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Case series · 1961

The etiology of chondromalacia patellae

Outerbridge RE · The Journal of Bone and Joint Surgery. British Volume

Anecdotalcounts toward this tier

Origin of the Outerbridge I-IV grading (softening, fissuring <1/2 inch, fissuring >1/2 inch, exposed bone) still quoted in operative reports 60+ years later.

Population
Knees examined at open surgery (historical series)
Intervention
N/A — descriptive; introduced the Outerbridge grades I-IV for cartilage damage
Comparator
None
Limitations
1961 descriptive surgical series about the patella specifically; grading later generalized to the whole knee without formal validation.

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