Lesión pediátrica del cartílago articular
At the Children's Health℠ Andrews Institute, our multidisciplinary team of experts works together to recommend the best approach when your child tears the cartilage between a joint. Each treatment plan is tailored to your child’s unique needs and provides comprehensive care.
Leaders in both non-invasive therapies and minimally invasive treatments
Our physicians are leaders in both non-invasive therapies and minimally invasive treatments for articular cartilage injuries, which tend to occur in the knee, ankle and elbow.
We can also provide top care for related injuries, such as:
Meniscus tears - If damaged cartilage is not treated, it can worsen and eventually require surgery. We help avoid that outcome with medications, changes in activities and in-house physical therapy (PT). But we can also provide minimally invasive arthroscopic surgery if needed.
What are the signs and symptoms of an articular cartilage injury?
Articular cartilage helps our joints move and glide freely. Tears, or lesions, in that cartilage can interfere with normal movement and cause problems. Feeling as if the joint, especially if it’s the knee, is giving out, “locking” or “catching”.
Common causes of articular cartilage injuries include:
Sudden, traumatic injury from a fall or physical contact
Wear and tear from repetitive movements in sports
Symptoms of an articular cartilage injury can include:
Dolor
Hinchazón
Stiffness
Limited range of motion
How is an articular cartilage injury diagnosed?
Our physicians start with a physical examination when diagnosing an articular cartilage injury. They may also order diagnostic tests to look at the bones, ligaments, tendons and cartilage in the injured joint.
Las pruebas de diagnóstico pueden incluir:
X-ray - Uses invisible electromagnetic energy beams to take detailed images of the bones of the injured joint, checking for any problems
CT (computed tomography) scan - Uses X-rays to make detailed images of the injured area
MRI (magnetic resonance imaging) scan - Uses magnetic fields and radiowaves to take detailed pictures of the joint, checking for tears in the ligaments, tendons or cartilage
Arthroscopy - Uses an arthroscope (a thin, lighted tube with a small camera attached), which is inserted through tiny incisions to visualize, diagnose and treat the problem
How is an articular cartilage injury treated?
Our physicians specialize in both non-surgical treatments for articular cartilage injuries and in minimally invasive surgery. If a repair is needed, our surgeons use a minimally invasive approach whenever possible.
Non-surgical treatments
Anti-inflammatory medication
Activity modification
Cirugía
When symptoms worsen, your child may need surgery. We consider the injury’s severity and your child’s age and activity level when determining the best option.
Arthroscopic surgery - During this minimally invasive procedure, your child’s physician inserts an arthroscope — a thin, lighted tube with a small camera attached — through tiny incisions near the joint to visualize and treat the damage.
In rare cases, children with serious tears and existing conditions such as osteochondritis dissecans may require more extensive surgery. Your physician will discuss the best surgical options with you and your child.
Pediatric articular cartilage injury doctors and providers
- Dr. Dustin Loveland, MDDirector quirúrgico y jefe de Ortopedia y Medicina Deportiva
- Dr. Fabien Arous, MDMédico de medicina deportiva
- Dra. Kathryn Bauer, MDCirujana de medicina deportiva ortopédica
- Dr. Christopher Redman, MDCirujano de medicina deportiva ortopédica
- Dr. John Roaten, MDCirujano de medicina deportiva ortopédica
- Dr. James Pace, MDCirujano de medicina deportiva ortopédica
- Prof. Brian Gutknecht, PA-CAsistente médico: Ortopedia
- Prof. Nicholas Strittmatter, APRN, FNPEnfermero facultativo: Ortopedia
Preguntas frecuentes
Where do pediatric articular cartilage injuries usually occur?
Recursos de Children's Health
American Academy of Orthopedic Surgeons: Articular Cartilage Restoration