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CONTACT US
Reuben Gobezie, M.D.
Director, Cleveland Shoulder Institute University Hospitals of Cleveland
Fellowship Director, Cleveland Akron Shoulder & Elbow Fellowship (CASE)
Head, Cartilage Transplant Center of Cleveland
Phone Numbers
Appointments: (216) 844-7200
Office Number: (216) 844-7093
FAX Number: (216) 844-5970
Email: Reuben.Gobezie@UHhospitals.org
Office Locations
UHHS Chagrin Highlands Medical Center
3909 Orange Place
Orange Village, OH 44122
County: Cuyahoga-East
Phone Number: (216) 844-7093
Fax Number: (216) 844-5970
Directions To Our Office
University Suburban Health Center
1611 S. Green Road
South Euclid, OH 44121
Phone Number: (216) 844-7093
Fax Number: (216) 844-5970
Directions To Our Office
University Hospitals
Westlake Campus
960 Clague Road
Westlake, OH
Directions To Our Office
UHHS Bedford Medical Center
44 Blaine Ave
Cleveland, OH 44146
Phone Number:(216) 844-7093
Directions To Our Office
8819 Commons Boulevard
Twinsburg, OH 44087
Phone Number:(216) 844-7093
Directions To Our Office
University Hospitals Mentor
9000 Mentor Ave
Mentor, OH
Directions To Our Office
UH Richmond Medical Center
27100 Chardon Rd
Richmond Hts, OH 44143
Phone: (216) 844-7093
Fax: (216) 844-5970
Directions To Our Office
UH Concord Health Center
7500 Auburn Rd
Concord, OH 44077
Directions To Our Office
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 How
is articular cartilage damage diagnosed?
It can be difficult to diagnose an articular cartilage injury.
Physical examination may show a swollen knee, but frequently
the exam is normal.
Imaging may help the doctor make a diagnosis in some, but
not all, cases. X-rays may be normal in most cases because
only bone damage is visible on X-ray. One indication of
advanced cartilage loss is a decrease in space between two
bone surfaces. A loose bone fragment may be detected in
a condition called osteochondritis dissecans
(OCD), in which a portion of bone detaches with the
articular cartilage.
An MRI (Magnetic Resonance Image) may reveal softened
cartilage in many cases. This softening can be difficult to
detect, however, and the diagnosis may require the most sensitive
and highest quality MRI images, which may show changes in
the underlying bone. Cartilage thinning or loss is also usually
visible on MRI.
Articular cartilage damage is
most reliably diagnosed with an arthroscopic examination
of the joint. In this procedure, a tiny fiberoptic scope is
inserted into the joint. The doctor uses this scope to visually
assess the damage.
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