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The Journal of Foot and Ankle Surgery :... 2021Osteochondritis dissecans is a fairly recognized entity affecting the talus dome but subtalar joint involvement is not that common. We report a case of a 34-year-old...
Osteochondritis dissecans is a fairly recognized entity affecting the talus dome but subtalar joint involvement is not that common. We report a case of a 34-year-old male with osteochondritis dissecans of lateral process talus which was missed on imaging studies and identified intraoperatively. The patient was treated with curettage of the subchondral cyst at talus, followed by bone grafting and fixation of the osteochondral lesion with a 4-mm partially threaded cancellous screw. At the 1-year follow-up evaluation, there were no signs of recurrence and the patient resumed his complete activities including sports. We believe that the threshold for diagnosing these lesions should be low in cases with nonspecific chronic ankle pain, and surgeons are encouraged to consider this diagnosis.
Topics: Adult; Curettage; Humans; Male; Neoplasm Recurrence, Local; Osteochondritis; Osteochondritis Dissecans; Subtalar Joint; Talus
PubMed: 33509717
DOI: 10.1053/j.jfas.2020.08.034 -
Journal of the American Podiatric... Jun 1994The authors present a review of the literature concerning the pathogenesis, diagnosis, and treatment of osteochondral defects of the lower extremity. A case of bilateral... (Review)
Review
The authors present a review of the literature concerning the pathogenesis, diagnosis, and treatment of osteochondral defects of the lower extremity. A case of bilateral osteochondritis dissecans of the first metatarsophalangeal joint in a 43-year-old female is presented, including surgical treatment with 1- and 3-year follow-up examinations. The correlation between articular damage to the first metatarsal head and concomitant hallux limitus and hallux rigidus is discussed. The authors also propose that osteochondritis dissecans lesions almost always occur on the convex surface of a joint because of a convergence of impaction forces.
Topics: Adult; Female; Follow-Up Studies; Humans; Metatarsophalangeal Joint; Osteochondritis Dissecans; Prognosis; Radiography
PubMed: 8051633
DOI: 10.7547/87507315-84-6-297 -
Proceedings of the Royal Society of... Jun 1973
Topics: Adult; Ankle Injuries; Child; Female; Humans; Male; Middle Aged; Osteochondritis; Radiography; Talus
PubMed: 4205630
DOI: No ID Found -
Journal of Medical Case Reports Jan 2017Osteochondritis dissecans are typically located mainly on the femoral condyle, with reported but less common cases of patella involvement. In this case report, we...
BACKGROUND
Osteochondritis dissecans are typically located mainly on the femoral condyle, with reported but less common cases of patella involvement. In this case report, we reported a rare case of osteochondritis dissecans located on the medial tibial plateau.
CASE PRESENTATION
A 26-year-old Han Chinese woman presented with a lesion on her left medial tibial plateau. She was treated by arthroscopy for her knee condition. During the operation, a primary diagnosis of osteochondritis dissecans on her medial tibial plateau was indicated by an osteochondral fragment. Arthroscopic removal of the fragment was then performed. Histological examination which was done by a pathologist after the operation supported the positive pathology of osteochondritis dissecans.
CONCLUSIONS
The common site of osteochondritis dissecans development in the knee is on the femoral condyle, and some develop on the patella. In this case report, it was proven that osteochondritis dissecans can also take place on the tibial plateau, although it is very uncommon.
Topics: Adult; Arthroscopy; Female; Humans; Knee Joint; Osteochondritis Dissecans; Patella; Treatment Outcome; Weight-Bearing
PubMed: 28049517
DOI: 10.1186/s13256-016-1164-4 -
The Journal of the American Academy of... 2004Lateral compression injuries of the elbow typically occur in throwing athletes and gymnasts. In the preadolescent and adolescent patient, these injuries predominantly... (Review)
Review
Lateral compression injuries of the elbow typically occur in throwing athletes and gymnasts. In the preadolescent and adolescent patient, these injuries predominantly include Panner's disease and osteochondritis dissecans. Panner's disease, an osteochondrosis of the capitellum, is a rare disorder that usually affects the dominant extremity in individuals younger than age 10 years. Symptomatic management of Panner's disease consisting of reduction of stressful activities of the elbow is usually sufficient to allow resolution. Although a prolonged period is required for healing, most patients demonstrate excellent long-term results. Osteochondritis dissecans of the capitellum typically occurs in adolescents and is associated with loose body formation. Panner's disease and osteochondritis dissecans likely represent a continuum of disordered endochondral ossification with presentation and prognosis dependent primarily on age at onset.
Topics: Adolescent; Athletic Injuries; Child; Elbow Joint; Female; Humans; Male; Osteochondritis; Osteochondritis Dissecans
PubMed: 15473676
DOI: 10.5435/00124635-200407000-00005 -
Chirurgie Pediatrique 1984Reporting a clinical observation, the authors emphasize upon the scarceness of sacroiliac osteochondritis. Sacroiliac osteochondritis is difficult to recognize, it is...
Reporting a clinical observation, the authors emphasize upon the scarceness of sacroiliac osteochondritis. Sacroiliac osteochondritis is difficult to recognize, it is rather frequently a case of diagnosis by elimination, which can be only confirmed by the course. Its prognosis is excellent. The best management is strict rest.
Topics: Adolescent; Female; Humans; Immobilization; Osteochondritis; Radionuclide Imaging; Sacroiliac Joint
PubMed: 6518619
DOI: No ID Found -
Seminars in Musculoskeletal Radiology Feb 2018Osteochondral lesions are common in children and may arise from a variety of etiologies. Although they most frequently occur in the knee, other joints may be involved... (Review)
Review
Osteochondral lesions are common in children and may arise from a variety of etiologies. Although they most frequently occur in the knee, other joints may be involved including the ankle and elbow. We describe the typical imaging appearance of osteochondral lesions with a focus on radiographs and magnetic resonance imaging. Assessment of the stability of these lesions is of paramount importance in directing management. As such, we describe staging schemes as well as imaging features differentiating stable from unstable lesions. Finally, we briefly discuss management strategies as they correlate to imaging findings.
Topics: Child; Diagnosis, Differential; Humans; Joint Diseases; Magnetic Resonance Imaging; Osteochondritis
PubMed: 29409073
DOI: 10.1055/s-0037-1608006 -
Lakartidningen May 1978
Topics: Adolescent; Adult; Age Factors; Child; Child, Preschool; Female; Humans; Knee Joint; Male; Middle Aged; Osteochondritis; Prognosis; Radiography
PubMed: 651443
DOI: No ID Found -
The Bone & Joint Journal Jun 2016Osteochondritis Dissecans (OCD) is a condition for which the aetiology remains unknown. It affects subchondral bone and secondarily its overlying cartilage and is mostly...
UNLABELLED
Osteochondritis Dissecans (OCD) is a condition for which the aetiology remains unknown. It affects subchondral bone and secondarily its overlying cartilage and is mostly found in the knee. It can occur in adults, but is generally identified when growth remains, when it is referred to as juvenile OCD. As the condition progresses, the affected subchondral bone separates from adjacent healthy bone, and can lead to demarcation and separation of its associated articular cartilage. Any symptoms which arise relate to the stage of the disease. Early disease without separation of the lesion results in pain. Separation of the lesion leads to mechanical symptoms and swelling and, in advanced cases, the formation of loose bodies. Early identification of OCD is essential as untreated OCD can lead to the premature degeneration of the joint, whereas appropriate treatment can halt the disease process and lead to healing. Establishing the stability of the lesion is a key part of providing the correct treatment. Stable lesions, particularly in juvenile patients, have greater propensity to heal with non-surgical treatment, whereas unstable or displaced lesions usually require surgical management. This article discusses the aetiology, clinical presentation and prognosis of OCD in the knee. It presents an algorithm for treatment, which aims to promote healing of native hyaline cartilage and to ensure joint congruity.
TAKE HOME MESSAGE
Although there is no clear consensus as to the best treatment of OCD, every attempt should be made to retain the osteochondral fragment when possible as, with a careful surgical technique, there is potential for healing even in chronic lesions Cite this article: Bone Joint J 2016;98-B:723-9.
Topics: Algorithms; Arthroscopy; Conservative Treatment; Humans; Immobilization; Joint Loose Bodies; Knee Joint; Orthopedic Fixation Devices; Orthopedic Procedures; Osteochondritis Dissecans
PubMed: 27235511
DOI: 10.1302/0301-620X.98B6.36816 -
Foot & Ankle Dec 1986Osteochondritis dissecans of the midfoot is described with discussion focusing on its etiology, classification, and treatment. Two cases are presented in which workup,...
Osteochondritis dissecans of the midfoot is described with discussion focusing on its etiology, classification, and treatment. Two cases are presented in which workup, treatment, and follow-up are described. Difficulty in making the diagnosis is caused by a lack of awareness of this entity and the specific studies needed to identify the lesion.
Topics: Adolescent; Female; Humans; Male; Metatarsus; Osteochondritis; Osteochondritis Dissecans
PubMed: 3804140
DOI: 10.1177/107110078600700308