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. 2015 Aug 25;474(2):467–478. doi: 10.1007/s11999-015-4522-4

Table 1.

An overview of the MRI-based modified Outerbridge grade [3] and the intraoperative Beck’s grade [5]

Modified Outerbridge grade Beck’s grade
0 = Normal cartilage 1 = Normal
1 = Signal changes and/or minor surface irregularities 2 = Malacia (roughening of surface, fibrillation)
2 = Cartilage thickness loss ≤ 50% 3 = Debonding (loss of fixation to the subchondral bone; carpet phenomenon)
3 = Cartilage thickness loss > 50% 4 = Cleavage (loss of fixation to the subchondral bone; frayed edges, thinning of the cartilage flap)
4 = Total cartilage loss 5 = Full-thickness defect, complete loss of cartilage