedics.com)
- Sometimes articular cartilage injury in a knee is difficult to identify as the signs overlap with the sprain injuries. (epainassist.com)
- It is a surgical procedure performed to replace the worn out cartilage and is usually performed to treat patients with small areas of cartilage damage usually caused by sports or traumatic injuries. (johnrudermd.com)
- He is an expert at diagnosing and treating articular cartilage injuries for patients in Vail, Summit County, Aspen, and Denver, CO. (drrichardcunningham.com)
- Cartilage injuries are diagnosed by Dr. Provencher after he performs a thorough medical review and physical examination. (matthewprovenchermd.com)
Progressive destruction of articular1
- AbstractOsteoarthritis (OA) is a degenerative disease resulting in irreversible, progressive destruction of articular cartilage1. (howhelp.org)
Breakdown of articular1
- Furthermore, despite the progressive breakdown of articular cartilage in osteoarthritic joints, studies have revealed the beneficial effects of cyclical loading. (trackactive.co)
Meniscus12
- It tends to be diagnosed only after other structures have been ruled out - well if it isn't your meniscus or ligaments, what else could it be, perhaps we should look at the articular cartilage? (wikipedia.org)
- eBook authored by Dr Sheila Strover (Clinical Editor), explaining the difference between articular cartilage and meniscus cartilage. (kneeguru.co.uk)
- Quantitative MRI evaluation of articular cartilage in patients with meniscus tear. (bvsalud.org)
- The aim of this study was to assess quantitatively articular cartilage volume, thickness, and T2 value alterations in meniscus tear patients . (bvsalud.org)
- Mann-Whitney-U tests were utilized to determine if there were any significant differences among subregional articular cartilage volume, thickness and T2 value between patients with meniscus tear and the control group . (bvsalud.org)
- The articular cartilage T2 values in all subregions of the femur and tibia in the meniscus tear group were significantly higher (p control group . (bvsalud.org)
- The cartilage thickness of the femoral condyle medial, femur trochlea, femur condyle lateral central, tibia plateau medial anterior and patella facet medial inferior in the meniscus tear group were slightly higher than in the control group (p (bvsalud.org)
- In the femur trochlea medial, patella facet medial inferior, tibia plateau lateral posterior and tibia plateau lateral central, there were significant differences in relative cartilage volume percentage between the meniscus tear group and the healthy control group (p (bvsalud.org)
- Nineteen patients had no cartilage abnormalities (Grade 0) in the meniscus tear group, as confirmed by arthroscopic surgery , and their T2 values in most subregions were significantly higher (p control group . (bvsalud.org)
- The difference in articular cartilage indexes between patients with meniscus tears and healthy people without such tears can be detected by using quantitative MRI. (bvsalud.org)
- Hence, we aimed to quantify the most suitable and efficient constitutive model of meniscus for simulation of cartilage responses in the knee joint during walking. (lu.se)
- We showed that simpler constitutive material models can reproduce similar cartilage responses to a knee model with the FRPE meniscus, but only knee models that consider orthotropic elastic meniscus can also reproduce meniscus responses adequately. (lu.se)
Joint33
- People with previous surgical interventions face more chances of articular cartilage damage due to altered mechanics of the joint. (wikipedia.org)
- Yes you may experience locking if a piece of articular cartilage has broken off and is a loose body in the joint or you may experience catching or giving way. (wikipedia.org)
- Articular cartilage is the white gristle covering the ends of joint bones, where they articulate. (kneeguru.co.uk)
- Normal joint cartilage of femur (below) and patella (above) in the knee joint. (kneeguru.co.uk)
- Each articular surface of the tibiofemoral joint was graded at arthroscopy. (nih.gov)
- Articular cartilage covers the ends of the bones in your knee joint. (zehrcenter.com)
- If the cartilage injury isn't treated, it may cause other problems in the knee joint. (zehrcenter.com)
- Articular cartilage is the protective outer layer covering the ends of bones within a joint. (nm.org)
- One of the structures affected in OA is the articular cartilage (AC) that provides frictionless movement and load-dampening properties for the joint articulation. (oulu.fi)
- The objective of this methods comparison study was to compare computed tomographic arthrography (CTA), magnetic resonance imaging (MRI), and magnetic resonance arthrography (MRA) measurements of articular cartilage thickness with gross measurements in the metacarpophalangeal joint of Thoroughbred horses. (avmi.net)
- Thus, we are beginning to appreciate that the ECM is the key mechano-sensor and mechano-effector in cartilage, responsible for directing subsequent cellular events of relevance to joint health and disease. (ox.ac.uk)
- Generalized cartilage loss may require osteotomy or joint replacement depending on the patient's symptoms and age. (jeffreydcartermd.com)
- Articular cartilage is a layer of material in the hip joint that covers the surface of the femoral head and acetabulum, cushioning them and allowing them to move against each other without causing damage. (gallowayorthopedics.com)
- When articular cartilage is damaged, the torn fragment often protrudes into the joint, causing pain when the hip is flexed. (gallowayorthopedics.com)
- This problem leads to another serious problems of articular cartilage injury because weak muscles gives less support to knees as it absorbs less stress which apply on joint bones. (epainassist.com)
- Working in tandem with meniscal cartilage, articular cartilage acts as a shock absorber for the knee, allowing the joint to withstand the day-to-day pressures of walking, running, sitting and standing. (sportsmedicineweekly.com)
- When your knee cartilage is functioning as it should, the bones in the joint glide over one another smoothly. (sulishospital.com)
- If the cartilage gets worn down or is damaged, you might experience pain or loss of proper function in the knee joint. (sulishospital.com)
- Using a biological approach to knee cartilage repair can delay the need for a partial or total knee replacement, enabling you to make the most of the joint you were born with. (sulishospital.com)
- This procedure takes cartilage from another site within your knee joint (autograft) and secures it to the damaged area. (sulishospital.com)
- If the articular cartilage gets damaged, movement in the joint will be affected. (nsmi.org.uk)
- Patients with articular cartilage damage experience symptoms such as joint pain, swelling, stiffness, and a decrease in range of motion of the knee. (johnrudermd.com)
- As we know, articular cartilage is present on the ends of bones and is responsible for providing resistance to compressive forces, distributing load, and together with synovial fluid, allowing the near frictionless movement of the surfaces of the articulating joint. (trackactive.co)
- The symptoms of articular cartilage damage include joint pain, swelling, stiffness and a decrease in the range of motion of the knee. (drsathu.com.au)
- Loose, floating pieces of cartilage may catch as the knee joint bends, causing the knee to lock or have limited range of motion. (drrobertlaprademd.com)
- Most cartilage restoration procedures can be performed arthroscopically, a minimally invasive surgery that involves making 3 small keyhole incisions around the knee joint using an arthroscope, a small flexible tube with a light and video camera at the end that enables your surgeon to view inside of the joints and perform surgery. (jonwhitehurstmd.com)
- Articular cartilage is the coating cartilage on the ends of the bones which allows for smooth, nearly frictionless, pain free joint range of motion. (drrichardcunningham.com)
- However, articular cartilage can be lost either as the result of a traumatic injury or as the result of wear and tear in the joint over time. (drrichardcunningham.com)
- Although a challenging problem, there are some promising surgical treatments to repair and replace areas of articular cartilage loss in a joint. (drrichardcunningham.com)
- The articular cartilage within the knee joint helps support a healthy knee. (matthewprovenchermd.com)
- Osteochondral autograft transplantation: In this procedure, plugs of cartilage are removed from the non-weight-bearing areas of your joint and transferred to the damaged areas of the joint. (ortholasvegas.com)
- Following cartilage restoration, your doctor may recommend physical therapy to help improve mobility to the affected joint. (ortholasvegas.com)
- Recurrent hyperemia of the joint in the growing child causes juxta-articular osteoporosis and overgrowth of the epiphysis. (medscape.com)
Arthroscopy1
- The best tool for diagnosing articular damage is the use of arthroscopy. (wikipedia.org)
Surgical6
- Articular cartilage surgeon, Dr. Matthew Provencher provides diagnosis and both surgical and nonsurgical treatment options for patients in Vail who need articular cartilage treatment. (matthewprovenchermd.com)
- Dr. Matthew Provencher, Vail, Aspen, Colorado Springs and Denver, Colorado orthopedic knee surgeon, usually begins articular cartilage treatment with non-surgical measures. (matthewprovenchermd.com)
- If symptoms continue or worsen with conservative measures, a surgical knee cartilage repair may be performed by Dr. Provencher. (matthewprovenchermd.com)
- The type of surgical procedure performed depends on the size and location of the injured cartilage. (matthewprovenchermd.com)
- There are several surgical techniques performed by Dr. Provencher to treat articular cartilage damage. (matthewprovenchermd.com)
- What is the Recovery Following Surgical Articular Cartilage Treatment? (matthewprovenchermd.com)
Synovial4
- Cartilage-surrounding tissues are innervated by tyrosine hydroxylase (TH)-positive sympathetic nerve fibers with the most important sympathetic neurotransmitter norepinephrine (NE) detected in the synovial fluid of OA patients. (uni-frankfurt.de)
- Therefore, IGF-1 is the crucial factor in serum and synovial fluid that promotes cartilage matrix anabolism. (biomedcentral.com)
- As articular cartilage is avascular, diffusion from the synovial fluid is a major means by which cartilage obtains nutrients. (trackactive.co)
- Roosendaal and Lafeber found that the articular cartilage is sensitive to the presence of blood and that damage may occur to the cartilage independent of the synovial changes caused by bleeding. (medscape.com)
Thickness5
- A grade IV, or full-thickness, lesion is a tear that goes all the way through the cartilage. (zehrcenter.com)
- Full-thickness cartilage discs (Ø = 8.5 mm, n = 3) were extracted from healthy equine femoral condyle (n = 2). (tudelft.nl)
- An accurate, noninvasive method for measuring cartilage thickness would be beneficial to screen for cartilage injury and allow for prompt initiation of interventional therapy. (avmi.net)
- Mean and standard deviation values were calculated, and linear regression analysis was used to determine correlations between gross and imaging measurements of cartilage thickness. (avmi.net)
- This study failed to identify one imaging test that consistently yielded measurements correlating with gross cartilage thickness. (avmi.net)
Friction4
- This cartilage sometimes tears or becomes damaged, either from high impact sports like running or jumping, as a result of friction caused by hip impingement, or from basic wear and tear. (gallowayorthopedics.com)
- The effect of artificially crosslinking collagen with genipin, a naturally occurring crosslinking agent, on the modulus, coefficient of friction and wear factor of cartilage was quantified. (lievers.net)
- Ateshian GA. A theoretical formulation for boundary friction in articular cartilage. (lievers.net)
- Articular cartilage reduces friction when bones glide over each other, making the movements smooth and painless. (jonwhitehurstmd.com)
Symptoms2
- Symptoms of cartilage injury are often non-specific and may mimic other knee problems. (jeffreydcartermd.com)
- As time progresses, areas of surrounding articular cartilage are overloaded and these areas start to wear away, leading to worsening symptoms. (drrichardcunningham.com)
Regenerate1
- Here we investigate the ability of resident skeletal stem-cell (SSC) populations to regenerate cartilage in relation to age, a possible contributor to the development of osteoarthritis5,6,7. (howhelp.org)
Stimulate the growth of new cartilage2
- From techniques that stimulate the growth of new cartilage to create membranes filled with your own cells, discover how our world-class surgeons could help you get back on your feet. (sulishospital.com)
- Drilling holes creates blood supply and stimulate the growth of new cartilage. (johnrudermd.com)
Bovine5
- Bovine cartilage explants were treated with hyaluronidase to deplete GAG content and then seeded with fluorescently tagged human endothelial cells (HMEC-1). (cardiff.ac.uk)
- An ex vivo study showed that IGF-1 in fetal bovine serum was responsible for maintaining articular cartilage proteoglycan synthesis. (biomedcentral.com)
- Artificially crosslinking bovine cartilage in genipin solutions decreased the wear factor in a dose dependent manner. (lievers.net)
- Osteochondral samples were obtained from intact bovine patellas, and cartilage was imaged in two perpendicular directions: through articular and lateral surfaces. (jukkaliukkonen.fi)
- When bovine articular cartilage specimens were immerged in solutions with different salt concentration, a 50 MHz focused ultrasound beam was used to monitor the dynamic swelling or shrinkage process. (who.int)
Meniscal2
- Like meniscal cartilage, articular cartilage can become damaged through the trauma of injury or as a result of the wear and tear that occurs over a lifetime. (sportsmedicineweekly.com)
- There are two types of knee cartilage: Articular (which we will focus on here) and meniscal. (sulishospital.com)
Joints2
- Mow VC, Ratcliffe A, Robin Poole A. Cartilage and diarthrodial joints as paradigms for hierarchical materials and structures. (lievers.net)
- Articular cartilage damage can occur from normal wear and tear of the knee joints, increasing age, injury, or other disease conditions. (jonwhitehurstmd.com)
Areas of cartilage loss1
- The cells are subsequently cultured, then reimplanted in the knee to repair and resurface areas of cartilage loss. (sportsmedicineweekly.com)
Remove the damaged cartilage3
- High-speed metal-like object is used to remove the damaged cartilage. (johnrudermd.com)
- This procedure is similar to drilling, but a high-speed metal-like object is used to remove the damaged cartilage instead of drills or wires. (jonwhitehurstmd.com)
- Abrasion arthroplasty: This procedure is similar to drilling but involves the use of high-speed burs to remove the damaged cartilage. (ortholasvegas.com)
Repair14
- Articular cartilage has a very limited capacity for self repair. (wikipedia.org)
- Participants either were candidates for cartilage repair or had undergone cartilage repair 6 months or more before the study. (rti.org)
- The insulin-like growth factor (IGF) signaling pathway has been implicated in articular cartilage repair. (biomedcentral.com)
- Optimization of IGF delivery systems will facilitate treatment application in cartilage repair and improve OA treatment efficacy. (biomedcentral.com)
- Growth factors and their signaling pathways have recently attracted much attention in cartilage repair for OA treatment. (biomedcentral.com)
- Insulin-like growth factor-1 (IGF-1), a member of a family of growth factors that are structurally closely related to pro-insulin, has shown profound effects on chondrocyte biological behavior and fundamentally regulates cartilage matrix metabolism during cartilage repair. (biomedcentral.com)
- Emerging evidence suggests that the released growth factors act in a coordinated fashion to drive cartilage repair. (ox.ac.uk)
- Final considerations: Current treatments for articular cartilage repair have major limitations. (bvsalud.org)
- Your cartilage repair questions answered. (sulishospital.com)
- How do I know if I need knee cartilage repair surgery? (sulishospital.com)
- What type of cartilage repair surgery is right for me? (sulishospital.com)
- What happens during knee cartilage repair surgery? (sulishospital.com)
- Articular cartilage does not have a direct blood supply to it so has little capacity to repair itself. (johnrudermd.com)
- Patients will be prescribed a strict physical therapy rehabilitation program after a knee cartilage repair procedure. (matthewprovenchermd.com)
Implantation1
Treatments1
- If these treatments fail to provide sufficient relief, then surgery may be considered, especially in young patients who have lost areas of articular cartilage due to a sudden traumatic injury and not from slow wear and tear as a result of aging. (drrichardcunningham.com)
Injury11
- Unlike other parts of the body, cartilage cannot heal itself from injury, because it lacks a nourishing supply of blood vessels. (zehrcenter.com)
- Articular cartilage lacks a blood supply, which makes it harder to heal after an injury. (nm.org)
- Before we learn about the diagnosis and treatment for articular cartilage injury, it is important to know the risk factors that can cause injury to the articular cartilage. (epainassist.com)
- There are many risk factors which influence the articular cartilage injury. (epainassist.com)
- If a person is having biomechanical problems like uneven legs, flat feet, crooked knees and so on there is a high risk of experiencing articular cartilage injury. (epainassist.com)
- Regular practices and participating in tournaments more often creates a high risk on articular cartilage injury. (epainassist.com)
- There's a high risk of causing the articular cartilage as the previous injury has made the knees unstable. (epainassist.com)
- Even cartilage damages also could be detected, but there are instances where this injury could not be identified even if it exists. (epainassist.com)
- An injury to the articular cartilage which is less than 2 square centimeters is marked as tiny. (epainassist.com)
- What are the treatment options for articular cartilage injury? (johnrudermd.com)
- In patients who have sustained a spinal cord injury, there is progressive atrophy of the articular cartilage over time (Vanwanseele et al 2002). (trackactive.co)
Bones2
- Articular cartilage has a smooth, slippery surface that allows the bones to slide over each other without rubbing. (zehrcenter.com)
- Cartilage helps the bones move smoothly against each other and can withstand the weight of the body during activities such as running and jumping. (johnrudermd.com)
Proteoglycan1
- Studies on animals have shown that immobilisation can cause altered proteoglycan synthesis and softening of the cartilage (Vanwanseele et al. (trackactive.co)
Arthroscopic1
- Chondroplasty: This arthroscopic approach is designed to trim away the damaged cartilage, providing symptom relief and eliminating the risk of further cartilage damage. (matthewprovenchermd.com)
Lesion3
- The four-gradient scale was based on the appearance of the cartilage and, in two of the levels, the size of the lesion. (musculoskeletalkey.com)
- A grade 1 lesion was defined as softening and swelling of the cartilage. (musculoskeletalkey.com)
- The five-level gradient classification included both cartilage appearance and size of the lesion. (musculoskeletalkey.com)
Surgery2
- When is Articular Cartilage Surgery of the Knee Needed? (drrichardcunningham.com)
- What Are The Most Common Types of Articular Cartilage Surgery? (drrichardcunningham.com)
Avascular1
- As cartilage is aneural and avascular (lack of nerve and blood supply, respectively), shallow damage often does not trigger pain. (wikipedia.org)
Chondral1
- These data indicate that following MF, a resident stem-cell population can be induced to generate cartilage for treatment of localized chondral disease in OA. (howhelp.org)
Patient's1
- While it was the first technique developed, most level 1 randomized studies do not show any significant improvement of a patient's function compared to some of the newer, and much more expensive and invasive, articular cartilage resurfacing techniques. (drrobertlaprademd.com)
Analyzed in vitro1
- In the first part of this study, the effect of NE on the chondrogenesis of sASC, which are known to play an important role in cartilage regeneration was analyzed in vitro. (uni-frankfurt.de)
Treatment2
- What are the Treatment Options for Articular Cartilage Damage? (matthewprovenchermd.com)
- Are you a candidate for articular cartilage treatment? (matthewprovenchermd.com)
Behavior1
- Slightly different diffusion coefficient observed within dilute and concentrated Visipaque baths suggested deviation from ideal Fickean behavior within articular cartilage. (tudelft.nl)