Osteochondritis Dissecans Lesions of the Knee: Evidence-Based Treatment
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作者:
Nammour, Michael A.
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Louisiana State Univ, Dept Orthopaed Surg, Hlth Sci Ctr Shreveport, Shreveport, LA USALouisiana State Univ, Dept Orthopaed Surg, Hlth Sci Ctr Shreveport, Shreveport, LA USA
Nammour, Michael A.
[1
]
Mauro, Craig S.
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机构:
Univ Pittsburgh, Dept Orthopaed Surg, Med Ctr, Pittsburgh, PA 15260 USALouisiana State Univ, Dept Orthopaed Surg, Hlth Sci Ctr Shreveport, Shreveport, LA USA
Mauro, Craig S.
[2
]
Bradley, James P.
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Univ Pittsburgh, Dept Orthopaed Surg, Med Ctr, Pittsburgh, PA 15260 USALouisiana State Univ, Dept Orthopaed Surg, Hlth Sci Ctr Shreveport, Shreveport, LA USA
Bradley, James P.
[2
]
Arner, Justin W.
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Univ Pittsburgh, Dept Orthopaed Surg, Med Ctr, Pittsburgh, PA 15260 USALouisiana State Univ, Dept Orthopaed Surg, Hlth Sci Ctr Shreveport, Shreveport, LA USA
Arner, Justin W.
[2
]
机构:
[1] Louisiana State Univ, Dept Orthopaed Surg, Hlth Sci Ctr Shreveport, Shreveport, LA USA
[2] Univ Pittsburgh, Dept Orthopaed Surg, Med Ctr, Pittsburgh, PA 15260 USA
Osteochondritis dissecans (OCD) of the knee is a potentially disabling condition in adolescent and young adults, which is likely multifactorial in origin. In recent years, there have been notable improvements in identification and treatment. Clinical presentation varies based mostly on OCD lesion stability. Patients with stable lesions generally present with vague knee pain and altered gait while mechanical symptoms and effusion are more common with unstable lesions. Lesions most commonly occur on the lateral aspect of the medial femoral condyle in patients aged 10 to 20 years. Magnetic resonance imaging is vital to diagnose and predict clinical treatment, which is largely based on stability of the fragment. Conservative treatment of stable lesions in patients with open physis is recommended with protected weight-bearing and gradual progression of activities over the course of 3 to 6 months. Stable OCD lesions which failed a nonsurgical course can be treated with transarticular or retrograde drilling while unstable lesions usually require fixation, autologous chondrocyte implantation (ACI), osteochondral autograft transfer (OATS), or osteochondral allograft transplantation. This review highlights the most current understanding of knee OCD lesions and treatment options with the goal of optimizing outcomes in this difficult pathology.
机构:
McMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
Abouassaly, M.
Peterson, D.
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McMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
Peterson, D.
Salci, L.
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McMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
Salci, L.
Farrokhyar, F.
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机构:
McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
Farrokhyar, F.
D'Souza, J.
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McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
D'Souza, J.
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Bhandari, M.
Ayeni, O. R.
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h-index: 0
机构:
McMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Carey, James L.
Wall, Eric J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH 45229 USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Wall, Eric J.
Grimm, Nathan L.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Duke Univ, Durham, NC USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Grimm, Nathan L.
Ganley, Theodore J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Childrens Hosp Philadelphia, Philadelphia, PA 19104 USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Ganley, Theodore J.
Edmonds, Eric W.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Rady Childrens Hosp San Diego, San Diego, CA USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Edmonds, Eric W.
Anderson, Allen F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Tennessee Orthopaed Alliance, Nashville, TN USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Anderson, Allen F.
Polousky, John
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Rocky Mt Youth Sports Med Inst, Centennial, CO USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Polousky, John
Murnaghan, M. Lucas
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Hosp Sick Children, Toronto, ON, CanadaUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Murnaghan, M. Lucas
Nissen, Carl W.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Connecticut Childrens Med Ctr, Farmington, CT USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Nissen, Carl W.
Weiss, Jennifer
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Kaiser Permanente Southern Calif, Los Angeles, CA USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Weiss, Jennifer
Lyon, Roger M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Med Coll Wisconsin, Milwaukee, WI 53226 USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Lyon, Roger M.
Chambers, Henry G.
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h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
机构:
McMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
Abouassaly, M.
Peterson, D.
论文数: 0引用数: 0
h-index: 0
机构:
McMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
Peterson, D.
Salci, L.
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机构:
McMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
Salci, L.
Farrokhyar, F.
论文数: 0引用数: 0
h-index: 0
机构:
McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
Farrokhyar, F.
D'Souza, J.
论文数: 0引用数: 0
h-index: 0
机构:
McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
D'Souza, J.
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机构:
Bhandari, M.
Ayeni, O. R.
论文数: 0引用数: 0
h-index: 0
机构:
McMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, CanadaMcMaster Univ, Div Orthopaed Surg, Dept Surg, Med Ctr, Hamilton, ON L8N 3Z5, Canada
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Carey, James L.
Wall, Eric J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH 45229 USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Wall, Eric J.
Grimm, Nathan L.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Duke Univ, Durham, NC USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Grimm, Nathan L.
Ganley, Theodore J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Childrens Hosp Philadelphia, Philadelphia, PA 19104 USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Ganley, Theodore J.
Edmonds, Eric W.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Rady Childrens Hosp San Diego, San Diego, CA USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Edmonds, Eric W.
Anderson, Allen F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Tennessee Orthopaed Alliance, Nashville, TN USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Anderson, Allen F.
Polousky, John
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Rocky Mt Youth Sports Med Inst, Centennial, CO USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Polousky, John
Murnaghan, M. Lucas
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Hosp Sick Children, Toronto, ON, CanadaUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Murnaghan, M. Lucas
Nissen, Carl W.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Connecticut Childrens Med Ctr, Farmington, CT USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Nissen, Carl W.
Weiss, Jennifer
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Kaiser Permanente Southern Calif, Los Angeles, CA USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Weiss, Jennifer
Lyon, Roger M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Med Coll Wisconsin, Milwaukee, WI 53226 USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
Lyon, Roger M.
Chambers, Henry G.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USAUniv Penn, Perelman Sch Med, Philadelphia, PA 19104 USA