Causes
They may arise from cartilage injury, osteochondral injury, synovial chondromatosis or prior trauma.
Symptoms
Patients may experience pain, catching, locking, clicking or intermittent restriction of movement.
Diagnosis
Radiographs may show calcified fragments, while MRI or CT can help define their number, location and underlying cause.
Treatment
Symptomatic loose bodies can often be removed arthroscopically in appropriate patients, while associated pathology is addressed at the same time when possible.
Recovery
Rehabilitation depends on whether removal was isolated or combined with treatment of FAI, labral pathology or cartilage injury.
Frequently Asked Questions
Does every loose body need removal?
No. The decision depends on symptoms, size, location and the underlying cause.
Is arthroscopy always suitable?
It is often effective in selected cases, but suitability depends on anatomy, the degree of arthritis and associated pathology.
Individualized Care
Treatment decisions depend on symptoms, examination, imaging, activity level and the goals of the individual patient.