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Based on a study of 167 chondral lesions in 140 knees, six different types of lesions confined to the articular cartilage of the femoral condyles are recognized. They are: type I, linear crack; type II, stellate fracture; type III, flap; type IV, crater; type V, fibrillated; and type VI, degrading. The weight-bearing parts of the surfaces are the site of predilection in most cases. The mechanism behind the injuries is discussed, with types I-IV probably of acute traumatic origin, and types V and VI associated with degenerative processes.
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Bauer et al. (1988) studied this question.
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