Lewandrowski K U, Ekkernkamp A, Dávid A, Muhr G, Schollmeier G
Department of Surgery, Berufsgenossenschaftliche Klinik Bergmannsheil, University of Bochum, Germany.
Am J Knee Surg. 1996 Summer;9(3):121-8.
Classification systems for articular cartilage lesions in the knee have been based primarily on the appearance and severity of damage to the articular cartilage. Each of these systems has deficiencies in the documentation of articular cartilage abnormalities. This article proposes a new classification system for articular cartilage lesions in the knee. This system incorporates multiple parameters such as appearance, depth of involvement, area, clinical stage, and location of the lesion. A four-sector-mapping system allowing precise documentation of the location of articular cartilage lesions in the femorotibial joint is proposed. One numerical category is used to assess severity of a chondral defect. The use of these categories allows the surgeon to accurately grade and locate damage to the articular cartilage and its relationship to other concomitant intra-articular abnormalities. The proposed classification system has proven advantageous in communicating complex findings.
膝关节软骨损伤的分类系统主要基于关节软骨损伤的外观和严重程度。这些系统中的每一个在记录关节软骨异常方面都存在缺陷。本文提出了一种新的膝关节软骨损伤分类系统。该系统纳入了多个参数，如外观、受累深度、面积、临床分期和损伤部位。提出了一种四区域映射系统，用于精确记录股骨胫关节软骨损伤的位置。使用一个数字类别来评估软骨缺损的严重程度。这些类别的使用使外科医生能够准确地对关节软骨损伤进行分级和定位，并确定其与其他并发关节内异常的关系。所提出的分类系统在传达复杂的检查结果方面已证明具有优势。
