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Chondral delamination

Case contributed by: Dr Prashant Gupta

Presentation:

Pain in knee after twisting injury

Patient Data:

Age: 77
Gender: Male
Race: Indian/Pakistani
Modality: MRI

The cartilage is seen to be separated from the subchondral bone with fluid intensity in between.

Case Discussion:

Chondral delamination injuries are thought to be produced by shearing injury and involve a separation of the uncalcified articular cartilage from the calcified cartilage at the tidemark

Normally chondral injuries are associated with meniscal tears, delamination injuries however show no such association.

Identifying these injuries is crucial as surgical debridement upto the subchondral bone is required.

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