Articular Cartilage Injuries | Dr. Daniel A. Romanelli, M.D

Articular Cartilage

Articular cartilage is the smooth tissue covering bone ends in the knee, allowing them to glide with minimal friction. Injuries can result from trauma, repetitive stress, or conditions like osteoarthritis.

Schedule an Appointment

Dr. Romanelli will begin with a physical examination to assess the knee for signs of cartilage damage. Diagnostic imaging, such as MRI, is often used to confirm the extent of the injury and to evaluate the overall health of the knee joint. In some cases, an arthroscopy (a minimally invasive procedure) may be performed to get a more detailed look at the cartilage and other structures inside the knee.
The treatment approach for articular cartilage injuries depends on the severity and location of the damage, as well as the patient's overall knee health. Early intervention is crucial to prevent further deterioration of the joint. Treatment options range from conservative management to surgical repair, aimed at restoring smooth joint function.
In less severe cases, non-surgical options can help manage symptoms and improve joint function. These treatments include:

Rest and Activity Modification: Reducing activities that aggravate the knee can help protect the cartilage from further damage.

Medications: Anti-inflammatory medications may be prescribed to reduce pain and swelling.

Physical Therapy: Strengthening the muscles around the knee helps support the joint and reduce the load on the damaged cartilage.

Injections: Corticosteroid or hyaluronic acid injections may be used to reduce inflammation and improve joint lubrication.
For more severe injuries or when non-surgical treatments are ineffective, surgical intervention may be necessary. Surgical options for repairing or regenerating damaged cartilage include:

Microfracture: This procedure involves creating tiny holes in the bone beneath the damaged cartilage to stimulate new cartilage growth.

Osteochondral Autograft Transplantation (OATS): Healthy cartilage is taken from a non-weight-bearing area of the knee and transplanted to the damaged area.

Autologous Chondrocyte Implantation (ACI): Cartilage cells are harvested from the patient, cultured in a lab, and then re-implanted into the damaged area to promote new cartilage growth.

Arthroscopic Debridement: Damaged or loose cartilage fragments are removed to smooth the surface of the joint, relieving symptoms and improving function
Physical therapy is a critical component of recovery following an articular cartilage injury, whether treated surgically or non-surgically. Rehabilitation focuses on restoring range of motion, strengthening the muscles around the knee, and improving joint stability.

Dr. Romanelli works with physical therapists to design personalized rehabilitation programs, ensuring a smooth and effective recovery that helps patients return to their normal activities.

Knee Procedures with
Dr. Daniel A. Romanelli

Your knees provide the range of motion you need for everyday activities—from reaching and lifting to throwing and rotating. When shoulder pain or injury limits your movement, it can affect your entire lifestyle. Dr. Romanelli specializes in diagnosing and treating shoulder conditions, helping you return to full mobility with personalized, effective care.

Schedule an Appointment