Description
In this presentation, Deiary Kader discusses the complexities surrounding knee pathologies, primarily focusing on the misnomer of 'spontaneous osteonecrosis of the knee' (SONK) and introduces the concept of subchondral insufficiency fractures (SIFK) as a more appropriate term. He emphasizes the importance of understanding the differentiation between these conditions, which arises from variations in pathology, especially in cases involving age, trauma, and degenerative changes. Kader details the evolution of terminology and the historical confusion stemming from earlier studies that misidentified knee conditions based on limited evidence of necrosis. Throughout the talk, he explains the common diagnostic challenges, recommends a broad yet simplified approach to treatment that centers on conservative management, and highlights the potentially serious outcomes if these conditions are mismanaged. The presentation concludes with a strong call to abandon outdated terminology such as SONK, advocating instead for a focus on SIFK, which better encapsulates the nature and treatment of knee-related bone pathologies.