Evidence Checklist: Chondromalacia Patella

Orthopedic evaluation with knee range of motion measurementsCritical

An examination documenting knee flexion and extension in degrees, crepitus, patellar grind test, pain on motion, and functional limitations after repetitive use.

Nexus opinion linking chondromalacia to serviceCritical

A medical opinion stating it is "at least as likely as not" that your chondromalacia patella is connected to military service, including running, marching, kneeling, or other high-impact activities.

MRI showing cartilage damage on patellar surface

MRI demonstrating cartilage softening, fibrillation, fissuring, or erosion on the undersurface of the patella consistent with chondromalacia.

Documentation of crepitus and patellar tracking

Medical records documenting audible or palpable crepitus, patellar maltracking, and positive patellar grind or apprehension tests.

Bilateral documentation if both knees affected

If both knees are affected, ensure each knee is separately documented with individual range of motion and symptom assessments for separate ratings.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Completed DBQ Knee and Lower Leg ConditionsCritical

Standardized form capturing knee range of motion, cartilage findings, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.