we face many patients, females, young and complaining from cartilage softening and only known while doing knee arthroscopy .
the alignment angles was within accepted range.
what to do to eradicate this lesions
The most optimal method for working with young female patients with anterior knee pain is the development of an individualized rehabilitation program based upon a thorough subjective and objective assessments. SALTYCHEV Saltychev et al. in a review article concluded that there is no single treatment that works for all patients with patella-femoral pain J Rehabil Med 2018. Galloway et al. reported that females prepubescent may have maladaptive hip mechanics during landing and that may contribute to patella-femoral pain AJSM 2018. A systematic review by Lankhorst et al determined that weak knee extension strength is a risk factor for anterior knee pain JOSPT 2012. I have found that a strategy that can utilize dynamic control, manual therapy, strengthening, flexibility if an issue, along with proper shoewear and compliance with good home ex program and utilization of a good physical therapist has been successful.
As it is mentioned abkve in a great detailed explanation "chondromalacia" is a multifactorial problem and the treatment has to be individualized. Usually non operative treatment can improve the symptoms. Operations only in the extreme conditions of proven anatomical "defects". These are rare and again need to be individualized.
Symtomatic treatment with analgesics vitamins braces physiotherapy lifestyle modification etc .No single perfect treatment exists .
There are two well-known classification systems for patellofemoral disorders namely Install's and Merchant's classifications. The above groups serve to highlight the complex pathophysiology of the PF joint. I agree that individualized treatment of this syndrome is important.
I think proper assessment of the biomechanics of the knee joint and ipsilateral hip and ankle joints is critical to identify the cause and subsequently the proper management
However,conservative management with proper rehabilitation program is the standard in most cases.