TY - JOUR
T1 - Management of knee articular cartilage injuries in athletes
T2 - chondroprotection, chondrofacilitation, and resurfacing
AU - Murray, Iain R.
AU - Benke, Michael T.
AU - Mandelbaum, Bert R.
PY - 2015/2/7
Y1 - 2015/2/7
N2 - Abstract: Articular cartilage defects of the knee are common among athletes where the physical demands of sport result in significant stresses on joints. Chondral defects are associated with pain and functional impairment that limit sporting participation and may progress to joint degeneration and frank arthritis. Management of established chondral lesions aims to allow athletes to return to high-impact sports and can be considered in terms of protection of existing cartilage, chondrofacilitation, and resurfacing. Repaired and regenerated cartilage must closely resemble and function like normal hyaline cartilage, and this ability may be the most significant factor for the return to sport. Based on our experiences and the available literature, we outline how athletes can best protect their cartilage, how physicians can facilitate intrinsic repair of established lesions, and which methods of cartilage restoration or resurfacing should be used in different situations.Level of evidence: IV.
AB - Abstract: Articular cartilage defects of the knee are common among athletes where the physical demands of sport result in significant stresses on joints. Chondral defects are associated with pain and functional impairment that limit sporting participation and may progress to joint degeneration and frank arthritis. Management of established chondral lesions aims to allow athletes to return to high-impact sports and can be considered in terms of protection of existing cartilage, chondrofacilitation, and resurfacing. Repaired and regenerated cartilage must closely resemble and function like normal hyaline cartilage, and this ability may be the most significant factor for the return to sport. Based on our experiences and the available literature, we outline how athletes can best protect their cartilage, how physicians can facilitate intrinsic repair of established lesions, and which methods of cartilage restoration or resurfacing should be used in different situations.Level of evidence: IV.
KW - Cartilage injury
KW - Cartilage resurfacing
KW - Knee articular cartilage
KW - Return to sport
UR - http://www.scopus.com/inward/record.url?scp=84922473547&partnerID=8YFLogxK
U2 - 10.1007/s00167-015-3509-8
DO - 10.1007/s00167-015-3509-8
M3 - Article
AN - SCOPUS:84922473547
SN - 0942-2056
JO - Knee Surgery, Sports Traumatology, Arthroscopy
JF - Knee Surgery, Sports Traumatology, Arthroscopy
ER -