소아청소년에서의 거골 골연골 병변

국문 초록 (Abstract)

거골 골연골 병변은 거골의 관절연골과 연골하골에 분절과 분리가 나타나는 질환으로 관절면에서 분절된 골연골편의 안정성과 크기에 따라 예후가 결정된다. 소아 및 청소년에서 발생한 경우 성인의 거골 골연골 병변보다 병변이 치유되고 증상이 호전될 가능성이 높기 때문에 소아청소년에서의 거골 골연골 병변은 초기 치료로 보존적 치료가 우선 시행된다. 하지만 보존적 치료에 실패하거나 병변의 크기가 큰 경우와 전위가 발생한 경우에는 수술적 치료가 권장된다. 수술적 치료가 요하는 경우에는 병변의 상태에 따라 골수자극술, 자가 골연골 이식술 등을 시행하게 된다.

다국어 초록 (Multilingual Abstract)

Osteochondral lesion of the talus (OLT) is a disease affecting the subchondral bone and articular cartilage of the talus, which may cause fragmentation and displacement of the osteochondral lesion. The stability of the joint and the size of the lesion are important prognostic factors. Conservative treatment is preferred in the initial treatment of OLT in skeletal immature patients because it has a more favorable prognosis than adult OLT in terms of the healing potential and improvement of symptoms. Surgery is recommended when the conservative outcome is unsatisfactory and the fragment is large or displaced. Surgical procedures, including marrow stimulation technique, autologous osteochondral transplantation, and autologous chondrocyte implantation, were performed depending on the condition of the osteochondral lesion.

목차 (Table of Contents)

• 서론
• 본론
• 결론
• REFERENCES

참고문헌 (Reference)

1 김휘택, "청소년기 거골 박리성 골연골염의 보존적 치료" 대한정형외과학회 52 (52): 310-318, 2017

2 Pascual-Garrido C, "Viability of loose body fragments in osteochondritis dissecans of the knee. A series of cases" 34 : 827-831, 2010

3 Vannini F, "Treatment of juvenile osteochondritis dissecans of the talus: current concepts review" 2 : 188-191, 2015

4 Berndt AL, "Transchondral fractures (osteochondritis dissecans) of the talus" 41 : 988-1020, 1959

5 Wall EJ, "The healing potential of stable juvenile osteochondritis dissecans knee lesions" 90 : 2655-2664, 2008

6 Pill SG, "Role of magnetic resonance imaging and clinical criteria in predicting successful nonoperative treatment of osteochondritis dissecans in children" 23 : 102-108, 2003

7 Taranow WS, "Retrograde drilling of osteochondral lesions of the medial talar dome" 20 : 474-480, 1999

8 Suckel A, "Osteochondrosis dissecans and osteochondral lesions of the talus: clinical and biochemical aspects" 26 : 91-99, 2012

9 Bruns JBP, "Osteochondrosis dissecans" 11 : 166-176, 1998

10 Letts M, "Osteochondritis dissecans of the talus in children" 23 : 617-625, 2003

11 Higuera J, "Osteochondritis dissecans of the talus during childhood and adolescence" 18 : 328-332, 1998

12 O'Connor MA, "Osteochondritis dissecans of the knee in children. A comparison of MRI and arthroscopic findings" 84 : 258-262, 2002

13 Bauer M, "Osteochondritis dissecans of the ankle. A 20-year follow-up study" 69 : 93-96, 1987

14 Kessler JI, "Osteochondritis dissecans of the ankle in children and adolescents: demographics and epidemiology" 42 : 2165-2171, 2014

15 Roden S, "Osteochondritis dissecans and similar lesions of the talus: report of fifty-five cases with special reference to etiology and treatment" 23 : 51-66, 1953

16 Hepple S, "Osteochondral lesions of the talus: a revised classification" 20 : 789-793, 1999

17 Sasaki K, "Osteochondral autograft transplantation for juvenile osteochondritis dissecans of the knee: a series of twelve cases" 36 : 2243-2248, 2012

18 Salzmann GM, "Microfracture for treatment of knee cartilage defects in children and adolescents" 4 : e21-, 2012

19 Hughes JA, "Juvenile osteochondritis dissecans: a 5-year review of the natural history using clinical and MRI evaluation" 33 : 410-417, 2003

20 Perumal V, "Juvenile osteochondritis dissecans of the talus" 27 : 821-825, 2007

21 Samora WP, "Juvenile osteochondritis dissecans of the knee: predictors of lesion stability" 32 : 1-4, 2012

22 Wall E, "Juvenile osteochondritis dissecans" 34 : 341-353, 2003

23 Moktassi A, "Imaging of osteochondritis dissecans" 43 : 201-211, 2012

24 Uozumi H, "Histologic findings and possible causes of osteochondritis dissecans of the knee" 37 : 2003-2008, 2009

25 Steinhagen J, "Etiology and pathogenesis of osteochondrosis dissecans tali" 30 : 20-27, 2001

26 Gunton MJ, "Drilling juvenile osteochondritis dissecans: retro- or transarticular" 471 : 1144-1151, 2013

27 Heywood CS, "Correlation of magnetic resonance imaging to arthroscopic findings of stability in juvenile osteochondritis dissecans" 27 : 194-199, 2011

28 Lam KY, "Conservative treatment for juvenile osteochondritis dissecans of the talus" 20 : 176-180, 2012

29 Dipaola JD, "Characterizing osteochondral lesions by magnetic resonance imaging" 7 : 101-104, 1991

30 Giannini S, "Cartilage repair evolution in post-traumatic osteochondral lesions of the talus: from open field autologous chondrocyte to bone-marrow-derived cells transplantation" 41 : 1196-1203, 2010

31 Lyon R, "Can fresh osteochondral allografts restore function in juveniles with osteochondritis dissecans of the knee?" 471 : 1166-1173, 2013

32 Pritsch M, "Arthroscopic treatment of osteochondral lesions of the talus" 68 : 862-865, 1986

33 Kumai T, "Arthroscopic drilling for the treatment of osteochondral lesions of the talus" 81 : 1229-1235, 1999

34 Giannini S, "Arthroscopic autologous chondrocyte implantation in osteochondral lesions of the talus: surgical technique and results" 36 : 873-880, 2008

35 Petrie PW, "Aetiology of osteochondritis dissecans. Failure to establish a familial background" 59 : 366-367, 1977

36 Gudas R, "A prospective, randomized clinical study of osteochondral autologous transplantation versus microfracture for the treatment of osteochondritis dissecans in the knee joint in children" 29 : 741-748, 2009

37 Cahill BR, "99m-Technetium phosphate compound joint scintigraphy in the management of juvenile osteochondritis dissecans of the femoral condyles" 11 : 329-335, 1983

38 Vannini F, "''One step'' treatment of juvenile osteochondritis dissecans in the knee: clinical results and T2 mapping characterization" 43 : 237-244, 2012