Bilateral trochlear subchondral insufficieny fracture of the knee in a professional cyclist.

Autor:	Kraai T; Department of Orthopedic Surgery and Sports Medicine, Orthopedisch Centrum Oost Nederland, Hengelo, The Netherlands., Aldershof C; Department of Orthopedic Surgery and Sports Medicine, Orthopedisch Centrum Oost Nederland, Hengelo, The Netherlands., Olde Heuvel J; Department of Orthopedic Surgery and Sports Medicine, Orthopedisch Centrum Oost Nederland, Hengelo, The Netherlands j.oldeheuvel@ocon.nl., Hoogeslag R; Department of Orthopedic Surgery and Sports Medicine, Orthopedisch Centrum Oost Nederland, Hengelo, The Netherlands.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2023 Oct 05; Vol. 16 (10). Date of Electronic Publication: 2023 Oct 05.
DOI:	10.1136/bcr-2023-255577
Abstrakt:	This case report presents a rare case of subsequent ipsilateral and contralateral subchondral insufficiency fracture of the knee (SIFK) in the trochlea of the femur within months, manifested in a professional cyclist. SIFKs in the trochlea have not yet been reported in the literature; however, their appearance in a professional cyclist might be explained by the amount of repetitive pressure on the patellofemoral joint when cycling. In both instances, atraumatic anterior knee pain occurred, resolving after conservative treatment for 6-9 weeks. The patient reached their previous activity level. The authors believe SIFK in the younger population may be more common than currently perceived due to its self-limiting behaviour and a lack of performing immediate MRIs in this younger group whenever an overload injury is suspected. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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