healthcareЗдравоохранение. HealthcareHealthcare1027-7218Republican Scientific and Practical Center for Medical Technologies, Informatization, Management and Health Economicshealthcare-169Research ArticleДИСКУССИИDISCUSSIONSДиагностика и лечение субхондрального перелома недостаточности костной ткани коленного суставаDiagnostics and treatment of subchondral insufficiency fracture of the knee Exchange of experienceКошманГ. А.KoshmanG. A.

Кошман Геннадий Алексеевич - к. м. н., доцент кафедрытравматологии, ортопедии и военно-полевой хирургии

ул. Горького, 80, 230009, г. Гродно, БеларусьСл. тел. +375 (152) 68-19-69

Гродненский государственный медицинский университетBelarus2023270920250123641Copyright © Кошман Г.А., 20252025Кошман Г.А.Koshman G.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://healthcare.ejournal.by/jour/article/view/169

Субхондральный перелом недостаточности костной ткани коленного сустава (subchondral insufficiency fracture of the knee, SIFK) является новой нозологической единицей, которая пришла на смену диагнозу «спонmанный остеонекроз коленного сустава» (spontaneous osteonecrosis of the knee, SONK). Первичный аваскулярный некроз мыщелков бедра является диагнозом дифференциальной диагностики с субхондральным переломом недостаточности костной ткани коленного сустава, требующим иного подхода к лечению. В данной статье рассматриваются принципы диагностики и результаты консервативного лечения субхондрального перелома недостаточности костной ткани коленного сустава.

Subchondral insufficiency fracture of the knee (SIFK) is a new nosologic entity that has replaced the diagnosis of spontaneous osteonecrosis of the knee (SONK). Primary avascular necrosis of the femoral condyles is a differential diagnosis with subchondral fracture of bone insufficiency of the knee joint, which requires a different approach to treatment. This article reviews the principles of diagnosis and results of conservative treatment of subchondral bone insufficiency fracture of the knee (SIFK).

субхондральный перелом недостаточности костной ткани коленного сустава (SIFK)спонтанный остеонекроз коленного сустава (SONK)стрессовый переломостеопорозостеопенияостеоартритSubchondral insufficiency fracture of the knee (SIFK)spontaneous osteonecrosis of the knee (SONK)stress fractureosteoporosisosteopeniaosteoarthritisReferencesAhlback S., Bauer G. C., Bohne W. H. Spontaneous osteonecrosis of the knee. Arthritis Rheum 1968: (11): 705 -33.Ahlback S., Bauer G. C., Bohne W. H. Spontaneous osteonecrosis of the knee. Arthritis Rheum 1968: (11): 705 -33.Yamamoto T., Bullough P. G. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J. Bone Joint Surg. Am. 2000; (82): 858 66.Yamamoto T., Bullough P. G. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J. Bone Joint Surg. Am. 2000; (82): 858 66.Kidwai A. S., Hemphill S. D., Griffiths H. J. Radiologic case study. 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The authors declare that there are no conflicts of interest present.