[Ortho] Хондромаляция? Или изменения на фоне артрита?

[Середа Андрей]

пёп╡п╟п╤п╟п╣п╪я▀п╣ п╨п╬п╩п╩п╣пЁп╦, п╢п╬п╠я─я▀п╧ п╢п╣п╫я▄.
1. Outerbridge п╬п©п╦я│п╟п╩ я│п╡п╬я▌ п╨п╩п╟я│я│п╦я└п╦п╨п╟я├п╦я▌ п╢п╩я▐ п©п╟я┌п╣п╩п╩п╬-я└п╣п╪п╬я─п╟п╩я▄п╫я▀я┘ п©я─п╬п╠п╩п╣п╪.
п я┌п╬ п╦ п╨п╬пЁп╢п╟ п©п╣я─п╣п╫п╣я│ п╣пЁп╬ п╨п╩п╟я│я│п╦я└п╦п╨п╟я├п╦я▌ п╫п╟ п╢я─я┐пЁп╦п╣ п╬я┌п╢п╣п╩я▀ п╨п╬п╩п╣п╫п╫п╬пЁп╬ я│я┐я│я┌п╟п╡п╟ -
п╫п╣п©п╬п╫я▐я┌п╫п╬. п▓ я├п╣п╩п╬п╪ п╨п╬я─я─п╣п╨я┌п╫п╣п╣ п╦я│п©п╬п╩я▄п╥п╬п╡п╟я┌я▄ п╨п╩п╟я│я│п╦я└п╦п╨п╟я├п╦я▌ ICRS -
http://www.cartilage.org/_files/contentmanagement/ICRS_evaluation.pdf
п║п╦я┌я┐п╟я├п╦я▐ я│ Outerbridge п╫п╟п©п╬п╪п╦п╫п╟п╣я┌ п╨п╦я│я┌я┐ п▒п╣п╧п╨п╣я─п╟ п╦п╩п╦ п▒п╣п╨п╨п╣я─п╟. п я┌п╬-я┌п╬ п╬п╢п╫п╟п╤п╢я▀
п╫п╣п©я─п╟п╡п╦п╩я▄п╫п╬ п©п╣я─п╣п╡п╣п╩ п╫п╟ я─я┐я│я│п╨п╦п╧ я└п╟п╪п╦п╩п╦я▌ Baker, п╦ п©п╬п╫п╣я│п╩п╬я│я▄ - п▒п╣п╨п╨п╣я─. п·я┌я┌я┐п╢п╟
п╤п╣ "я│п╬п╠я│я┌п╡п╣п╫п╫п╟я▐ я│п╡я▐п╥п╨п╟ п╫п╟п╢п╨п╬п╩п╣п╫п╫п╫п╦п╨п╟". п²п╣я┌ я┌п╟п╨п╬п╧ я│п╡я▐п╥п╨п╦. п²п╦ п╡ п╬п╢п╫п╬п╪
п╟п╫п╟я┌п╬п╪п╦я┤п╣я│п╨п╬п╪ п╟я┌п╩п╟я│п╣ п╫п╣я┌ я┌п╟п╨п╬пЁп╬ я┌п╣я─п╪п╦п╫п╟, п╫п╣я┌ п╣пЁп╬ п╦ п╡ TNA. п≈п╬я▐ п║п╣я─пЁп╣п╣п╡п╫п╟
п╡п╡п╣п╩п╟ я█я┌п╬я┌ я┌п╣я─п╪п╦п╫, п╦ п╡я│п╣ п©п╬п╢я┘п╡п╟я┌п╦п╩п╦. п≤п╥ я█я┌п╬п╧ п╤п╣ я│п╣я─п╦п╦ "п╨я─я┐пЁп╩п╟я▐ я│п╡я▐п╥п╨п╟
пЁп╬п╩п╬п╡п╨п╦ п╠п╣п╢я─п╣п╫п╫п╬п╧ п╨п╬я│я┌п╦". п²п╣я┌ я┌п╟п╨п╬п╧ я│п╡я▐п╥п╨п╦. п∙я│я┌я▄ ligamentum capitis
femoris. п÷я─п╬я│я┌п╦я┌п╣ п╥п╟п╫я┐п╢я│я┌п╡п╬.
2. п÷п· я█я┌п╬п╪я┐ п©п╟я├п╦п╣п╫я┌я┐ п╪п╬п╤п╫п╬ я│п╨п╬я─п╣п╣ п╡я│п╣пЁп╬ п╢я┐п╪п╟я┌я▄ п╡ я│я┌п╬я─п╬п╫я┐ osteochondrithis
dissecans, п╬п╫п╟ п╤п╣ п╠п╬п╩п╣п╥п╫я▄ Koenig. п⌡п╬п╨п╟п╩п╦п╥п╟я├п╦я▐ п╫п╣я┤п╟я│я┌п╟я▐, п╫п╬ п╡я│я┌я─п╣я┤п╟я▌я┴п╟я▐я│я▐.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3834648/
http://jbjs.org/content/64/5/783
п≤ я┌я┐я┌ я┐п©п╬п╪п╦п╫п╟п╫п╦я▐ п╦п╪п╣я▌я┌я│я▐

   1.

   Aichroth P. Osteochondritis dissecans of the knee. A clinical survey. *J
   Bone Joint Surg *[Br]. Aug 1971;53(3):440-7. [Medline]
   <http://reference.medscape.com/medline/abstract/5562371>.
   2.

   Bachmann G, Jurgensen I, Siaplaouras J. [The staging of osteochondritis
   dissecans in the knee and ankle joints with MR tomography. A comparison
   with conventional radiology and arthroscopy]. *Rofo Fortschr Geb
   Rontgenstr Neuen Bildgeb Verfahr*. Jul 1995;163(1):38-44. [Medline]
   <http://reference.medscape.com/medline/abstract/7626751>.
   3.

   Gregersen HE, Rasmussen OS. Ultrasonography of osteochondritis dissecans
   of the knee. A preliminary report. *Acta Radiol*. Sep-Oct
   1989;30(5):552-4. [Medline]
   <http://reference.medscape.com/medline/abstract/2692670>.
   4.

   Linden B, Nilsson BE. Strontium-85 uptake in knee joints with
   osteochondritis dissecans. *Acta Orthop Scand*. Dec 1976;47(6):668-71.
   [Medline] <http://reference.medscape.com/medline/abstract/1015264>.
   5.

   Stoffelen D, Renson L, Fabry G. Osteochondritis dissecans of the
   acetabulum. A report of two cases. *J Pediatr Orthop*. 1992;12:91-2.
   6.

   Wood JB, Klassen RA, Peterson HA. Osteochondritis dissecans of the
   femoral head in children and adolescents: a report of 17 cases. *J
   Pediatr Orthop*. May-Jun 1995;15(3):313-6. [Medline]
   <http://reference.medscape.com/medline/abstract/7790486>.
   7.

   Choi YS, Cohen NA, Potter HG, Mintz DN. Magnetic resonance imaging in
   the evaluation of osteochondritis dissecans of the patella. *Skeletal
   Radiol*. Oct 2007;36(10):929-35. [Medline]
   <http://reference.medscape.com/medline/abstract/17694305>.
   8.

   Crawford DC, Safran MR. Osteochondritis dissecans of the knee. *J Am
   Acad Orthop Surg*. Feb 2006;14(2):90-100. [Medline]
   <http://reference.medscape.com/medline/abstract/16467184>.
   9.

   Kocher MS, Tucker R, Ganley TJ, Flynn JM. Management of osteochondritis
   dissecans of the knee: current concepts review. *Am J Sports Med*. Jul
   2006;34(7):1181-91. [Medline]
   <http://reference.medscape.com/medline/abstract/16794036>.
   10.

   Linden B. The incidence of osteochondritis dissecans in the condyles of
   the femur. *Acta Orthop Scand*. Dec 1976;47(6):664-7. [Medline]
   <http://reference.medscape.com/medline/abstract/1015263>.
   11.

   Detterline AJ, Goldstein JL, Rue JP, Bach BR Jr. Evaluation and
   treatment of osteochondritis dissecans lesions of the knee. *J Knee Surg*.
   Apr 2008;21(2):106-15. [Medline]
   <http://reference.medscape.com/medline/abstract/18500061>.


29 п╫п╬я▐п╠я─я▐ 2014 пЁ., 14:46 п©п╬п╩я▄п╥п╬п╡п╟я┌п╣п╩я▄ п║п╟п╡я─п╟п╫я│п╨п╦п╧ п░п╩п╣п╨я│п╟п╫п╢я─ <
orthoforum на weborto.net> п╫п╟п©п╦я│п╟п╩:

> п▓п╬п╬п╠я┴п╣ я┌п╟п╨п╟я▐ п╨п╟я─я┌п╦п╫п╟ п╢п╣п╧я│я┌п╡п╦я┌п╣п╩я▄п╫п╬ п╠я▀п╡п╟п╣я┌ п©я─п╦ п╥п╫п╟я┤п╦я┌п╣п╩я▄п╫п╬п╪, п╥п╟я│я┌п╟я─п╣п╩п╬п╪
> я─п╟п╥я─я▀п╡п╣ п╪п╣п╢п╦п╟п╩я▄п╫п╬пЁп╬ п╪п╣п╫п╦я│п╨п╟. п▓п╟п╤п╫п╬ п╡п╫п╦п╪п╟я┌п╣п╩я▄п╫п╬ п╬я│п╪п╬я┌я─п╣я┌я▄ п╥п╟п╢п╫п╦п╧ п╬я┌п╢п╣п╩
> я│я┐я│я┌п╟п╡п╟ п╦ п╪п╣п╤п╪я▀я┴п╣п╩п╨п╬п╡п╬п╣ п©я─п╬я│я┌я─п╟п╫я│я┌п╡п╬. п╒я┴п╟я┌п╣п╩я▄п╫п╬ п©я─п╬п©п╟п╩я▄п©п╦я─п╬п╡п╟я┌я▄
> п╨я─я▌я┤п╨п╬п╡п╦п╢п╫я▀п╪ я┴я┐п©п╬п╪ п╡п╣я│я▄ п╪п╣п╢п╦п╟п╩я▄п╫я▀п╧ п╪п╣п╫п╦я│п╨- п╪п╬пЁя┐я┌ п╠я▀я┌я▄ п©я─п╦п©п╟я▐п╡я┬п╦п╣я│я▐
> я─п╟п╥я─я▀п╡я▀, п╩п╦п╠п╬ п╥п╟п╡п╣я─п╫я┐п╡я┬п╦п╣я│я▐ п╡ п╥п╟п╢п╫п╦п╧ п╬я┌п╢п╣п╩. п∙я│п╩п╦ п╣я│я┌я▄ п╡п╬п╥п╪п╬п╤п╫п╬я│я┌я▄
> п╡я▀п╩п╬п╤п╦я┌п╣ я│п╨п╟п╫я▀ п°п═п╒, я─п╣п╫я┌пЁп╣п╫я│п╫п╦п╪п╬п╨.
> п║п╟п╡я─п╟п╫я│п╨п╦п╧ п░п╩п╣п╨я│п╟п╫п╢я─
>
>
> _______________________________________________
> Ortho mailing list
> Ortho на weborto.net
> http://weborto.net:8080/mailman/listinfo/ortho
>



-- 
C я┐п╡п╟п╤п╣п╫п╦п╣п╪, п║п╣я─п╣п╢п╟ п░п╫п╢я─п╣п╧ п÷п╣я┌я─п╬п╡п╦я┤.
Sereda Andrey, MD, PhD, orthopaedic surgeon,
I.M. Sechenov First Moscow State Medical University, Orthopaedic
department, Deputy Director for Science.
6, Bolshaya Pirogovskaya street
119991, Moscow, Russia
*P* *Please consider the environment before printing this e-mail* *or
attached document**.* *Moreover what you have print is not you have thought
about. *
----------- следущая часть -----------
п▓п╩п╬п╤п╣п╫п╦п╣ п╡ я└п╬я─п╪п╟я┌п╣ HTML п╠я▀п╩п╬ п╦п╥п╡п╩п╣я┤п╣п╫п╬&hellip;
URL: http://weborto.net:8080/pipermail/ortho/attachments/20141130/fed42f00/attachment-0001.html