Treatment of Knee Osteochondral Fractures
Osteochondral lesions (OCLs) that are frequently encountered in skeletally immature and adult patients are more common than once thought, and their incidence rate is rising. These lesions can appear in many synovial joints of the body, such as the shoulder, elbow, hip, and ankle, occurring most ofte...
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Veröffentlicht in: | Healthcare (Basel) 2022-06, Vol.10 (6), p.1061 |
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creator | Cordunianu, Mihai Alexandru Antoniac, Iulian Niculescu, Marius Paltanea, Gheorghe Raiciu, Anca Daniela Dura, Horatiu Forna, Norin Carstoc, Ioana Dana Cristea, Mihai Bogdan |
description | Osteochondral lesions (OCLs) that are frequently encountered in skeletally immature and adult patients are more common than once thought, and their incidence rate is rising. These lesions can appear in many synovial joints of the body, such as the shoulder, elbow, hip, and ankle, occurring most often in the knee. The term osteochondral lesion includes a vast spectrum of pathologies such as osteochondritis dissecans, osteochondral defects, osteochondral fractures, and osteonecrosis of the subchondral bone. When considering this, the term osteochondral fracture is preserved only for an osteochondral defect that combines disruption of the articular cartilage and subchondral bone. These fractures commonly occur after sports practice and are associated with acute lateral patellar dislocations. Many of these lesions are initially diagnosed by plain radiographs; however, a computed tomography (CT) scan or magnetic resonance imaging (MRI) can add significant value to the diagnosis and treatment. Treatment methods may vary depending on the location and size of the fracture, fragment instability, and skeletal maturity. The paper reports a 14-year-old boy case with an osteochondral fracture due to sports trauma. The medical approach involved an arthrotomy of the knee, drainage of the hematoma, two Kirschner wires (K-wires) for temporary fixation to restructure anatomic alignment, and a titanium Herbert screw fixing the fracture permanently. The patient had a favorable postoperative outcome with no residual pain, adequate knee stability, and a normal range of motion. The mobility of the knee was fully recovered. |
doi_str_mv | 10.3390/healthcare10061061 |
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These lesions can appear in many synovial joints of the body, such as the shoulder, elbow, hip, and ankle, occurring most often in the knee. The term osteochondral lesion includes a vast spectrum of pathologies such as osteochondritis dissecans, osteochondral defects, osteochondral fractures, and osteonecrosis of the subchondral bone. When considering this, the term osteochondral fracture is preserved only for an osteochondral defect that combines disruption of the articular cartilage and subchondral bone. These fractures commonly occur after sports practice and are associated with acute lateral patellar dislocations. Many of these lesions are initially diagnosed by plain radiographs; however, a computed tomography (CT) scan or magnetic resonance imaging (MRI) can add significant value to the diagnosis and treatment. Treatment methods may vary depending on the location and size of the fracture, fragment instability, and skeletal maturity. The paper reports a 14-year-old boy case with an osteochondral fracture due to sports trauma. The medical approach involved an arthrotomy of the knee, drainage of the hematoma, two Kirschner wires (K-wires) for temporary fixation to restructure anatomic alignment, and a titanium Herbert screw fixing the fracture permanently. The patient had a favorable postoperative outcome with no residual pain, adequate knee stability, and a normal range of motion. The mobility of the knee was fully recovered.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare10061061</identifier><identifier>PMID: 35742112</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Arthritis ; Cartilage ; Fractures ; Hyaluronic acid ; Knee ; Ligaments ; Magnetic resonance imaging ; Osteoarthritis ; Patients ; Pediatrics ; Sports injuries</subject><ispartof>Healthcare (Basel), 2022-06, Vol.10 (6), p.1061</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-eab0a2eccd509b538b6f56a76640f2f5248318f3fd0e9601bded5bbd2417c5be3</citedby><cites>FETCH-LOGICAL-c337t-eab0a2eccd509b538b6f56a76640f2f5248318f3fd0e9601bded5bbd2417c5be3</cites><orcidid>0000-0003-3251-7146 ; 0000-0001-8671-0705 ; 0000-0002-5637-2095 ; 0000-0003-0112-3494</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222836/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222836/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Cordunianu, Mihai Alexandru</creatorcontrib><creatorcontrib>Antoniac, Iulian</creatorcontrib><creatorcontrib>Niculescu, Marius</creatorcontrib><creatorcontrib>Paltanea, Gheorghe</creatorcontrib><creatorcontrib>Raiciu, Anca Daniela</creatorcontrib><creatorcontrib>Dura, Horatiu</creatorcontrib><creatorcontrib>Forna, Norin</creatorcontrib><creatorcontrib>Carstoc, Ioana Dana</creatorcontrib><creatorcontrib>Cristea, Mihai Bogdan</creatorcontrib><title>Treatment of Knee Osteochondral Fractures</title><title>Healthcare (Basel)</title><description>Osteochondral lesions (OCLs) that are frequently encountered in skeletally immature and adult patients are more common than once thought, and their incidence rate is rising. These lesions can appear in many synovial joints of the body, such as the shoulder, elbow, hip, and ankle, occurring most often in the knee. The term osteochondral lesion includes a vast spectrum of pathologies such as osteochondritis dissecans, osteochondral defects, osteochondral fractures, and osteonecrosis of the subchondral bone. When considering this, the term osteochondral fracture is preserved only for an osteochondral defect that combines disruption of the articular cartilage and subchondral bone. These fractures commonly occur after sports practice and are associated with acute lateral patellar dislocations. Many of these lesions are initially diagnosed by plain radiographs; however, a computed tomography (CT) scan or magnetic resonance imaging (MRI) can add significant value to the diagnosis and treatment. Treatment methods may vary depending on the location and size of the fracture, fragment instability, and skeletal maturity. The paper reports a 14-year-old boy case with an osteochondral fracture due to sports trauma. The medical approach involved an arthrotomy of the knee, drainage of the hematoma, two Kirschner wires (K-wires) for temporary fixation to restructure anatomic alignment, and a titanium Herbert screw fixing the fracture permanently. The patient had a favorable postoperative outcome with no residual pain, adequate knee stability, and a normal range of motion. The mobility of the knee was fully recovered.</description><subject>Arthritis</subject><subject>Cartilage</subject><subject>Fractures</subject><subject>Hyaluronic acid</subject><subject>Knee</subject><subject>Ligaments</subject><subject>Magnetic resonance imaging</subject><subject>Osteoarthritis</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Sports injuries</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNplkU1LxDAQhoMorqz7BzwVvOihmo8mbS-CLK6KC3tZzyFJJ7ZL26xJK_jvzbKL-DEMMwPz8PIOg9AFwTeMlfi2BtUOtVEeCMaCxDxCZ5TSPC0xo8c_5gmahbDBMUrCCsZP0YTxPKOE0DN0vfaghg76IXE2eekBklUYwJna9ZVXbbLwygyjh3COTqxqA8wOfYpeFw_r-VO6XD0-z--XqWEsH1JQGisKxlQcl5qzQgvLhcqFyLClltOsYKSwzFYYSoGJrqDiWlc0I7nhGtgU3e11t6PuoDLRWvQht77plP-UTjXy96ZvavnmPmQZLy6YiAJXBwHv3kcIg-yaYKBtVQ9uDJKKgmDGKCkjevkH3bjR9_G8SOVlvis4UnRPGe9C8GC_zRAsd8-Q_5_BvgBrD32j</recordid><startdate>20220608</startdate><enddate>20220608</enddate><creator>Cordunianu, Mihai Alexandru</creator><creator>Antoniac, Iulian</creator><creator>Niculescu, Marius</creator><creator>Paltanea, Gheorghe</creator><creator>Raiciu, Anca Daniela</creator><creator>Dura, Horatiu</creator><creator>Forna, Norin</creator><creator>Carstoc, Ioana Dana</creator><creator>Cristea, Mihai Bogdan</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3251-7146</orcidid><orcidid>https://orcid.org/0000-0001-8671-0705</orcidid><orcidid>https://orcid.org/0000-0002-5637-2095</orcidid><orcidid>https://orcid.org/0000-0003-0112-3494</orcidid></search><sort><creationdate>20220608</creationdate><title>Treatment of Knee Osteochondral Fractures</title><author>Cordunianu, Mihai Alexandru ; Antoniac, Iulian ; Niculescu, Marius ; Paltanea, Gheorghe ; Raiciu, Anca Daniela ; Dura, Horatiu ; Forna, Norin ; Carstoc, Ioana Dana ; Cristea, Mihai Bogdan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-eab0a2eccd509b538b6f56a76640f2f5248318f3fd0e9601bded5bbd2417c5be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arthritis</topic><topic>Cartilage</topic><topic>Fractures</topic><topic>Hyaluronic acid</topic><topic>Knee</topic><topic>Ligaments</topic><topic>Magnetic resonance imaging</topic><topic>Osteoarthritis</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Sports injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cordunianu, Mihai Alexandru</creatorcontrib><creatorcontrib>Antoniac, Iulian</creatorcontrib><creatorcontrib>Niculescu, Marius</creatorcontrib><creatorcontrib>Paltanea, Gheorghe</creatorcontrib><creatorcontrib>Raiciu, Anca Daniela</creatorcontrib><creatorcontrib>Dura, Horatiu</creatorcontrib><creatorcontrib>Forna, Norin</creatorcontrib><creatorcontrib>Carstoc, Ioana Dana</creatorcontrib><creatorcontrib>Cristea, Mihai Bogdan</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Healthcare (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cordunianu, Mihai Alexandru</au><au>Antoniac, Iulian</au><au>Niculescu, Marius</au><au>Paltanea, Gheorghe</au><au>Raiciu, Anca Daniela</au><au>Dura, Horatiu</au><au>Forna, Norin</au><au>Carstoc, Ioana Dana</au><au>Cristea, Mihai Bogdan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of Knee Osteochondral Fractures</atitle><jtitle>Healthcare (Basel)</jtitle><date>2022-06-08</date><risdate>2022</risdate><volume>10</volume><issue>6</issue><spage>1061</spage><pages>1061-</pages><issn>2227-9032</issn><eissn>2227-9032</eissn><abstract>Osteochondral lesions (OCLs) that are frequently encountered in skeletally immature and adult patients are more common than once thought, and their incidence rate is rising. These lesions can appear in many synovial joints of the body, such as the shoulder, elbow, hip, and ankle, occurring most often in the knee. The term osteochondral lesion includes a vast spectrum of pathologies such as osteochondritis dissecans, osteochondral defects, osteochondral fractures, and osteonecrosis of the subchondral bone. When considering this, the term osteochondral fracture is preserved only for an osteochondral defect that combines disruption of the articular cartilage and subchondral bone. These fractures commonly occur after sports practice and are associated with acute lateral patellar dislocations. Many of these lesions are initially diagnosed by plain radiographs; however, a computed tomography (CT) scan or magnetic resonance imaging (MRI) can add significant value to the diagnosis and treatment. Treatment methods may vary depending on the location and size of the fracture, fragment instability, and skeletal maturity. The paper reports a 14-year-old boy case with an osteochondral fracture due to sports trauma. The medical approach involved an arthrotomy of the knee, drainage of the hematoma, two Kirschner wires (K-wires) for temporary fixation to restructure anatomic alignment, and a titanium Herbert screw fixing the fracture permanently. The patient had a favorable postoperative outcome with no residual pain, adequate knee stability, and a normal range of motion. The mobility of the knee was fully recovered.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>35742112</pmid><doi>10.3390/healthcare10061061</doi><orcidid>https://orcid.org/0000-0003-3251-7146</orcidid><orcidid>https://orcid.org/0000-0001-8671-0705</orcidid><orcidid>https://orcid.org/0000-0002-5637-2095</orcidid><orcidid>https://orcid.org/0000-0003-0112-3494</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Arthritis Cartilage Fractures Hyaluronic acid Knee Ligaments Magnetic resonance imaging Osteoarthritis Patients Pediatrics Sports injuries |
title | Treatment of Knee Osteochondral Fractures |
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