Subchondral Insufficiency Fractures of the Knee A Clinical Narrative Review

被引：7
作者：
Musbahi, Omar [1 ,2 ,3 ]
Waddell, Lily [1 ,2 ]
Shah, Nehal [1 ,4 ,5 ]
Smith, Stacy E. [1 ,4 ,5 ]
Chen, Antonia F. [1 ,2 ,4 ]
Bisson, Leslie [1 ,6 ]
Katz, Jeffrey N. [1 ,2 ,4 ,7 ]
机构：
[1] Brigham & Womens Hosp, Orthopaed & Arthrit Ctr Outcomes Res OrACORe, Boston, MA USA
[2] Brigham & Womens Hosp, Orthoped & Arthrit Ctr Outcomes Res OrACORe, Dept Orthoped Surg, Boston, MA 02130 USA
[3] Imperial Coll London, London, England
[4] Harvard Med Sch, Boston, MA 02115 USA
[5] Harvard Med Sch, Brigham & Womens Hosp, Dept Radiol, Div Musculoskeletal Imaging & Intervent, Boston, MA USA
[6] SUNY Buffalo, Dept Orthoped Surg, Buffalo, NY USA
[7] Harvard Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
来源：
JBJS REVIEWS | 2023年 / 11卷 / 10期
关键词：
SPONTANEOUS-OSTEONECROSIS; FEMORAL CONDYLE; MENISCAL TEARS; EDEMA PATTERN; ROOT TEAR; BONE; OSTEOARTHRITIS; ARTHROPLASTY; LESIONS; BIOMECHANICS;
D O I：
10.2106/JBJS.RVW.23.00084
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
>> Subchondral insufficiency fractures of the knee (SIFKs) are subchondral plate fractures with a prevalence of 2% to 4% of all knee injuries.>> Magnetic resonance imaging is the gold standard for evaluating SIFK, while plain radiographs have limited the use in the diagnosis of SIFK.>> Among patients with SIFK, 50% to 100% have meniscal pathology.>> Medical therapies and standard treatments traditionally used in the management of knee osteoarthritis differ from recommended management of SIFK patients.>> Randomized controlled trials and cohort studies with long-term follow-up are needed to determine the optimal rehabilitation protocol, interventional therapy, and prognosis of SIFK patients.
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页数：11
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