Subchondral Insufficiency Fractures of the Knee A Clinical Narrative Review

被引：8

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.

引用

页数：11

共 85 条

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