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inside the normal knee joint there are three surfaces the articular cartilage of the femur the tibia and a shock absorber between the two that is called the meniscus in a normal healthy knee the articular cartilage has a smooth appearance with no loose or displaced fragments arthritis is simply when these surfaces have become worn no different in principle to the wear on an old car tyre the three surfaces that make up the joint are not visible on an x-ray but by assessing the size of the gap between the two bones of the knee joint the femur and tibia you can begin to see if arthritis is developing as cartilage wears this x-ray is of a healthy joint with the arrow pointing to a normal gap between the bones [Music] as the joint begins to wear you see areas where the cartilage has become thinner as i demonstrate here with the probe fragments can be seen here and these can catch causing pain and discomfort to the patient [Music] the one smooth and polished surface of the articular cartila
