Acute Traumatic and Sports-Related Osteochondral Injury of the Pediatric Knee

被引：36
作者：
Kramer, Dennis E. [1 ]
Pace, J. Lee [1 ]
机构：
[1] Harvard Univ, Childrens Hosp Boston, Div Sports Med, Dept Orthopaed Surg,Med Sch, Boston, MA 02115 USA
来源：
ORTHOPEDIC CLINICS OF NORTH AMERICA | 2012年 / 43卷 / 02期
关键词：
Pediatric; Knee; Osteochondral fragments; Hemarthrosis; Patellar dislocation; LATERAL FEMORAL CONDYLE; AUTOLOGOUS CHONDROCYTE IMPLANTATION; ACUTE PATELLAR DISLOCATION; ARTICULAR-CARTILAGE; FRACTURE; ADOLESCENTS; CHILDREN; DEFECTS; HEMARTHROSIS; FIXATION;
D O I：
10.1016/j.ocl.2012.02.001
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：
Adolescents are predisposed to osteochondral (OC) injuries in the knee. The medial facet of the patella, the femoral trochlea, and the lateral femoral condyle are the most common sites of injury. Most of these injuries are classically traumatic but noncontact injuries. Surgery is warranted in most cases of OC fracture. Depending on size, condition, and location of the lesion, options include OC fragment reduction and internal fixation or excision and cartilage resurfacing. Understanding of how to diagnose and treat OC fractures will help optimize outcomes.
引用
收藏
页码：227 / +
页数：11
相关论文
共 78 条
  • [1] Functional and Radiographic Outcome of Stable Juvenile Osteochondritis Dissecans of the Knee Treated With Retroarticular Drilling Without Bone Grafting
    Adachi, Nobuo
    Deie, Masataka
    Nakamae, Atsuo
    Ishikawa, Masakazu
    Motoyama, Mitsuru
    Ochi, Mitsuo
    [J]. ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2009, 25 (02) : 145 - 152
  • [2] Cartilage restoration, part 2 - Techniques, outcomes, and future directions
    Alford, JW
    Cole, BJ
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 2005, 33 (03) : 443 - 460
  • [3] ANGEL K R, 1989, Arthroscopy, V5, P192, DOI 10.1016/0749-8063(89)90170-9
  • [4] Azer N, 2006, PEDIAT ADOLESCENT KN, P303
  • [5] Autologous chondrocyte implantation versus matrix-induced autologous chondrocyte implantation for osteochondral defects of the knee
    Bartlett, W
    Skinner, JA
    Gooding, CR
    Carrington, RWJ
    Flanagan, AM
    Briggs, TWR
    Bentley, G
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2005, 87B (05): : 640 - 645
  • [6] BECTON JL, 1966, MAYO CLIN PROC, V41, P242
  • [7] Bellelli A, 1996, Radiol Med, V91, P700
  • [8] A prospective, randomised comparison of autologous chondrocyte implantation versus mosaicplasty for osteochondral defects in the knee
    Bentley, G
    Biant, LC
    Carrington, RWJ
    Akmal, M
    Goldberg, A
    Williams, AM
    Skinner, JA
    Pringle, J
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2003, 85B (02): : 223 - 230
  • [9] Osteochondral injuries - Clinical findings
    Birk, GT
    DeLee, JC
    [J]. CLINICS IN SPORTS MEDICINE, 2001, 20 (02) : 279 - +
  • [10] Suture bridge fixation of a femoral condyle traumatic osteochondral defect
    Bowers, Andrea L.
    Huffman, G. Russell
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2008, 466 (09) : 2276 - 2281
12345678