Acute Osteochondral Fractures in the Lower Extremities - Approach to Identification and Treatment
M.E Pedersen1, M.P DaCambra 2, Z Jibri3, S Dhillon3, H Jen 3, N.M Jomha*, 1
Identifiers and Pagination:Year: 2015
Issue: Suppl 2: M2
First Page: 463
Last Page: 474
Publisher ID: TOORTHJ-9-463
Article History:Received Date: 10/2/2015
Revision Received Date: 14/3/2015
Acceptance Date: 24/3/2015
Electronic publication date: 5/10/2015
Collection year: 2015
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Chondral and osteochondral fractures of the lower extremities are important injuries because they can cause pain and dysfunction and often lead to osteoarthritis. These injuries can be misdiagnosed initially which may impact on the healing potential and result in poor long-term outcome. This comprehensive review focuses on current pitfalls in diagnosing acute osteochondral lesions, potential investigative techniques to minimize diagnostic errors as well as surgical treatment options. Acute osteochondral fractures are frequently missed and can be identified more accurately with specific imaging techniques. A number of different methods can be used to fix these fractures but attention to early diagnosis is required to limit progression to osteoarthritis. These fractures are common with joint injuries and early diagnosis and treatment should lead to improved long term outcomes.