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Chondromalacia Patellae

Softening and degeneration of the cartilage on the back of the kneecap.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Chondromalacia Patellae?

Chondromalacia patellae is degeneration of the articular cartilage on the posterior surface of the patella, characterized by softening, fibrillation, and erosion. It can be the underlying cause of patellofemoral syndrome.

Outerbridge classification defines four stages: Stage I (softening), Stage II (surface irregularity under 5 mm), Stage III (irregularity over 5 mm), Stage IV (erosions extending into subchondral bone).

Common in young female athletes. Advanced cases may progress to patellofemoral osteoarthritis.

Symptoms

Anterior knee pain that worsens with activity
Crepitus when bending the knee
Pain on stairs and ramps
Pain when rising from prolonged sitting
Knee swelling (advanced stage)
Tenderness on patellar compression

Risk Factors

Female sex and wide Q-angle
Repetitive knee flexion movements
Patellar maltracking
Quadriceps weakness
Excess body weight
Previous knee trauma

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Chronic anterior knee pain with crepitus
  • Pain unresponsive to 6 weeks of conservative treatment
  • For staging with MRI or arthroscopy

Treatment Methods

01
Physical therapy and quadriceps strengthening
02
Activity modification
03
Taping and patellar support
04
NSAIDs and intra-articular injections
05
Arthroscopic chondroplasty (cartilage smoothing)
06
Microfracture or cartilage graft (advanced stage)

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ortopedi ve Travmatoloji Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.