Table 3.
Grade | Severity | Modified Outerbridge system33 |
Gross observations |
---|---|---|---|
1 | Unaffected | 0 | No signs of any cartilage degradation |
2 | Mild OA | 1, 2 | Presence of cartilage fibrillation (i.e., obvious macroscopic alterations of at least the superficial layer of the articular cartilage that manifest as surface roughening or striations), but no cartilage lesions |
3 | Moderate OA |
3 | Presence of cartilage degradation to the point of lesion development (i.e., clear indication of erosion of articular cartilage, regardless of lesion size) but no eburnation |
4 | Advanced OA |
4 | Presence of any amount of eburnation (i.e., devoid of cartilage, polished subchondral bone surface – indicative of bone-on-bone contact) |