Osteochondritis Dissecans: Current Understanding of Epidemiology, Etiology, Management, and Outcomes.
➤: Osteochondritis dissecans occurs most frequently in the active pediatric and young adult populations, commonly affecting the knee, elbow, or ankle, and may lead to premature osteoarthritis.➤: While generally considered an idiopathic phenomenon, various etiopathogenetic theories are being investig...
| Publicado en: | Journal of Bone & Joint Surgery, American Volume Vol. 103; no. 12; pp. 1132 - 1152 |
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| Autores principales: | , , , , , , , |
| Formato: | diagnostic images pictorial review tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
6/16/2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151475554&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151475554 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00219355 1H2 jtl: Journal of Bone & Joint Surgery, American Volume issn: 00219355 maglogo: N pubinfo: dt: 6/16/2021 vid: 103 iid: 12 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 151475554 151475554 NLM34109940 151475554 10.2106/JBJS.20.01399 NLM34109940 151475554 ppf: 1132 ppct: 20 formats: tig: atl: Osteochondritis Dissecans: Current Understanding of Epidemiology, Etiology, Management, and Outcomes. aug: au: Chau, Michael M. Klimstra, Mikhail A. Wise, Kelsey L. Ellermann, Jutta M. Tóth, Ferenc Carlson, Cathy S. Nelson, Bradley J. Tompkins, Marc A. affil: Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota. sug: subj: Osteochondritis Dissecans Therapy Osteochondritis Dissecans Etiology Osteochondritis Dissecans Diagnosis Human Arthroscopy Radiography Funding Source ab: ➤: Osteochondritis dissecans occurs most frequently in the active pediatric and young adult populations, commonly affecting the knee, elbow, or ankle, and may lead to premature osteoarthritis.➤: While generally considered an idiopathic phenomenon, various etiopathogenetic theories are being investigated, including local ischemia, aberrant endochondral ossification of the secondary subarticular physis, repetitive microtrauma, and genetic predisposition.➤: Diagnosis is based on the history, physical examination, radiography, and advanced imaging, with elbow ultrasonography and novel magnetic resonance imaging protocols potentially enabling early detection and in-depth staging.➤: Treatment largely depends on skeletal maturity and lesion stability, defined by the presence or absence of articular cartilage fracture and subchondral bone separation, as determined by imaging and arthroscopy, and is typically nonoperative for stable lesions in skeletally immature patients and operative for those who have had failure of conservative management or have unstable lesions.➤: Clinical practice guidelines have been limited by a paucity of high-level evidence, but a multicenter effort is ongoing to develop accurate and reliable classification systems and multimodal decision-making algorithms with prognostic value. pubtype: Academic Journal doctype: diagnostic images pictorial review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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