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Articular fractures.

Publication ,  Journal Article
Dirschl, DR; Marsh, JL; Buckwalter, JA; Gelberman, R; Olson, SA; Brown, TD; Llinias, A
Published in: J Am Acad Orthop Surg
2004

Although injuries to articular cartilage may lead to radiographic osteoarthritis, pain, and decreased joint function, the actual effects of such injury and of its treatment on joint function are not completely understood. The mechanisms of repair after impact loading are different from those after frank disruption by fracture of the articular cartilage, but basic and clinical research both indicate that the resultant articular surface is prone to degeneration. The sensitivity of a joint to resultant incongruity varies considerably, depending on the thickness and modulus of the articular cartilage and the geometry of the joint. Also, factors other than articular congruity play a substantial role in determining outcomes after treatment. For these reasons, defining a single threshold for articular displacement that correlates with outcomes in all joints is not practical. Some articular fractures injure cartilage so severely that the joint will degenerate even with an accurate articular reduction. Also, radiographic evidence of osteoarthritis does not necessarily correlate with poor function. More reliable measurement techniques are needed to accurately assess how treatment affects arthritis, and factors other than articular congruity are needed to predict posttraumatic arthritis.

Duke Scholars

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

2004

Volume

12

Issue

6

Start / End Page

416 / 423

Location

United States

Related Subject Headings

  • Risk Assessment
  • Recovery of Function
  • Range of Motion, Articular
  • Rabbits
  • Prognosis
  • Orthopedics
  • Joints
  • Injury Severity Score
  • Humans
  • Fractures, Bone
 

Citation

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Chicago
ICMJE
MLA
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Dirschl, D. R., Marsh, J. L., Buckwalter, J. A., Gelberman, R., Olson, S. A., Brown, T. D., & Llinias, A. (2004). Articular fractures. J Am Acad Orthop Surg, 12(6), 416–423. https://doi.org/10.5435/00124635-200411000-00006
Dirschl, Douglas R., J Lawrence Marsh, Joseph A. Buckwalter, Richard Gelberman, Steven A. Olson, Thomas D. Brown, and Adolpho Llinias. “Articular fractures.J Am Acad Orthop Surg 12, no. 6 (2004): 416–23. https://doi.org/10.5435/00124635-200411000-00006.
Dirschl DR, Marsh JL, Buckwalter JA, Gelberman R, Olson SA, Brown TD, et al. Articular fractures. J Am Acad Orthop Surg. 2004;12(6):416–23.
Dirschl, Douglas R., et al. “Articular fractures.J Am Acad Orthop Surg, vol. 12, no. 6, 2004, pp. 416–23. Pubmed, doi:10.5435/00124635-200411000-00006.
Dirschl DR, Marsh JL, Buckwalter JA, Gelberman R, Olson SA, Brown TD, Llinias A. Articular fractures. J Am Acad Orthop Surg. 2004;12(6):416–423.

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

2004

Volume

12

Issue

6

Start / End Page

416 / 423

Location

United States

Related Subject Headings

  • Risk Assessment
  • Recovery of Function
  • Range of Motion, Articular
  • Rabbits
  • Prognosis
  • Orthopedics
  • Joints
  • Injury Severity Score
  • Humans
  • Fractures, Bone