This article is available to subscribers. Subscribe now. Already have an account? Sign in

Medical ProgressFree PreviewArchive

The Reaction of Articular Cartilage to Injury and Osteoarthritis

List of authors.
  • Henry J. Mankin, M.D.

Alterations in Cartilage in OsteoarthritisThe morphologic changes in joints affected by osteoarthritis were identified in writings of the Hunter brothers over 200 years ago.88 Over the intervening years, alterations in gross morphology were correlated with histologic changes, and the pattern now thought to be pathognomonic for this disorder clearly identified. In 1942, Bennett, Waine and Bauer104 presented their classic monograph, which described the progression of changes seen in the development of osteoarthritis of the knee, and seven years later, Collins105 established a classification system for the joint changes on which much of the current work is based.Before the . . .

Funding and Disclosures

Supported in part by a research grant (AM-16265) from the National Institute of Arthritis, Metabolism and Digestive Diseases.

I am indebted to Lawrence Rosenberg for contributing material regarding cartilage injury and to Michael G. Ehrlich, Howard Dorfman, Louis Lippiello, Charles Weiss, and Antra Zarins for their contributions to the investigations from our laboratory, which, in part, are the basis for this review.

Author Affiliations

From the Department of Orthopaedics, Massachusetts General Hospital and Harvard Medical School (address reprint requests to Dr. Mankin at the Massachusetts General Hospital, Fruit St., Boston, MA 02114).

Print Subscriber? Activate your online access.