title: Acute traumatic and sports-related osteochondral injury of the pediatric knee.
abstract: Adolescents are predisposed to osteochondral (OC) injuries in the knee. The medial facet of the patella, the femoral trochlea, and the lateral femoral condyle are the most common sites of injury. Most of these injuries are classically traumatic but noncontact injuries. Surgery is warranted in most cases of OC fracture. Depending on size, condition, and location of the lesion, options include OC fragment reduction and internal fixation or excision and cartilage resurfacing. Understanding of how to diagnose and treat OC fractures will help optimize outcomes.
authors.affiliation: Division of Sports Medicine, Department of Orthopaedic Surgery, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA. Dennis.kramer@childrens.harvard.edu
authors.forename: Dennis E
authors.initials: DE
authors.lastname: Kramer
authors.forename: J Lee
authors.initials: JL
authors.lastname: Pace
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D001182:Arthroscopy / Q000379:methods; D001265:Athletic Injuries / Q000175:diagnosis* / Q000601:surgery; D002358:Cartilage, Articular / Q000293:injuries* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D015601:Injury Severity Score; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010329:Patella / Q000293:injuries* / Q000473:pathology; D020127:Recovery of Function; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome