Nonoperative Treatment of Osteochondritis Dissecans of the Knee

被引：15
|
作者：
Yang, Justin S. [1 ]
Bogunovic, Ljiljana [1 ]
Wright, Rick W. [1 ]
机构：
[1] Washington Univ, Dept Orthoped, St Louis, MO 63130 USA
来源：
CLINICS IN SPORTS MEDICINE | 2014年 / 33卷 / 02期
关键词：
Osteochondritis dissecans; Juvenile osteochondritis dissecans; Nonoperative treatment; Open physis; Stable lesions; Activity modification; Return to play; FEMORAL CONDYLES; JUVENILE; CHILDREN; PREDICTORS; MANAGEMENT; CRITERIA; LESIONS; FEMUR; SIGN; MRI;
D O I：
10.1016/j.csm.2013.11.003
中图分类号：
G8 [体育];
学科分类号：
04 ; 0403 ;
摘要：
Osteochondritis dissecans is a potentially devastating cause of knee pain in adolescents and adults. Prognosis and treatment depends on the stability of the lesion and the age of the patient. Skeletally immature patients with stable lesions are amenable for nonoperative treatment. Nonoperative treatment is less predictable in skeletally mature patients and patients with unstable lesions. Lesion size, location, stability along with symptomatology should all be considered before initiating treatment. Modalities of nonoperative treatment can range from activity modification to complete immobilization. Close follow-up is recommended to monitor healing progression and symptom resolution.
引用
收藏
页码：295 / +
页数：11
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