tailieunhanh - Chỉnh hình và phẫu thuật đầu gối

Chỉnh hình và Phục hồi chức năng, Oregon Health & Science University, Portland, OR. Tiến sĩ Safran là Phó Giáo sư và Giám đốc, Thể thao Y học, Khoa Phẫu thuật chỉnh hình, Đại học California, San Francisco, San Francisco, CA. Không ai trong số các tác giả sau đây hoặc các phòng ban mà họ là chi nhánh đã nhận được bất cứ thứ gì có giá trị | Osteochondritis Dissecans of the Knee Dennis C. Crawford MD PhD Marc R. Safran MD Dr. Crawford is Assistant Professor Sports Orthopaedic and Arthroscopic Surgery Department of Orthopaedics and Rehabilitation Oregon Health Science University Portland OR. Dr. Safran is Associate Professor and Director Sports Medicine Department of Orthopaedic Surgery University of California San Francisco San Francisco CA. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Crawford and Dr. Safran. Reprint requests Dr. Safran Department of Orthopaedic Surgery University of California 500 Parnassus Avenue MU 320W San Francisco CA 94143-0728. J Am Acad Orthop Surg 2006 14 90-100 Copyright 2006 by the American Academy of Orthopaedic Surgeons. Abstract Osteochondritis dissecans is a condition of the joints that appears to affect subchondral bone primarily with secondary effects on articular cartilage. With progression this pathology may present clinically with symptoms related to the integrity of the articular cartilage. Early signs associated with intact cartilage may be related to a softening phenomenon and alteration in the mechanical properties of cartilage. Later stages because of the lack of underlying support of the cartilage can present with signs of articular cartilage separation cartilage flaps loose bodies inflammatory synovitis persistent or intermittent joint effusion and in severe cases secondary joint degeneration. Selecting and recommending a surgical intervention require balancing application of nonsurgical interventions with assessment of the degree of articular cartilage stability and the potential for spontaneous recovery. The etiology of osteochondritis dissecans OCD in contrast to its etymology remains unclear. Although also described by Pare and Paget the disease was named by Konig1 in