Loss of superficial layer |
<Slight |
1 |
Moderate |
2 |
Focally severe |
3 |
Extensively severe |
4 |
Erosion of cartilage |
<Detectable |
1 |
Moderate |
2 |
Focally severe |
3 |
Extensively severe |
4 |
Fibrillation and/or fissures |
<Noticeable (<1 very small) |
1 |
Moderate (1 small) |
2 |
Marked (2 small or 1 medium) |
3 |
Extensive (3 small, 2 medium, or 1 large) |
4 |
Loss of proteoglycan |
<Paler stain than control |
1 |
Moderate loss of Safranin-O stain |
2 |
Marked loss of Safranin-O stain |
3 |
Total loss of Safranin-O stain |
4 |
Disorganization of chondrocytes |
Noticeable |
1 |
Moderate, with some loss of columns |
2 |
Marked loss of columns |
3 |
No recognizable organization |
4 |
Loss of chondrocytes |
<Noticeable decrease in cells |
1 |
Moderate decrease in cells |
2 |
Marked decrease in cells |
3 |
Very extensive decrease in cells |
4 |
Exposure of subchondral bone |
<Focal exposure of bone |
1 |
Moderate exposure of bone |
2 |
Fairly extensive exposure of bone |
3 |
Very extensive exposure of bone |
4 |
Cluster formation |
<3-4 small or 1-2 medium |
1 |
5-6 small, 3-4 medium, or 1-2 large |
2 |
7 or more medium or 5-6 large |
3 |
7 or more small, 5-6 medium, or 3-4 large |
4 |