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The Journal of Family Practice Nov 1996We report a case of a 17-year-old female pitcher with bilateral elbow osteochondritis dissecans. Osteochondritis of the elbow is a well-known disorder affecting pitchers... (Review)
Review
We report a case of a 17-year-old female pitcher with bilateral elbow osteochondritis dissecans. Osteochondritis of the elbow is a well-known disorder affecting pitchers and other individuals who sustain repetitive microtrauma to the elbow. Elbow osteochondritis has been described infrequently in female athletes. The incidence and reporting patterns of this disease are likely to increase as more female athletes participate in organized sports.
Topics: Adolescent; Animals; Baseball; Cumulative Trauma Disorders; Female; Humans; Joint Loose Bodies; Osteochondritis; Rabbits
PubMed: 8917149
DOI: No ID Found -
Acta Orthopaedica Belgica 1983
Review
Topics: Adolescent; Adult; Arthroscopy; Female; Humans; Knee Joint; Male; Methods; Orthopedic Equipment; Osteochondritis; Radiography
PubMed: 6353844
DOI: No ID Found -
Clinics in Sports Medicine Apr 1985JOCD and OCD are distinct conditions. The former has a much more favorable prognosis than the latter. Unrecognized trauma cumulating from activities of daily living and... (Review)
Review
JOCD and OCD are distinct conditions. The former has a much more favorable prognosis than the latter. Unrecognized trauma cumulating from activities of daily living and sports produces subchondral stress fractures that eventually become symptomatic and are recognized as JOCD. If JOCD does not heal by bony union prior to distal femoral epiphyseal closure, OCD results. Since JOCD is a fracture, any method used to stimulate fracture healing, except joint immobilization, should be employed. Careful monitoring of the patient's progress is essential and is most sensitively accomplished with joint scintigraphy. Historical evidence of the benign nature of JOCD is dubious and not consistent with clinical observations. The surgical precepts for treating patients in whom conservative treatment of JOCD fails and patients with OCD are traditional orthopedic concepts. Revascularization of the fragment followed by joint motion are the dictums of surgical success.
Topics: Adolescent; Arthroscopy; Child; Humans; Joint Loose Bodies; Knee Joint; Male; Methods; Osteochondritis; Osteochondritis Dissecans; Radionuclide Imaging
PubMed: 3886172
DOI: No ID Found -
Journal of Equine Veterinary Science Apr 2023This case series describes an alternative surgical technique to obtain reattachment of osteochondritis dissecans (OCD) lesions in the lateral trochlear ridge of the...
This case series describes an alternative surgical technique to obtain reattachment of osteochondritis dissecans (OCD) lesions in the lateral trochlear ridge of the femur (LTRF) as well as the clinical and radiological outcome of treated cases. Four Standardbred yearlings (6 lesions in total) underwent surgical fixation of large OCD defects in the LTRF under arthroscopic guidance. Reattachment of the OCD lesions was obtained using 3.0/3.7 mm headless bio-compression and absorbable poly-l-lactic acid (PLLA) screws, inserted perpendicularly to the cartilage surface through the lesion. All horses were discharged from the hospital without complications. Clinical and radiological follow-up were collected and reviewed at 6 and 12 months post-operatively. Successful healing of the OCD lesions occurred in all cases based on radiographic evaluations, associated with a reduction of femoro-patellar effusion. All horses presented in this case series were able to enter regular training program as racehorses.
Topics: Animals; Horses; Osteochondritis Dissecans; Absorbable Implants; Femur; Bone Screws; Horse Diseases
PubMed: 36773855
DOI: 10.1016/j.jevs.2023.104242 -
Tidsskrift For Den Norske Laegeforening... Feb 1976
Topics: Adolescent; Adult; Aged; Child; Elbow Joint; Female; Humans; Male; Middle Aged; Osteochondritis; Radiography
PubMed: 1257970
DOI: No ID Found -
Foot and Ankle Clinics Dec 2011Freiberg’s disease is a relatively uncommon disorder of the metatarsal head. Although trauma and circulatory disturbances likely contribute major roles in its... (Review)
Review
Freiberg’s disease is a relatively uncommon disorder of the metatarsal head. Although trauma and circulatory disturbances likely contribute major roles in its development, it is widely accepted that Freiberg’s etiology is multifactorial. Conservative treatment, focused on offloading and relieving stress, is uniformly accepted as the appropriate initial management. Surgical management can broadly be categorized as procedures which attempt to correct the pathophysiology and halt its progression, and procedures which address the sequelae of later stage disease. Newer strategies, including osteochondral transplantation, attempt to restore the damage metatarsal cartilage with a viable osteochondral plug.
Topics: Humans; Metatarsus; Osteochondritis; Toes
PubMed: 22118235
DOI: 10.1016/j.fcl.2011.08.008 -
Clinical Orthopaedics and Related... Oct 1979An assessment of 10 patients with osteochondral lesions of the medial or lateral articular surface of the talar dome was based, first on subjective symptoms and second,...
An assessment of 10 patients with osteochondral lesions of the medial or lateral articular surface of the talar dome was based, first on subjective symptoms and second, on an analysis of weight-bearing anteroposterior and lateral X-rays of both ankles. The mean period of follow-up was 15 years 11 months (range 7 to 28 years). In 5 of the 6 patients treated conservatively, radiologic assessment showed that the lesion had failed to heal, but nevertheless in each instance the ankle joint was relatively asymptomatic. Talocrural osteoarthrosis developed in only 2 ankles and was considered to be an uncommon complication in those joints treated either conservatively or by excision of the osteochondral fragment.
Topics: Adolescent; Adult; Ankle; Female; Humans; Male; Osteoarthritis; Osteochondritis; Radiography; Talus
PubMed: 535235
DOI: No ID Found -
The Journal of Hand Surgery Jan 1987Osteochondritis dissecans of the lunate has not been previously reported in the English-language literature. A case of osteochondritis dissecans of the lunate and an...
Osteochondritis dissecans of the lunate has not been previously reported in the English-language literature. A case of osteochondritis dissecans of the lunate and an ulnar positive variance in a 16-year-old girl is presented. Several possible causes of the lesion and its surgical treatment are discussed.
Topics: Adolescent; Arthroscopy; Carpal Bones; Female; Humans; Osteochondritis; Osteochondritis Dissecans; Radiography
PubMed: 3805628
DOI: 10.1016/s0363-5023(87)80177-6 -
Australian Veterinary Journal Jun 1978The diagnosis, aetiology, pathogenesis and treatment of osteochondritis dissecans in the shoulder, elbow, stifle and hock joints of the dog is reviewed. A technique of...
The diagnosis, aetiology, pathogenesis and treatment of osteochondritis dissecans in the shoulder, elbow, stifle and hock joints of the dog is reviewed. A technique of surgically exploring the shoulder joint with minimal exposure is described. Recommendations for preventing the development of osteochondritis dissecans are made.
Topics: Animals; Dog Diseases; Dogs; Female; Male; Osteochondritis; Shoulder Joint
PubMed: 687294
DOI: 10.1111/j.1751-0813.1978.tb02457.x -
Arthroscopy : the Journal of... Sep 2007Osteochondritis of the posterosuperior area of the talocalcaneal surface is a relatively uncommon injury, and only 1 case has been described in the literature. We...
Osteochondritis of the posterosuperior area of the talocalcaneal surface is a relatively uncommon injury, and only 1 case has been described in the literature. We present a 37-year-old man who complained of pain in the tarsal canal area during walking and when standing up. The magnetic resonance imaging study showed an osteochondral signal in the posterosuperior medial area of the calcaneus on the talocalcaneal surface. The persistence of pain and lack of improvement with conservative treatment made arthroscopic debridement of the injury necessary. The arthroscopic procedure was performed through 2 medial portals, made under fluoroscopy, marked with needles, and dissected with mosquito clamps, and the affected surface could be fully visualized, showing a chondral lesion. Debridement of the osteonecrotic area was performed, and the Steadman technique was used on the injured bone surface. The patient was pain-free, and limited activity (i.e., standing up and walking without symptoms) was allowed. After 24 months, the patient remains asymptomatic with weight-bearing working activities and when standing. Arthroscopic curettage and scission of the injury have been shown to yield good or excellent outcomes in 75% to 80% of patients with regard to the talar surface.
Topics: Adult; Arthroscopy; Calcaneus; Debridement; Humans; Male; Necrosis; Osteochondritis
PubMed: 17868846
DOI: 10.1016/j.arthro.2006.07.010