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Does cartilage ever heal?

5 months ago I got the cartilage in the top of my ear pierced. I had persistant and numerous problems with infection and irritation. A number of people informed me that this is because it takes longer for cartilage to heal in the new shape. I have since removed the earring and the hole closed over and began to heal almost immediately. I have heard similar stories from people who have had theirs for years. So does this mean cartilage heals? and if so why did i have to have numerous torn pieces of cartilage removed from the meniscal discs in my knee? why didn't it heal?

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  • Asked by lauram92
  • on 2010-10-02 12:12:15
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Tags: humanbody.

 

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Jon-Richfield says:

  Cartilage certainly does heal, but there are several buts. It is a massive tissue in comparison to the rate at which it is served by your bodily fluids, and this limits the rate at which tissue can be added. In particular positions, such as lining the socket of a joint, it's texture and structure are both complex and crucial; not just any bit of cartilage is acceptable just anywhere, particularly not when it is to be stressed every time you move or sneeze.

A particular feature of its structure is that very strong fibres, largely of collagen, penetrate all the way through and in particular orientations. If you break the cartilage, you will break some of the fibres, and they cannot be joined, not much anyway; which means that the strength of the collagen across the break will never be the same until the fibres are replaced, which is not always a simple matter.

Then again, unlike say muscle or skin, cartilage has so little give that new cells cannot grow as easily inside the mass as in softer tissues. Trying to mend cartilage across a break is very difficult because, not only is there the problem of bridging the break with new fibres and new cells, but if there is any tendency for stress across the break, you are not likely to get much proper structure forming.

As for a hole in cartilage, if it has been present for a long time, or there has been a lot of tissue damage, either from infection or metal poisoning from pins and the like, it is quite possible that the tissue will have retreated to a stable position, and will not grow over again. 

So, in summary, yes the body can heal harmed cartilage to a great extent, subject to the nature of the damage, the nature of the cartilage, and the circumstances under which the healing is to occur.

It will be interesting to see how long it takes the cartilage in your ear to heal over completely, but there is no reason it should not, given that cartilage in your ear is neither very thick, nor very dense, nor subject to continual stresses like those in your knee.  

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posted on 2010-10-03 17:27:04 | Report abuse


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DirkPons says:

Cartilage does heal but slower than other tissue. This is because cartilage does not have blood vessels and therefore healing has to rely on diffusion of the necessary molecules to the cartilage cells which are relatively far apart in the matrix. By comparison bone, which we think of as solid, is full of blood vessels and bone cells are therefore more active in making repairs.  Regarding your particular experience, there are several different types of cartilage, and that of the ear (elastic) is different to the joint surfaces (articular) which is different again to the meniscus (fibrous).  They all have the blood supply problem to greater or lesser degree.  The ear cartilage has it lucky with skin and blood supply on two sides, and it doesn’t have to make a strong repair either. Unfortunately parts of the meniscus don’t have any blood supply at all, and they are under severe mechanical load too. Consequently tears to the knee meniscus give problems disproportionately large compared to their healing ability, and surgery may be necessary.

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posted on 2010-10-10 08:22:54 | Report abuse


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