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. 2021 Aug 31;23:227. doi: 10.1186/s13075-021-02611-x

Table 3.

Modified Mankin score for evaluation of articular cartilage degeneration as described by Henson and Vincent [32]

Score Structure Cellularity Matrix staining Tidemark integrity
Score 0 Smooth surface Normal arrangement Normal staining Normal and intact
Normal appearance
Score 1 Roughened surface Clustering in the superficial layer or loss of cells up to 10% Slight loss of stain Disrupted
Single crack or area of delamination
Score 2 Multiple cracks Disorganization or loss up to 25% Moderate loss of stain
Moderate delamination
Score 3 Fragmentation in cartilage or severe delamination Cell rows absent or loss up to 50% Severe loss of stain
Score 4 Loss of fragments Very few cells present No stain present
Score 5 Complete erosion to tidemark
Score 6 Erosion beyond tidemark