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<p>Cartilage lesions of the knee are common. Patients often present with nonspecific symptoms like pain and swelling. Depending on the extent of the cartilage damage, various conservative and surgical treatment procedures are available. In order to plan treatment as effectively as possible, comprehensive diagnostics are required. Basic diagnostics, consisting of a&#xa0;detailed anamnesis and clinical examination, are followed by magnetic resonance imaging (MRI) with cartilage-specific sequences, which is the current gold standard to classify and describe cartilage damage. However, MRI is not sufficient to assess the genesis of the cartilage damage. Therefore diagnosis of environmental factors has gained considerable importance in order to identify predisposing factors, for example, an axial deformity, and to treat them. Therefore, the surgical treatment of cartilage damage should be viewed as a&#xa0;concept that includes the treatment of the predisposing factors as well as the cartilage damage. MRI and diagnosis of environmental factors are important in the development of this concept.</p>

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Diagnostik bei Knorpelschäden des Kniegelenks: MRT und Umfelddiagnostik

  • 期刊论文

  • 发表日期：

    2025年1月8日

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  • Oliver Swietek,
  • S. Schmidt,
  • J. Watrinet,
  • A. Bumberger

摘要

Cartilage lesions of the knee are common. Patients often present with nonspecific symptoms like pain and swelling. Depending on the extent of the cartilage damage, various conservative and surgical treatment procedures are available. In order to plan treatment as effectively as possible, comprehensive diagnostics are required. Basic diagnostics, consisting of a detailed anamnesis and clinical examination, are followed by magnetic resonance imaging (MRI) with cartilage-specific sequences, which is the current gold standard to classify and describe cartilage damage. However, MRI is not sufficient to assess the genesis of the cartilage damage. Therefore diagnosis of environmental factors has gained considerable importance in order to identify predisposing factors, for example, an axial deformity, and to treat them. Therefore, the surgical treatment of cartilage damage should be viewed as a concept that includes the treatment of the predisposing factors as well as the cartilage damage. MRI and diagnosis of environmental factors are important in the development of this concept.