Treatment of Patellofemoral Cartilage Lesions in the Young, Active Patient

Matthew R. Prince, Alexander H. King, Michael J. Stuart, Diane L. Dahm, Aaron Krych

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

Articular cartilage lesions of the patella and trochlea are commonly encountered in the young and active patient. These defects can be classified as chondral or osteochondral, and then further described according to size, location, and etiology. Early surgical intervention is often indicated for traumatic injuries resulting in osteochondral damage, including acute patellofemoral dislocation. For chronic lesions, initial treatment involves exhaustive nonoperative measures, and surgery is reserved for patients with persistent symptoms. A thorough history, physical examination, and imaging are essential to select the best surgical option. Cartilage restoration procedures are combined with optimization of background factors such as patellofemoral alignment and congruity to achieve success. Cell-based therapies have evolved into a reliable strategy for management of these lesions.

Original languageEnglish (US)
Pages (from-to)285-295
Number of pages11
JournalThe journal of knee surgery
Volume28
Issue number4
DOIs
StatePublished - Aug 1 2015

Fingerprint

Cartilage
Patella
Articular Cartilage
Cell- and Tissue-Based Therapy
Physical Examination
History
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Treatment of Patellofemoral Cartilage Lesions in the Young, Active Patient. / Prince, Matthew R.; King, Alexander H.; Stuart, Michael J.; Dahm, Diane L.; Krych, Aaron.

In: The journal of knee surgery, Vol. 28, No. 4, 01.08.2015, p. 285-295.

Research output: Contribution to journalReview article

Prince, Matthew R. ; King, Alexander H. ; Stuart, Michael J. ; Dahm, Diane L. ; Krych, Aaron. / Treatment of Patellofemoral Cartilage Lesions in the Young, Active Patient. In: The journal of knee surgery. 2015 ; Vol. 28, No. 4. pp. 285-295.
@article{30b23caeebc24b62b95e106b3ff6b279,
title = "Treatment of Patellofemoral Cartilage Lesions in the Young, Active Patient",
abstract = "Articular cartilage lesions of the patella and trochlea are commonly encountered in the young and active patient. These defects can be classified as chondral or osteochondral, and then further described according to size, location, and etiology. Early surgical intervention is often indicated for traumatic injuries resulting in osteochondral damage, including acute patellofemoral dislocation. For chronic lesions, initial treatment involves exhaustive nonoperative measures, and surgery is reserved for patients with persistent symptoms. A thorough history, physical examination, and imaging are essential to select the best surgical option. Cartilage restoration procedures are combined with optimization of background factors such as patellofemoral alignment and congruity to achieve success. Cell-based therapies have evolved into a reliable strategy for management of these lesions.",
author = "Prince, {Matthew R.} and King, {Alexander H.} and Stuart, {Michael J.} and Dahm, {Diane L.} and Aaron Krych",
year = "2015",
month = "8",
day = "1",
doi = "10.1055/s-0035-1549018",
language = "English (US)",
volume = "28",
pages = "285--295",
journal = "Journal of Knee Surgery",
issn = "1538-8506",
publisher = "Thieme Medical Publishers",
number = "4",

}

TY - JOUR

T1 - Treatment of Patellofemoral Cartilage Lesions in the Young, Active Patient

AU - Prince, Matthew R.

AU - King, Alexander H.

AU - Stuart, Michael J.

AU - Dahm, Diane L.

AU - Krych, Aaron

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Articular cartilage lesions of the patella and trochlea are commonly encountered in the young and active patient. These defects can be classified as chondral or osteochondral, and then further described according to size, location, and etiology. Early surgical intervention is often indicated for traumatic injuries resulting in osteochondral damage, including acute patellofemoral dislocation. For chronic lesions, initial treatment involves exhaustive nonoperative measures, and surgery is reserved for patients with persistent symptoms. A thorough history, physical examination, and imaging are essential to select the best surgical option. Cartilage restoration procedures are combined with optimization of background factors such as patellofemoral alignment and congruity to achieve success. Cell-based therapies have evolved into a reliable strategy for management of these lesions.

AB - Articular cartilage lesions of the patella and trochlea are commonly encountered in the young and active patient. These defects can be classified as chondral or osteochondral, and then further described according to size, location, and etiology. Early surgical intervention is often indicated for traumatic injuries resulting in osteochondral damage, including acute patellofemoral dislocation. For chronic lesions, initial treatment involves exhaustive nonoperative measures, and surgery is reserved for patients with persistent symptoms. A thorough history, physical examination, and imaging are essential to select the best surgical option. Cartilage restoration procedures are combined with optimization of background factors such as patellofemoral alignment and congruity to achieve success. Cell-based therapies have evolved into a reliable strategy for management of these lesions.

UR - http://www.scopus.com/inward/record.url?scp=84973424346&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84973424346&partnerID=8YFLogxK

U2 - 10.1055/s-0035-1549018

DO - 10.1055/s-0035-1549018

M3 - Review article

C2 - 25892008

AN - SCOPUS:84973424346

VL - 28

SP - 285

EP - 295

JO - Journal of Knee Surgery

JF - Journal of Knee Surgery

SN - 1538-8506

IS - 4

ER -