Causes, symptoms and treatment of chondral injury

An articular cartilage injury is common in people who practice running sports or high-impact sports. They appear in joints such as the knee, ankle and hip. In this post we tell you what the symptoms of a chondral injury are, its causes and the best treatment for this injury.

What is articular cartilage?

Articular cartilage, of a variety called hyaline, is a tissue with low cellular density. It is made up of chondrocytes, units responsible for synthesizing the extracellular matrix.

Articular cartilage covers the bony surfaces that form the elements of the joints, so it is a special fabric.

Articular cartilage function

The main function of cartilage is to transmit and support the forces on the articular surfaces that are carried out with movements.

Likewise, Articular cartilage is responsible for reducing the chances of suffering from joint injuries, facilitating smooth sliding movements.

Tratamiento para una lesión en el cartílago articular

What type of collagen does articular cartilage have?

Articular cartilage is made up of fibers of collagen type II. This type provides some resistance to the joints, in addition to strengthening the bones.

What is a chondral injury?

A chondral lesion, also known as Cartilage injury is one that appears in the cartilage of the joints, which should not be confused with osteochondral lesions, as these affect the underlying bone.

Chondral injuries are more common in the knee, ankle and hip, so the treatment for each of them will be completely different.

Within the chondral injuries of the knee, chondropathies that affect the patella can be found, as well as chondral lesions on the articular surface of the femur. In most cases, these accompany cruciate ligament injuries.

For its part, talar chondropathy can also be detected, when it affects the ankle area, as well as acetabular chondropathy, if it affects the acetabulum of the hip.

Causas de una lesión del cartílago articular

Causes of articular cartilage injury

There are various causes that cause the appearance of chondral lesions.

First of all, most of Injuries to the articular cartilage are caused by accidents during sports practice, when performing repetitive impact physical activity and high impact exercises.

Other injuries are caused by a direct impact on the joint, such as blows and trauma.

Furthermore, overweight and the pressure that exists in the joints can contribute to the presentation of this type of chondral lesions.

The presence of meniscus injuries, as well as injuries to the ligament, also cause the appearance of an injury to the articular cartilage.

Symptoms of chondral injury

As for the symptoms that arise from articular cartilage injuries, they are very particular, which is why they require special treatment.

A chondral injury can cause severe pain in the affected joint, so that it swells.

This injury is especially important, since it can cause some difficulty and limitation in the movement of the affected joint.

¿Qué es el cartílago articular_

Treatment for an injury to the articular cartilage

As a conservative treatment, it is recommended to apply ice to reduce inflammation in the damaged joint. Likewise, it is important rest when the patient has an injury to the cartilage of a joint.

For the treatment of chondral lesions, the specialist will diagnose the degree of injury, so that he can determine the most appropriate treatment for each case.

In its treatment, the possible causes of chondropathy will be corrected. In the case of chondral injuries in the knee, the patella will be aligned, correcting meniscus injuries and strengthening the supporting muscles.

Arthroscopic surgery is one of the most innovative minimally invasive surgical techniques for the treatment of chondral lesions.

With small incisions in the skin, our specialists can directly observe the inside of the joints.

Prof. Dr. Elgeadi's team has professionals specializing in knee microsurgery in Madrid, recognized both nationally and internationally. In this way, a complete recovery of the patient is achieved with good results.

In any case, the evolution of this injury must be monitored and controlled.

How to prevent chondral injuries?

Since the appearance of injuries to the cartilage of the joints is a consequence of being overweight, To prevent chondral injuries it is important to control your weight.

In addition, it is essential to carry out activities and physical exercise on a regular and moderate basis, which contributes to the prevention of articular cartilage injuries.

Physiotherapy is another measure that should be considered for the prevention of chondral injuries.

An articular cartilage injury not treated in time can lead to a functional limitation of the affected joint, thus facilitating the appearance of other pathologies such as the development of osteoarthritis. It has the Elgeadi Clinic team for the treatment of trauma pathologies.

26 thoughts on “Causas, síntomas y tratamiento de la lesión condral”

  1. Good afternoon, my name is Nohora, they were diagnosed.
    Condal injury with mild osteoarthritis also bursitis and Baker's cyst hurts and they do not do any treatment, what can you recommend, please, thank you

  2. Hello, ask what the best treatment would be because I was diagnosed with a focus of deep chondral ulceration in the posterior loading zone of the extreme femoral condylium, which measures 9.7 x 4.6 mm in its axes, the traumatologist prescribed only one pill, greetings and thank you

    • Hello Felipe, thank you very much for your question.

      If it does not affect the load-bearing area, the treatment is conservative, which will depend a lot on the size of the fracture and how much it affects the load-bearing joint.

  3. Hello, excellent information, I would like to consult you about my case, I have a chondral injury and the doctor suggests I have surgery:

    This is an excerpt from my MRI analysis:
    Chondral defect in full thickness punches up to 0.7 x 1.6 cm diameters
    transverse and anteroposterior in the area of the posterior aspect of the medial femoral condyle with incipient bone edema and irregular chondral wear with suggestive deep chondral flap and bone edema in the area of the posterior aspect of the tibial plateau.

    I also told you that I am dedicated to playing amateur soccer, I trained between 2-4 days a week, I wanted to know if there were any other alternatives before the operation.

  4. Good afternoon, good information! I have a knee injury and I had an MRI that shows a grade 2 chondral injury on the internal facet of the patella and an osteochondral injury on the load-bearing surface of the internal condyle without tendon or ligament alterations! My question is what rehabilitation I could have or if it requires surgery. The truth is I have an orthopedic appointment in 3 months and the pain when walking is intense and frequent! I hope you can help me, thank you very much. I am 32 years old and I did specific soccer sports activities and I have not played sports again.

  5. Good morning,
    I have pain in my knee on the external side when doing impact sports (tennis, running...) I don't feel any pain when walking or cycling, I have an MRI and the result is:
    8mm chondral defect. on posterior surface of the lateral femoral condyle.
    How do you think I can solve this problem?
    thank you so much

    • Hello John,
      We cannot give you an answer without having full knowledge of your case. The best thing would be to see you in consultation, see your tests and develop a rehabilitation plan in a particular way. You can make an appointment by calling +34 910 053 900.

  6. Hi there !
    Excellent information!
    I would like advice on my diagnosis regarding my right wrist, dexterous hand. The MRI report says: Intramedullary formation in the distal pole of the scaphoid, presents isointense signal in T1 sequence and hyperintense in STIR, measures 6.30mm, findings in relation to the chondral lesion (probable enchondroma). My symptoms are weakness, a lot of discomfort inside the wrist.
    Thank you very much in advance if you advise me.

    • Hello Victoria,
      We would need to review the X-ray tests as well as an MRI study of the affected limb. Study the causal mechanism and assess the best possible treatment.
      You can request a consultation at 91 005 39 00

  7. Hello, I have an injury in my. Left knee, my MRI showed that I have a complex external meniscus tear. and chondropathy grade 3-4 at the level of the. loading surface of the femoral condyle and external tibial plateau. It hurts too much. knee when walking. I can fold normal but I. It hurts and I can't last more than 10 minutes. I feel like something is crushing inside me. pain is unbearable

  8. Hello, excellent information to understand a little about chondral injuries.
    What has brought me here are my problems with the cartilage in my knee.

    The resonance indicates:
    Ulceration of the internal femoral cartilage measuring 15 x 25 mm with association of a small focus of subchondral bone edema.
    And focal ulcerations of 3 and 5 mm on the external femoral condyle and external tibial plateau.

    In addition to slight fluid distension of the medial semimenbranosus bursae, the tibial membranous collateral ligament.

    It also indicates Edema in Hoffa's fat. Hoffitis.
    Signs of diffuse synovitis.
    Joint leak.

    After doing physiotherapy (15 sessions of Indiba, ultrasounds and tensile currents...) something has improved but not completely, I still have discomfort when walking and especially when climbing stairs.
    I do a lot of stationary cycling in order to improve the muscle tone of the quadriceps, without causing discomfort in the knee.

    Any more advice?
    I am 65 years old. Sports background in triathlon and currently a lot of swimming and walks (now nothing about walks).

    Regards and thanks for everything.

    • Hello Jesus,
      We could review your case and evaluate steps to follow or indicate rehabilitation so that you can regain your physical condition.
      We would have to see it in person since around here it is a bit difficult to come up with a correct answer, without seeing your tests or being able to do a physical examination.
      You can make an appointment by calling 91 005 39 00.


  9. Good evening, I have had a rare injury since July. I hit myself in the knee area and began to have pain in the front of the knee and in the outer part that connects the knee to the quadriceps. In the MRI they diagnosed me with bone edema and osteochondritis in the external tibial plateau. The oddity is that since I had the injury I had a normal life until now, except that my pain is usually sporadic when walking, giving me as if it were contractions or shocks on the side of the quadriceps that joins the knee, which leaves me useless as long as I continue walking. . Do you know any reason for this?

  10. Hello doctor, I wanted to consult... I had an MRI and the following came out:
    Diffuse bone edema in the external femoral condyle
    Thickening and signal changes in the cartilage in projection to the interface ridge with an inflammatory appearance, coexisting signs of subconsral edema and inflammatory signs in Hoffa fat.
    The rest is all good...they sent me only Kinesiology...they told me it wasn't for surgery...I'm at a kinesiologist but I don't notice much improvement, only after 3 months is it normal for me to still have discomfort, what do you think? Thank you

  11. Hello, I have been having pain in my left knee for almost a month. After going to the doctor several times and they ignored me, they decided to have a paid MRI in which they removed a grade 3 chondral lesion and a bone spill. In the emergency room, they removed me. They make an appointment in two weeks for traumatology, because today I went to the appointment and the only thing they have done is send me to the physio, I have to say that the swelling from the effusion is still there, and my knee also gets stuck several times a day and then my knee cracks and everyone around me feels the crunch. I would like to know if all this is normal

    • Hello Laura,
      This pathology produces intense pain as a symptom. Before starting any treatment, we recommend that you go to the traumatologist so that he or she can indicate the necessary steps to align the kneecap and strengthen the supporting muscles little by little.

  12. Hello, thank you for the information you published.
    Great help to facilitate understanding for concerned ignorant people on the subject.
    I would like to request some information about a “linear chondrial defect on the external margin of the patellar vertex”
    What it is and treatment to evaluate or if surgery is necessary.
    Thanks in advance. Greetings


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At Clínica Elgeadi we are committed to our community and open to advise and answer any question whenever possible.

To offer an accurate diagnosis to the patient, a personalized evaluation and a thorough review of their medical history will always be necessary. Once the case has been studied individually, the most appropriate treatment will be recommended to the patient according to their pathology and/or illness.

Furthermore, from the Elgeadi clinic, we would like to remind you that no medication will be prescribed without prior consultation.

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