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The patella also serves an articular body, and its posterior surface is referred to as the trochlea of the knee. [11] It is inserted into the thin anterior wall of the joint capsule. [ 10 ] : 206 On its posterior surface is a lateral and a medial articular surface, [ 10 ] : 194 both of which communicate with the patellar surface which unites ...
In the adult the articular surface is about 12 cm 2 (1.9 sq in) and covered by cartilage, which can reach a maximal thickness of 6 mm (0.24 in) in the centre at about 30 years of age. Owing to the great stress on the patellofemoral joint during resisted knee flexion, the articular cartilage of the patella is among the thickest in the human body.
Though articular cartilage damage is not life-threatening, it does strongly affect one's quality of life. Articular cartilage damage is often the cause of severe pain, knee swelling, substantial reduction in mobility and severe restrictions to one's activities. Over the last decades, however, research has focused on regenerating damaged joints.
The articular capsule of the knee joint is the wide and lax joint capsule of the knee. It is thin in front and at the side, and contains the patella, ligaments, menisci, and bursae of the knee. [1] The capsule consists of an inner synovial membrane, and an outer fibrous membrane separated by fatty deposits anteriorly and posteriorly. [2]
A joint or articulation (or articular surface) is the connection made between bones, ossicles, or other hard structures in the body which link an animal's skeletal system into a functional whole. [ 1 ] [ 2 ] [ 3 ] They are constructed to allow for different degrees and types of movement.
Articular cartilage, most notably that which is found in the knee joint, is generally characterized by very low friction, high wear resistance, and poor regenerative qualities. It is responsible for much of the compressive resistance and load bearing qualities of the knee joint and, without it, walking is painful to impossible.
Arthroscopic lavage is a "cleaning up" procedure of the knee joint. This short-term solution is not considered as an articular cartilage repair procedure but rather a palliative treatment to reduce pain, mechanical restriction and inflammation. Lavage focuses on removing degenerative articular cartilage flaps and fibrous tissue.
Following a tibial plateau fracture, the patient is at risk for arthritis. This is referred to as post-traumatic arthritis. The more displaced the joint intra-articular surface is, the more likely post-traumatic arthritis is to occur. This occurs due to injury to the joint surface cartilage. When cartilage is damaged, arthritis can occur. [15]
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