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
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
  • [71] Use and abuse of knee MRI in assessment of pediatric knee intraarticular disorders
    Stanitski, CL
    [J]. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2004, 24 (06) : 747 - 748
  • [72] Osteochondral fracture of the distal lateral femoral condyle - A report of two cases
    Taitsman, LA
    Frank, JB
    Mills, WJ
    Barei, DP
    Nork, SE
    [J]. JOURNAL OF ORTHOPAEDIC TRAUMA, 2006, 20 (05) : 358 - 362
  • [73] Tonin M, 2001, Arthroscopy, V17, pE15
  • [74] OCCULT POSTTRAUMATIC OSTEOCHONDRAL LESIONS OF THE KNEE - PREVALENCE, CLASSIFICATION, AND SHORT-TERM SEQUELAE EVALUATED WITH MR IMAGING
    VELLET, AD
    MARKS, PH
    FOWLER, PJ
    MUNRO, TG
    [J]. RADIOLOGY, 1991, 178 (01) : 271 - 276
  • [75] Mid-Term Clinical and MRI Results after Refixation of Osteochondral Fractures with Resorbable Implants
    Wachowski, M. M.
    Floerkemeler, T.
    Balcarek, P.
    Walde, T. A.
    Schuettrumpf, J. P.
    Frosch, S.
    Dathe, H.
    Kertesz, A.
    Stuermer, K. M.
    Frosch, K. -H.
    [J]. ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE, 2011, 149 (01): : 61 - 67
  • [76] Large osteochondral fractures of the lateral femoral condyle in the adolescent: Outcome of bioabsorbable pin fixation
    Walsh, Stewart J.
    Boyle, Matthew J.
    Morganti, Vicki
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2008, 90A (07) : 1473 - 1478
  • [77] Hemarthrosis after trauma to the pediatric knee joint:: What is the value of magnetic resonance imaging in the diagnostic algorithm?
    Wessel, LM
    Scholz, S
    Rüsch, M
    Köpke, J
    Loff, S
    Duchêne, W
    Waag, KL
    [J]. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2001, 21 (03) : 338 - 342
  • [78] Winalski Carl S, 2003, Top Magn Reson Imaging, V14, P131, DOI 10.1097/00002142-200304000-00003