Cartilage Restoration in the Aging Athlete

IF 0.4 4区 医学 Q4 SPORT SCIENCES
Allen A. Yazdi , Alexander C. Weissman , Sarah A. Muth , Jared M. Rubin , Richard M. Danilkowicz , Brian J. Cole
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引用次数: 0

Abstract

As professional and recreational athletes increasingly extend their participation in sports, the prevalence of cartilage injuries, both acute and chronic, rises substantially. This article addresses the evolving landscape of care for aging athletes with knee cartilage injuries. A comprehensive diagnostic process, including a detailed patient history, thorough physical exam, and appropriate imaging, provides the foundation for effective and personalized treatment. Non-operative strategies, such as tailored physical therapy regimens and intraarticular injections, may play a pivotal role in preserving joint function, providing symptomatic relief, and delaying the need for surgical intervention. For cases necessitating operative intervention, an array of options, including debridement to stable borders, surface restoration procedures, osteochondral replacement procedures, and procedures addressing mechanical alignment, are available, and often performed in combination. In navigating the complexities of treating knee cartilage injuries in aging athletes, a commitment to refining current approaches and adapting to emerging evidence is crucial to achieving optimal outcomes and enhancing the longevity of joint health in this distinct population.

老年运动员的软骨修复
随着职业和休闲运动员参与体育运动的时间越来越长,软骨损伤(包括急性和慢性损伤)的发病率也大幅上升。本文探讨了为膝关节软骨损伤的高龄运动员提供护理的演变情况。全面的诊断过程,包括详细的病史、全面的体格检查和适当的影像学检查,为有效的个性化治疗奠定了基础。非手术治疗策略,如量身定制的物理治疗方案和关节内注射,可在保护关节功能、缓解症状和延迟手术治疗需求方面发挥关键作用。对于需要手术干预的病例,可以选择一系列方案,包括清创至稳定边界、表面修复术、骨软骨置换术和解决机械排列问题的手术,这些方案通常会联合使用。在治疗高龄运动员膝关节软骨损伤的复杂过程中,致力于改进现有方法并适应新出现的证据,对于在这一特殊人群中获得最佳治疗效果和延长关节健康寿命至关重要。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
46
审稿时长
93 days
期刊介绍: Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.
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