Osteochondritis dissecans of the knee in adolescents: How to treat them?

被引：2

作者：

Cabral, Joao ^{[1
]}

Duart, Julio ^{[2
]}

机构：

[1] Ctr Hosp & Univ Coimbra, Hosp Ped, EPE, Serv Ortopedia Pediat, Ave Afonso Romao, P-3000602 Coimbra, Portugal

[2] Complejo Hosp Navarra, Pamplona, Spain

来源：

JOURNAL OF CHILDRENS ORTHOPAEDICS | 2023年 / 17卷 / 01期

关键词：

Juvenile osteochondritis dissecans; knee; pediatric; LATERAL FEMORAL CONDYLE; JUVENILE; MANAGEMENT; PREDICTORS; FIXATION; TROCHLEA; CRITERIA; PATELLA; LESIONS;

D O I：

10.1177/18632521231152269

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background:Osteochondritis dissecans is an acquired condition of the joint that affects the articular surface and the subchondral bone. The juvenile form of osteochondritis dissecans presents in those aged 5-16 years with open growth plates. The causes of osteochondritis dissecans are unknown. Methods:The goals of treatment are to promote healing of the subchondral bone and prevent chondral collapse, subsequent fracture, osteochondral defect formation, and early joint degeneration. Treatment modality is influenced on clinical symptoms, skeletal maturity, as well as the size, stability, and location of the lesion. This article will review the treatment strategies of juvenile form of osteochondritis dissecans of medial femoral condyle and of atypical regions, such as lateral femoral condyle, patellofemoral joint, and tibial plateau.

引用

页码：54 / 62

页数：9

共 34 条

[31] Predictive factors for osteochondritis dissecans of the lateral femoral condyle concurrent with a discoid lateral meniscus [J].

Takigami, Junsei ;

Hashimoto, Yusuke ;

Tomihara, Tomohiro ;

Yamasaki, Shinya ;

Tamai, Koji ;

Kondo, Kyoko ;

Nakamura, Hiroaki .

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2018, 26 (03) :799-805

[32]

Wall EJ, 2014, J PEDIATR ORTHOPED, V34, P625, DOI 10.1097/BPO.0000000000000212

[33] The Healing Potential of Stable Juvenile Osteochondritis Dissecans Knee Lesions [J].

Wall, Eric J. ;

Vourazeris, Jason ;

Myer, Gregory D. ;

Emery, Kathleen H. ;

Divine, Jon G. ;

Nick, Todd G. ;

Hewett, Timothy E. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2008, 90A (12) :2655-2664

[34] Comparison of Weightbearing and Nonweightbearing Juvenile Osteochondritis Dissecans Lesions of the Lateral Femoral Condyle [J].

Zhou, Liang ;

Gee, Shawn M. ;

Wilson, Philip L. ;

Huang, Sharon ;

Wagner, K. John ;

Ellis, Henry B. .

ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE, 2021, 9 (08)

← 1 2 3 4 →