Mid-condylar |
Mild |
Few visible cracks. Little or no disruption of overlying cartilage. |
Moderate |
Some bone microdamage: either a network of microcracks, showing early signs of lateral fracture formation, or shallow and highly localised subchondral collapse. Little or no disruption of overlying cartilage. |
Severe |
Extensive subchondral micro-cracking, involving one or more of bone comminution, lateral fracture, and/or subchondral collapse. Typically substantial disruption of overlying cartilage, often accompanied by reparative tissue at the articular surface. |
Parasagittal groove |
Mild |
Occasional cracks in the calcified cartilage, predominately slopping towards the sagittal ridge, sometimes associated with clusters of much smaller subchondral bone cracks. |
Moderate |
Frequent cracks in both the calcified cartilage and subchondral bone, typically exhibiting an oblique/counter-oblique morphology. Limited disruption of the deep zone hyaline cartilage may be present. |
Severe |
Extensive cracking of the calcified cartilage and subchondral bone with the formation of large hyaline cartilage lesions in association with the hard tissue microdamage. |