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anatomy

Articular Cartilage

The smooth, white tissue covering the ends of bones in joints. Its breakdown is the primary feature of osteoarthritis.

Extended Definition

Articular cartilage (also called hyaline cartilage) is a specialized connective tissue that covers the bone surfaces within synovial joints. It provides a smooth, low-friction surface for movement and helps distribute loads across the joint.

Unique Properties

  1. No blood vessels - Relies on synovial fluid for nutrients
  2. No nerves - Cartilage damage itself doesn’t cause pain (but exposed bone does)
  3. Limited healing capacity - Cannot regenerate once damaged
  4. 95% water - In healthy cartilage, giving it resilience

Thickness Varies by Joint

  • Knee (femur) - Up to 7mm thick
  • Hip - 1-3mm thick
  • Ankle - 1-2mm thick

The Osteoarthritis Connection

OA begins with articular cartilage damage:

  1. Surface becomes rough and fibrillated
  2. Thickness decreases over time
  3. Eventually exposes underlying bone
  4. β€œBone-on-bone” contact causes pain

Hyaluronic acid injections help by lubricating what cartilage remains, reducing friction and potentially slowing further damage.

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