Chondral delamination of the knee and its management: a case report and review article
Abstract Chondral delamination is the separation or debonding of the articular cartilage from the underlying subchondral bone. The hyaline cartilage has a limited capacity for healing, meaning it does not possess the innate ability to restore its normal structure or to heal the subchondral bone once...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-022-01775-w |
| _version_ | 1817994105798524928 |
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| author | Marah Mansour Yazan Abboud Mhd Alaa Aldin Alhaffar Ola Souliman Massa Haffar Younes Mustafa Tamim Alsuliman Michel Samaan |
| author_facet | Marah Mansour Yazan Abboud Mhd Alaa Aldin Alhaffar Ola Souliman Massa Haffar Younes Mustafa Tamim Alsuliman Michel Samaan |
| author_sort | Marah Mansour |
| collection | DOAJ |
| description | Abstract Chondral delamination is the separation or debonding of the articular cartilage from the underlying subchondral bone. The hyaline cartilage has a limited capacity for healing, meaning it does not possess the innate ability to restore its normal structure or to heal the subchondral bone once detached from it. The purpose of this article is to report the outcomes of a microfracture technique used to manage chondral delamination in a 59-year-old male; we also reviewed the treatment options mentioned in the literature. The patient was admitted to the Department of Orthopedic Surgery complaining of recurrent severe right knee pain with multiple episodes of knee locking, denying any direct or twisting trauma to the knee. The plain X-ray showed mild degenerative changes with articular surface irregularity. On Magnetic resonance imaging, wide chondral delamination was noted in the medial femoral condyle. After 12 months’ post-op, his condition improved. No locking was observed. Pain improved in comparison to the pre-operative levels. The international knee documentation committee improved from 26.4% to 52.9%. In a follow-up magnetic resonance imaging, the adhesion of most parts of the delaminated cartilage. |
| first_indexed | 2024-04-14T01:48:33Z |
| format | Article |
| id | doaj.art-1e810e2865be4e83b9760ad03c1d1f38 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-14T01:48:33Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-1e810e2865be4e83b9760ad03c1d1f382022-12-22T02:19:27ZengBMCBMC Surgery1471-24822022-08-012211710.1186/s12893-022-01775-wChondral delamination of the knee and its management: a case report and review articleMarah Mansour0Yazan Abboud1Mhd Alaa Aldin Alhaffar2Ola Souliman3Massa Haffar4Younes Mustafa5Tamim Alsuliman6Michel Samaan7Faculty of Medicine, Tartous UniversityKarsh Division of Gastroenterology and Hepatology, Cedars-Sinai Medical CenterRespiratory Department, St Mary’s Hospital, Imperial College Healthcare NHS TrustFaculty of Medicine, Tartous UniversityFaculty of Medicine, Syrian Private UniversityFaculty of Medicine, Alexandria UniversityHematology and Cell Therapy Department, Saint-Antoine Hospital, AP-HP, Sorbonne UniversityGeneral Secretary of the Syrian Association of Arthroscopy SSA, Department of Orthopedic Surgery, Faculty of Medicine, Al-Baath UniversityAbstract Chondral delamination is the separation or debonding of the articular cartilage from the underlying subchondral bone. The hyaline cartilage has a limited capacity for healing, meaning it does not possess the innate ability to restore its normal structure or to heal the subchondral bone once detached from it. The purpose of this article is to report the outcomes of a microfracture technique used to manage chondral delamination in a 59-year-old male; we also reviewed the treatment options mentioned in the literature. The patient was admitted to the Department of Orthopedic Surgery complaining of recurrent severe right knee pain with multiple episodes of knee locking, denying any direct or twisting trauma to the knee. The plain X-ray showed mild degenerative changes with articular surface irregularity. On Magnetic resonance imaging, wide chondral delamination was noted in the medial femoral condyle. After 12 months’ post-op, his condition improved. No locking was observed. Pain improved in comparison to the pre-operative levels. The international knee documentation committee improved from 26.4% to 52.9%. In a follow-up magnetic resonance imaging, the adhesion of most parts of the delaminated cartilage.https://doi.org/10.1186/s12893-022-01775-wChondral delaminationKnee lesionsMicrofractureDegenerative arthritisCartilageArthroscopy |
| spellingShingle | Marah Mansour Yazan Abboud Mhd Alaa Aldin Alhaffar Ola Souliman Massa Haffar Younes Mustafa Tamim Alsuliman Michel Samaan Chondral delamination of the knee and its management: a case report and review article BMC Surgery Chondral delamination Knee lesions Microfracture Degenerative arthritis Cartilage Arthroscopy |
| title | Chondral delamination of the knee and its management: a case report and review article |
| title_full | Chondral delamination of the knee and its management: a case report and review article |
| title_fullStr | Chondral delamination of the knee and its management: a case report and review article |
| title_full_unstemmed | Chondral delamination of the knee and its management: a case report and review article |
| title_short | Chondral delamination of the knee and its management: a case report and review article |
| title_sort | chondral delamination of the knee and its management a case report and review article |
| topic | Chondral delamination Knee lesions Microfracture Degenerative arthritis Cartilage Arthroscopy |
| url | https://doi.org/10.1186/s12893-022-01775-w |
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