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Table 2 The International Cartilage Repair Society II scoring system [24]

From: Strontium ranelate promotes chondrogenesis through inhibition of the Wnt/β-catenin pathway

Histological parameter

Score (0–100)

1. Tissue morphology

0: Full thickness collagen fibers

100: Normal cartilage birefringence

2. Matrix staining

0: No staining

100: Full metachromasia

3. Cell morphology

0: No round/oval cells

100: Mostly round/oval cells

4. Chondrocyte clustering

0: Present

100: Absent

5. Surface architecture

0: Delamination or major irregularity

100: Smooth surface

6. Basal integration

0: No integration

100: Complete integration

7. Formation of a tidemark

0: No calcification front

100: Tidemark

8. Subchondral bone abnormalities/marrow fibrosis

0: Abnormal

100: Normal marrow

9. Inflammation

0: Present

100: Absent

10. Abnormal calcification/ossification

0: Present

100: Absent

11. Vascularization (within the repaired tissue)

0: Present

100: Absent

12. Surface/superficial assessment

0: Total loss or complete disruption

100: Resembles intact articular cartilage

13. Mid/deep zone assessment

0: Fibrous tissue

100: Normal hyaline cartilage

14. Overall assessment

0: Bad, fibrous tissue

100: Good, hyaline cartilage