What is chondromalacia of the glenoid?
Chondromalacia is the degeneration of the cartilage cushion within the shoulder joint. The cartilage provides smooth, easy motion between the ball and socket of the shoulder. The wearing of this cartilage is termed chondromalacia.
What does Grade 4 chondromalacia feel like?
Damaged cartilage is graded from Grade 0 to Grade 4. Grade 0 indicates normal cartilage, with Grade 4 indicating complete loss of cartilage with exposed underlying bone. Grade 0 – This indicates normal cartilage with a firm feel to palpation and no surface abnormalities.
Does chondral defect need surgery?
The choice of treatment will depend on the size of the defect, its location, and the patient’s goals. Chondral defects are difficult to treat and can sometimes require surgical repair if all conservative measures have failed.
How is a chondral defect treated?
For those patients who have a surface defect of the cartilage, with a flap or crack in it, a cleaning out or shaving of a defect, called a chondroplasty, can be performed. This may be useful to alleviate the catching and painful symptoms from a cartilage flap, but they do not cure the underlying chondral defect.
How bad does chondromalacia hurt?
Chondromalacia patella pain tends to be a dull, aching pain that is felt even when you are resting.
What is Grade IV chondromalacia in the shoulder?
Grade IV chondromalacia is when the cartilage has completely worn away, exposing bare bone. The entire surface of the bone does not wear away at the same speed. One area of the humeral head may have grade II chondromalacia while another area has grade IV chondromalacia.
How are the macroscopic changes of chondromalacia classified?
The macroscopic changes of chondromalacia can be classified into four grades: ■ In grade 1 there are softening and swelling of the cartilage. ■ In grade 2 there are fragmentation and fissuring in an area half an inch or less in diameter. ■ Grade 3 is the same as grade 2 but an area more than half an inch in diameter is involved.
What is the grade of chondromalacia on the patella?
13.1 Grading of chondromalacia according to Outerbridge [106] Outerbridge described in 1961 the macroscopic aspect of changes of the articular cartilage for the articular surface of the patella. Meanwhile this classification is generally used for the description of articular cartilage lesions.
What are the symptoms of glenoid chondral defects?
Symptoms 1 A sense of instability in the shoulder 2 Shoulder dislocations 3 Pain, usually with overhead activities 4 Catching, locking, popping, or grinding 5 Occasional night pain or pain with daily activities 6 Decreased range of motion 7 Loss of strength More