Current Concepts in Treatment of Patellofemoral Osteochondritis Dissecans
- PMID: 27904793
- PMCID: PMC5095943
Current Concepts in Treatment of Patellofemoral Osteochondritis Dissecans
Abstract
Identification, protection, and management of patellofemoral articular cartilage lesions continue to remain on the forefront of sports medicine rehabilitation. Due to high-level compression forces that are applied through the patellofemoral (PF) joint, managing articular cartilage lesions is challenging for sports medicine specialists. Articular cartilage damage may exist in a wide spectrum of injuries ranging from small, single areas of focal damage to wide spread osteoarthritis involving large chondral regions. Management of these conditions has evolved over the last two centuries, most recently using biogenetic materials and cartilage replacement modalities. The purpose of this clinical commentary is to discuss PF articular cartilage injuries, etiological variables, and investigate the evolution in management of articular cartilage lesions. Rehabilitation of these lesions will also be discussed with a focus on current trends and return to function criteria.
Level of evidence: 5.
Keywords: Articular cartilage; anterior knee pain; osteochondral defect; osteochondritis dissecans; patellofemoral pain.
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References
-
- Frisbie DD Oxford JT Southwood L, et al. Early events in cartilage repair after subchondral bone microfracture. Clin Orthop Relat Res. 2003(407):215-227. - PubMed
-
- Haggart G. Surgical treatment of degenerative arthritis of the knee joint. J Bone Joint Surg Am. 1940;22-B:717-729.
-
- Magnuson P. Joint debridement: surgical treatment of degenerative arthritis. Surgical Gynecology and Obstetrics. 1941;73:1-9. - PubMed
-
- Kruger T Wohlrab D Birke A Hein W. Results of arthroscopic joint debridement in different stages of chondromalacia of the knee joint. Arch Orthop Trauma Surg. 2000;120(5-6):338-342. - PubMed
-
- Pridie KH. A new method of treatment for severe fractures of the os calcis; a preliminary report. Surg Gynecol Obstet. 1946;82:671-675. - PubMed
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