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. Author manuscript; available in PMC: 2022 Mar 9.
Published in final edited form as: Am J Sports Med. 2020 May 8;48(7):1647–1656. doi: 10.1177/0363546520918804

TABLE 2.

Mankin Scoring System

Grade
Structure
 Normal   0
 Surface irregularities   1
 Pannus and surface irregularities   2
 Clefts to transitional zone   3
 Clefts to radial zone   4
 Clefts to calcified zone   5
 Complete disorganization   6
Cells
 Normal   0
 Diffuse hypercellularity   1
 Cloning   2
 Hypocellularity   3
Safranin O staining
 Normal   0
 Slight reduction   1
 Moderate reduction   2
 Severe reduction   3
 No dye noted   4
Tidemark integrity
 Intact   0
 Crossed by blood vessels   1
Maximum score 14