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

IF 1.3 4区 医学 Q3 ORTHOPEDICS Journal of Childrens Orthopaedics Pub Date : 2023-02-01 DOI:10.1177/18632521231152269
Joao Cabral, Julio Duart
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引用次数: 1

Abstract

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.

Level of evidence: level III.

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青少年膝关节夹层性骨软骨炎:如何治疗?
背景:夹层性骨软骨炎是一种影响关节面和软骨下骨的关节后天性疾病。幼年型夹层骨软骨炎出现在5-16岁生长板开放的人群中。夹层性骨软骨炎的病因尚不清楚。方法:治疗目的是促进软骨下骨愈合,防止软骨塌陷、骨折、骨软骨缺损形成和早期关节退变。治疗方式影响临床症状、骨骼成熟度以及病变的大小、稳定性和位置。本文将回顾幼年型分离性股骨内侧髁骨软骨炎和非典型区域(如股骨外侧髁、髌股关节和胫骨平台)的治疗策略。证据等级:三级。
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来源期刊
Journal of Childrens Orthopaedics
Journal of Childrens Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
2.70
自引率
14.30%
发文量
61
审稿时长
23 weeks
期刊介绍: Aims & Scope The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery. It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents. The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology. The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.
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