Knee Osteoarthritis
Knee osteoarthritis is a degenerative joint condition characterized by the gradual breakdown of cartilage within the knee joint. Cartilage serves as a cushion between the bones, allowing for smooth and pain-free movement. As the cartilage wears away over time, bones may rub against each other, leading to pain, stiffness, swelling, and decreased mobility. Risk factors for knee osteoarthritis include aging, genetics, obesity, previous knee injuries, and repetitive stress on the joint.
Most Common Types of Knee Osteoarthritis
Medial Compartment Osteoarthritis
In this type, the degenerative changes primarily affect the medial (inner) compartment of the knee joint. This often results in pain and stiffness on the inner side of the knee, particularly during weight-bearing activities such as walking or climbing stairs. Medial compartment osteoarthritis may lead to varus deformity, where the knee bows inward, causing misalignment of the joint and altered biomechanics.
Lateral Compartment Osteoarthritis
Lateral compartment knee joint osteoarthritis involves degenerative changes primarily affecting the lateral (outer) compartment of the knee joint. Individuals with this type of knee joint osteoarthritis may experience pain, swelling, and instability on the outer side of the knee, especially during activities that involve bending or twisting motions. Lateral compartment knee joint osteoarthritis can lead to valgus deformity, where the knee angles outward, resulting in joint misalignment and increased stress on the lateral structures of the knee.
Patellofemoral Osteoarthritis
Patellofemoral knee joint osteoarthritis refers to degenerative changes occurring in the patellofemoral joint, which is the joint between the kneecap (patella) and the thigh bone (femur). This type of knee joint osteoarthritis often presents with anterior knee pain, crepitus (grinding sensation), and difficulty with activities that involve squatting, kneeling, or prolonged sitting. Patellofemoral osteoarthritis may be associated with malalignment of the patella, patellar tracking issues, or quadriceps muscle weakness.
Global Knee Osteoarthritis
Global knee joint osteoarthritis involves degenerative changes affecting multiple compartments of the knee joint, including the medial, lateral, and patellofemoral compartments. Individuals with global knee OA may experience pain, stiffness, and functional limitations that affect various aspects of daily life, including walking, climbing stairs, and participating in recreational activities. Global knee osteoarthritis often presents with diffused knee pain and swelling, along with joint instability and decreased range of motion.
Post-Traumatic Osteoarthritis
Post-traumatic knee joint osteoarthritis can develop in the knee following a traumatic injury, such as a fracture, ligament tear (e.g., ACL or meniscus tear), or dislocation. The initial injury disrupts the normal structure and function of the knee joint, leading to accelerated degenerative changes over time. Post-traumatic osteoarthritis may affect one or more compartments of the knee joint and can present with a combination of pain, swelling, instability, and mechanical symptoms such as locking or catching.
Secondary Osteoarthritis
Secondary knee joint osteoarthritis refers to degenerative joint changes that occur as a result of underlying conditions or risk factors, such as obesity, malalignment, previous joint surgery, inflammatory arthritis (e.g., rheumatoid arthritis), or metabolic disorders (e.g., diabetes). These factors can contribute to accelerated joint degeneration and increased susceptibility to developing knee osteoarthritis. Secondary osteoarthritis may exhibit similar symptoms and patterns of joint involvement as primary osteoarthritis but may progress more rapidly or have unique features related to the underlying condition.
- Christopher S. Raffo, MD
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist - James S. Gardiner, MD
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist - John Christoforetti, MD, FAAOS
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
Specialized Knee Osteoarthritis Treatment in Montgomery County, Maryland
Discover tailored care for knee arthritis at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Our devoted team of orthopedic specialists provides customized treatment options to alleviate discomfort and enhance your quality of life. Whether you're grappling with stiffness, swelling, or limited mobility, we're here to assist you in finding relief and restoring functionality to your knee. Reach out to us at (301) 515-0900 or conveniently schedule your appointment online.