The wearing away or softening of the cartilage in the knee between the kneecap and the femur.
The most common causes are: being overweight, sports that overload the knee (basketball, soccer, rugby, cycling, running...), poor vascularization and poor alignment of the knee; genetic predisposition may also play a role.
As the cartilage wears down, there is friction in the joint that can cause discomfort. It manifests as joint pain, clicking when the knee is moved, and swelling.
The suspected diagnosis is clinical, based on history and physical examination. It is confirmed by imaging tests such as x-rays and/or magnetic resonance imaging. In some cases, diagnostic arthroscopy may be performed.
Treatment is based on physiotherapy (massages, ultrasound, stretching), hyaluronic acid infiltrations or anti-wear drugs (Chondrogen, glucosamine sulphate, Chondrosan, plasma, etc.). It is advisable to practice exercises that strengthen the quadriceps, such as swimming or Pilates.
If you have the above symptoms, you should consult an orthopedic surgeon to confirm the diagnosis and start treatment to avoid complications.
- N. Kulund D. Lesiones del deportista. Rodilla. Exploración de la rodilla del deportia lesionado. Aparato extensor de la rodilla. Salvat S.A. 352-370.
- K. T. Ramírez. Condromalacia rotuliana. Rev Med Cos Ric Cent. 2014; 71(611):551-553
- UpToDate [Internet]. Waltham. 2017. Radiologic evaluation of the acutely painful knee in adults; [citado el 28 de junio de 2017]. Disponible en: http://www.uptodate.com/contents/radiologic-evaluation-of-the-acutely-painful-knee-in-adults?source=search_result&search=condromalacia+rotuliana&selectedTitle=24~87
- UpToDate [Internet]. Waltham. 2017. Physical examination of the knee; [citado el 28 de junio de 2017]. Disponible en: http://www.uptodate.com/contents/physical-examination-of-the-knee?source=search_result&search=condromalacia+rotuliana&selectedTitle=23~87
