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Chondromalacia patellae (also known as CMP) is an inflammation of the underside of the patella and softening of the cartilage. The cartilage under the kneecap is a natural shock absorber, and overuse, injury, and many other factors can cause increased deterioration and breakdown of the cartilage.
Patellar tendinitis, also known as jumper's knee, is an overuse injury of the tendon that straightens the knee. [1] Symptoms include pain in the front of the knee. [ 1 ] Typically the pain and tenderness is at the lower part of the kneecap , though the upper part may also be affected. [ 2 ]
grade 1: the cartilage has a soft spot, blisters, or superficial wear; grade 2: minor tears of less than one-half the thickness of the cartilage layer; grade 3: lesions have deep crevices of more than one-half the thickness of the cartilage layer; grade 4: the cartilage tear is full thickness and exposes the underlying (subchondral) bone
The surgery required is governed by the type of abnormality present, but often involves a sulcoplasty, a deepening of the trochlear sulcus where the patella sits, a realignment of the attachment of the patella tendon on the tibia, and tightening or releasing of the capsule on either side of the patella, according to which side the patella is ...
Chondromalacia patellae is a term sometimes used synonymously with PFPS. [7] However, there is general consensus that PFPS applies only to individuals without cartilage damage, [7] thereby distinguishing it from chondromalacia patellae, a condition with softening of the patellar articular cartilage. [3]
Although surgery has a role in repairing traumatic injuries and broken bones, arthroscopic surgeries do not provide significant or lasting improvements to either pain or function to people with knee pain, and therefore should almost never be performed. [27] Knee pain is pain caused by wear and tear, such as osteoarthritis or a meniscal tear.
Most of the lawsuits filed have won lending credence the argument that chondromalacia patella can be caused by excessive crawling on one's knees. Also the section on surgical treatments is lacking. There are surgical treatments for patellar lesions and/or trochlear lesions from serious non-improving chronic types.
The surgery was called "controversial" by many sportswriters, due to a lack of studies on the long-term effects and the fact that an unsuccessful surgery could end an athlete's career. [9] Steadman has also adapted the surgery into a treatment to help reattach torn ligaments (a technique he calls the "healing response").