Cartilage lesions
The Basics
Articular cartilage is a type of connective tissue on the ends of long bones. It facilitates movement, making it easier for bones to slide past each other at the joint. The cartilage can be torn from acute trauma like a dislocation, or as a result of wear and tear over time. It can also be injured following certain issues like osteochondritis, which occurs when decreased blood flow to a bone under cartilage causes part of the bone to die, causing both the bone and cartilage to crack and break off.
​
Though cartilage tears can be difficult to predict, aspects of prevention are in the patient’s control. A family history of arthritis or cartilage problems, a shoulder dislocation, weightlifting and other overhead sports, and occupations with overhead lifting can put one at risk for a cartilage tear.
Avoiding repetitive overhead movements and heavy lifting, or using proper form during these movements can help decrease the risk of a cartilage tear. Stretching and warming up before exercise and practicing good posture can help prevent this condition.
Signs and symptoms
You may have a cartilage tear if you experience pain lifting the arm over the head, weakness, a decreased range of motion, night pain, or a clicking or grinding sensation at the shoulder joint.
​
Treatment
Treatment of cartilage injuries depends upon the actual injury. Often, rest and rehab will work. PRP and other non-surgical treatments may be offered. Over the counter or prescription medications may be recommended. For certain degenerative conditions some patients may benefit from a steroid injection.
​
Surgical options depend upon the type of injury or disease. Cartilage can be trimmed and/or replaced. This can include placement of cartilage or cells from the patient or a donor. These may be performed through minimally invasive means with a camera and small incisions (arthroscopy) or via open means, depending upon the extent of the problem and lesion(s). For patients with severe degenerative changes, replacement with other materials, such as metal and plastic may be warranted and advised.
If you would like for Dr. Urband to evaluate your shoulder or knee and provide his opinion, call today for an appointment!