摘要关节软骨为透明软骨,由于其缺乏血液供应和神经组织营养,导致自身修复能力较弱,损伤后难以愈合.多种运动障碍性疾病的早期病理改变都伴有关节软骨的损伤,软骨一旦损伤不予处理,将不可避免地造成更严重的关节软骨破坏,加速关节退变.因此,早期诊断软骨损伤是预防和延缓关节退变的关键.笔者从影像学检查、生物学标志物检查、关节镜检查三方面对关节软骨损伤的早期诊断作一综述,为临床早期软骨损伤的治疗提供依据.

abstractsArticular cartilage is hyaline cartilage and has weak self-healing ability.Articular cartilage injury is difficult to heal due to lack of blood supply and nerve tissue nutrition.The early pathological changes of many kinds of motor disorder diseases are accompanied by articular cartilage injury.It will inevitably cause more serious damage and accelerate joint degeneration if the articular cartilage injury cannot be treated timely.Therefore,early diagnosis of cartilage injury is key to preventing and delaying joint degeneration.This article reviews the early diagnosis of cartilage injury from three aspects of imaging examination,biomarker detection and arthroscopy so as to provide reference for the clinical treatment of early cartilage injury.