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Chondromalacia is a general term used to signify damage to the cartilage under the knee cap. This cartilage that covers the patella (knee cap) is important as a shock absorber and for ensuring the patella and the femoral groove slide smoothly past one another.hondromalacia is a general term used to signify damage to the cartilage under the knee cap. This cartilage that covers the patella (knee cap) is important as a shock absorber and for ensuring the patella and the femoral groove slide smoothly past one another.
Diagnosing Chondromalacia Patella. See a doctor if you have knee pain that does not improve within a few days. To determine the cause of knee pain, your doctor will perform a physical examination. Your knee will be examined for signs of tenderness and swelling. Your doctor will also flex or extend your leg and ask if you feel pain or grinding below the kneecap. The patella may be noticed to move to the side with knee movements. A physical exam is usually enough to diagnosis this condition. However, your doctor may want to confirm the diagnosis with: 1  X-raysâalthough they are not ideal. 2  X-rays do not give good images of the soft tissue behind the knee.