Stage I |
Opacity of fluid, redness of the synovial membrane, possible petechial bleeding, no radiological alterations. |
|
Stage II |
Severe inflammation, fibrinous deposition, pus, no radiologic alterations. |
|
Stage III |
Thickening of the synovial membrane, compartment formation ("sponge-like" arthroscopic view, especially in the suprapatellar pouch), no radiologic alterations. |
|
Stage IV |
Aggressive pannus with infiltration of the cartilage, possibly undermining the cartilage, radiological signs of subchondral osteolysis, possible osseous erosions and cysts. |
|
Jensen |
The classification according to Jensen included III stages: |
|
Stage I |
Opaque effusion with high cell count, hyperaemia of the synovium. |
|
Stage II |
Putrid effusion, fibrin coatings, synovial hypertrophy with petechial bleeding. |
|
Stage III |
Severe villous synovitis with (partial) tamponade of the joint, synovial necrosis, synovial adhesions, cartilage destruction. |
|
Kuner |
The classification according to Kuner was more a clinical description rather than an arthroscopic staging: |
|
Stage I |
Purulent synovitis |
|
Stage II |
Joint empyema |
|
Stage III |
Panarthritis |
|
Stage IV |
Chronic arthritis. |