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Orthop Clin North Am. 2012 Apr;43(2):227-36, vi. doi: 10.1016/j.ocl.2012.02.001. Epub 2012 Mar 3.

Acute traumatic and sports-related osteochondral injury of the pediatric knee.

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  • 1Division of Sports Medicine, Department of Orthopaedic Surgery, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.


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.

Copyright © 2012 Elsevier Inc. All rights reserved.

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