Subchondral Insufficiency Fractures of the Knee

Author:

Musbahi Omar12ORCID,Waddell Lily1ORCID,Shah Nehal34ORCID,Smith Stacy E.34ORCID,Chen Antonia F.13ORCID,Bisson Leslie5ORCID,Katz Jeffrey N.136ORCID

Affiliation:

1. Orthopedic and Arthritis Center for Outcomes Research (OrACORe), Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts

2. Imperial College London, London, United Kingdom

3. Harvard Medical School, Boston, Massachusetts

4. Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts

5. Department of Orthopedic Surgery, University of Buffalo, Buffalo, New York

6. Department of Epidemiology, Harvard Chan School of Public Health, Boston, Massachusetts

Abstract

» Subchondral insufficiency fractures of the knee (SIFKs) are subchondral plate fractures with a prevalence of 2% to 4% of all knee injuries.» Magnetic resonance imaging is the gold standard for evaluating SIFK, while plain radiographs have limited the use in the diagnosis of SIFK.» Among patients with SIFK, 50% to 100% have meniscal pathology.» Medical therapies and standard treatments traditionally used in the management of knee osteoarthritis differ from recommended management of SIFK patients.» Randomized controlled trials and cohort studies with long-term follow-up are needed to determine the optimal rehabilitation protocol, interventional therapy, and prognosis of SIFK patients.

Funder

US-UK Royal College of Surgeons Fulbright Commission

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

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