Rady Children's Hospital, San Diego, CA, USA.
J Am Acad Orthop Surg. 2011 May;19(5):297-306. doi: 10.5435/00124635-201105000-00007.
This clinical practice guideline is based on a series of systematic reviews of published studies in the available literature on the diagnosis and treatment of osteochondritis dissecans of the knee. None of the 16 recommendations made by the work group is graded as strong; most are graded inconclusive; two are graded weak; and four are consensus statements. Both of the weak recommendations are related to imaging evaluation. For patients with knee symptoms, radiographs of the joint may be obtained to identify the lesion. For patients with radiographically apparent lesions, MRI may be used to further characterize the osteochondritis dissecans lesion or identify other knee pathology.
本临床实践指南基于对现有文献中关于膝关节剥脱性骨软骨炎的诊断和治疗的一系列系统评价研究。工作组提出的 16 条建议均未被评为强推荐；大多数被评为不确定推荐；两项被评为弱推荐；四项为共识声明。这两条弱推荐都与影像学评估有关。对于有膝关节症状的患者，可拍摄关节的 X 线片以识别病灶。对于影像学上有明显病灶的患者，可使用 MRI 进一步确定剥脱性骨软骨炎病灶或识别其他膝关节病变。
