What are the main causes of articular cartilage injuries?

Written by: Mr Paul Sutton
Published:
Edited by: Conor Lynch

In one of our latest medical articles below, well-known consultant orthopaedic surgeon, Mr Paul Sutton, discusses articular cartilage injuries in expert detail, including when surgery is typically required for these types of injuries.

What are articular cartilage injuries?

Articular cartilage is the smooth, low friction ‘bearing surface’ that lines most joints that is firmly attached to the underlying bone. This surface can be damaged in isolation (known as a chondral injury), or in conjunction with the underlying bone known as an osteochondral injury.

 

What are the main causes of articular cartilage injuries?

They are usually associated with knee trauma. They may occur as a direct impact-type injury, during a dislocation, or in association with a ligament injury.

 

How severe can these injuries be?

These injuries can be quite severe and can cause pain, swelling, and a loss of knee function. They can progress to cause more widespread ‘wear damage’ which is a condition known as osteoarthritis.

 

Do articular cartilage injuries require immediate treatment?

No, not necessarily. It really depends on the nature and severity as well as the timing of the diagnosis. The treatment of chronic injuries may depend on symptoms, but large acute injuries to the articular cartilage may need urgent re-attachment of the injured fragment.  

 

When would surgery be considered or indeed required?

In a chronic situation for the treatment of pain and loss of function. In the situation of an acute injury or fracture to the articular cartilage, an urgent re-attachment might be considered best. This would especially apply to young patients.

 

If you wish to make an appointment with Mr Paul Sutton, visit his Top Doctors profile today to do just that.

By Mr Paul Sutton
Orthopaedic surgery

Mr Paul Sutton is a highly respected consultant orthopaedic surgeon who specialises in knee surgery and is based in Sheffield. He is renowned for his expertise in all types of knee surgery, including sports injuries as well as joint and cartilage replacement. He also specialises in surgery for anterior cruciate ligament injuries and cartilage repair.

Mr Sutton qualified in medicine in 1990 at the University of Sheffield and then went on to complete surgical training in the north of England. He attained fellowship of the Royal Colleges of Surgeons of Edinburgh and England in 1994 and then completed further surgical training on the Yorkshire orthopaedic programme. At this time, he developed a specialist interest in the knee joint and related sports injuries and pursued this further through a year-long clinical fellowship at the renowned Adidas Sports Medicine Institute in Auckland, New Zealand. He was awarded fellowship of the Royal College of Surgeons’ Trauma and Orthopaedic section in 1999 and was appointed as a consultant in 2001. Due to Mr Sutton’s wealth of experience and expertise in the field, he is frequently consulted for second opinions or his insight on complex cases. He is renowned for his skill and in-depth knowledge in treating sports injuries of the knee and has extensive experience in treating premiership footballers, rugby players and Olympic athletes. Mr Sutton sees private patients at Spire Claremont Hospital and the Thornbury Hospital.

Alongside his clinical responsibilities, Mr Sutton is a dedicated educator and regularly teaches and trains fellow medical professionals and surgeons in arthroscopic surgery. He is also a course convenor and teacher on the Royal College of Surgeons’ orthopaedics ‘Core skills’ course for trainee specialists. He has also produced numerous academic papers which are published in peer reviewed journals and has written 5 book chapters for medical textbooks on his areas of expertise.

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