2026, Number 4
<< Back Next >>
Acta Med 2026; 24 (4)
Frequency of chondral lesions in the femoro-patelar region in knee arthroscopies at the Angeles Mocel Hospital
Encina DVM, Sainos SAP, Ramos MJF, Alva ANV, Vega HAI
Language: Spanish
References: 16
Page: 357-361
PDF size: 535.69 Kb.
ABSTRACT
Knee arthroscopy is a minimally invasive technique for
diagnosing and treating intra-articular pathologies, allowing
for direct evaluation of structures such as menisci, articular
cartilage, and ligaments, with high diagnostic accuracy and
the possibility of performing simultaneous surgical treatment,
especially in chondral and meniscal lesions. This study,
conducted at Hospital Angeles Mocel, analyzed 101 cases
between January and October 2021. Demographic variables,
diagnoses, and the correlation between Magnetic Resonance
Imaging (MRI) and arthroscopy were evaluated. The most
frequent lesion was a left medial meniscus (23.7%), followed by
bilateral right meniscus (17.8%). According to the Outerbridge
classification, the most common chondral lesions were grade
II (47.5% MRI, 45.5% arthroscopy). There were no significant
differences by gender or age, although it affected women aged
24 to 45 years more frequently. Arthroscopy is key to diagnosis
and treatment, highlighting the need for postoperative followup
to assess the progression of chondral lesions and optimize
therapeutic strategies.
REFERENCES
Camacho GFJ, Ramírez LJF, Mosquera AM, Rodríguez LF, AlonsoCGO, Cortés BM et al. Guía de instrucción en artroscopia derodilla nivel intermedio. Rev Colomb Ortop Traumatol. 2019;33: 63-80.
Azar FM, Beaty JH. Campbell. Cirugía ortopédica. 4a ed. Elsevier;2022.
Zamudio CJE, Martínez MOA. Correlación clínico-artroscópica en laslesiones de rodilla en pacientes pediátricos. Acta Ortop Mex. 2018;22 (3): 180-188.
Friemert B, Wiemer B, Claes L, Melnyk M. The influence of meniscallesions on reflex activity in the hamstring muscles. Knee Surg SportsTraumatol Arthrosc. 2007; 15 (10): 1198-1203.
Aljehani MS, Christensen JC, Snyder-Mackler L, Crenshaw J, BrownA, Zeni JA Jr. Knee biomechanics and contralateral knee osteoarthritisprogression after total knee arthroplasty. Gait Posture. 2022; 91:266-275.
Hassebrock JD, Gulbrandsen MT, Asprey WL, Makovicka JL, ChhabraA. Knee ligament anatomy and biomechanics. Sports Med ArthroscRev. 2020; 28 (3): 80-86.
Bowman KF Jr, Sekiya JK. Anatomy and biomechanics of the posteriorcruciate ligament, medial and lateral sides of the knee. Sports MedArthrosc Rev. 2010; 18 (4): 222-229.
Scott WN. Insall & Scott surgery of the knee: expert consult - onlineand print. 5a ed. New York, NY, United States of America: ChurchillLivingstone; 2011.
Pacheco DEA, Arango GG, Jiménez PR, Aballe HZA. Las lesionesarticulares de la rodilla evaluadas por artroscopia, su relacióncon la clínica y la imagenología. Rev Cubana Ortop Traumatol.2007; 21 (2).
Solís CU, Torres CR, Pérez PJ. Tratamiento por artroscopia paraafecciones de rodilla en adultos mayores. Rev Cuba de Reumatol.2010; 12 (16): 18-32.
Smith RDJ, Smith KN, Shanmugam V, Beltran LS. Knee pain andswelling. Skeletal Radiol. 2023; 52 (9): 1799-1800.
Olivos-Meza A, Madrazo-Ibarra A, León CIP de. Arthroscopictechnique to treat articular cartilage lesions in the patellofemoraljoint. En: Amarasekera HW, editor. Recent advances in arthroscopicsurgery. Londres, Inglaterra: InTech; 2018.
Haim A, Yaniv M, Dekel S, Amir H. Patellofemoral pain syndrome:validity of clinical and radiological features: Validity of clinical andradiological features. Clin Orthop Relat Res. 2006; 451: 223-228.
Fulkerson JP. Diagnosis and treatment of patients with patellofemoralpain. Am J Sports Med. 2002; 30 (3): 447-456.
Merchant AC. Patellofemoral imaging. Clin Orthop Relat Res. 2001;389: 15-21.
Farmer JM, Martin DF, Boles CA, Curl WW. Chondral andosteochondral injuries. Diagnosis and management. Clin Sports Med.2001; 20 (2): 299-320.