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The Journal of Trauma Jan 1982A retrospective study was done of 84 patients with osteochondritis dissecans of the capitelum who were seen during a 43-year period; followup of 57 patients could be...
A retrospective study was done of 84 patients with osteochondritis dissecans of the capitelum who were seen during a 43-year period; followup of 57 patients could be obtained, nine of whom had involvement in both elbows. Most of the osteochondral lesions could be classified either as those still attached to the capitellum (type 1) or as loosened fragments lying free and floating within the joint (type 2): 24 were of type 1 and 37 were of type 2. Residual limitations were highest in the type 2 lesions that were treated either nonsurgically or surgically after a long delay. The best surgical results occurred with excision of the osteochondral defect and drilling or curettage of subchondral bone.
Topics: Adolescent; Elbow; Female; Humans; Male; Osteochondritis; Radiography; Retrospective Studies
PubMed: 7057469
DOI: 10.1097/00005373-198201000-00010 -
Arthroscopy : the Journal of... 1993The etiology of osteochondritis dissecans and the results of treating the early stages with arthroscopic fixation using cannulated screws is discussed. Arthroscopic...
The etiology of osteochondritis dissecans and the results of treating the early stages with arthroscopic fixation using cannulated screws is discussed. Arthroscopic surgery was performed on 14 patients with osteochondritis dissecans, and the osteochondral fragment was fixed with one or two screws. A second arthroscopic procedure was necessary to assess the lesion and remove the screws. Ambulation without weight bearing is allowed during the first 2 months postoperatively. Full range of motion is encouraged. The results indicate that all patients returned to their previous sport 3-11 months postsurgery. The authors conclude that fixation with cannulated screws is the ideal method of treating osteochondritis dissecans when the osteochondral fragment is still in its bed.
Topics: Adolescent; Adult; Arthroscopy; Bone Screws; Cartilage, Articular; Female; History, 16th Century; History, 18th Century; History, 19th Century; History, 20th Century; Humans; Knee Joint; Male; Osteochondritis Dissecans
PubMed: 8305105
DOI: 10.1016/s0749-8063(05)80506-7 -
Georgian Medical News Feb 2023Osteochondral lesions of the dome of the talus are becoming an increasingly frequent problem in sports traumatology, and questioning is a major element in the diagnostic...
Osteochondral lesions of the dome of the talus are becoming an increasingly frequent problem in sports traumatology, and questioning is a major element in the diagnostic orientation, as these are usually young, athletic patients. The main part of the diagnosis is based on complementary imaging examinations. We report the clinical observation of an adult patient, an athlete, referred to a rheumatology consultation for chronic pain of the right ankle with a mechanical appearance and difficulty in walking. Clinical and paraclinical examinations (standard X-ray, CT scan and magnetic resonance imaging) finally led to the conclusion of an osteochondritis of the talus.
Topics: Adult; Humans; Osteochondritis; Guinea; Talus; Magnetic Resonance Imaging; Sports
PubMed: 37042602
DOI: No ID Found -
Australian Family Physician Dec 1988
Topics: Adolescent; Athletic Injuries; Child; Humans; Male; Osteochondritis
PubMed: 3240169
DOI: No ID Found -
The Veterinary Clinics of North America Sep 1971
Topics: Animals; Dog Diseases; Dogs; Hip Joint; Joint Prosthesis; Osteochondritis; Radiography; Rest
PubMed: 4949795
DOI: 10.1016/s0091-0279(71)50058-2 -
BMJ Case Reports Apr 2022We present a case report of a man in his 20s with osteochondritis dissecans of the talus, treated with autologous transplantation of a vascularised osteochondral flap....
We present a case report of a man in his 20s with osteochondritis dissecans of the talus, treated with autologous transplantation of a vascularised osteochondral flap. The patient with high level of activity presented to our orthopaedic outpatient department for progressive limping and pain, mainly related to sports. An osteochondritis dissecans grade IV of the medial talus was identified by MRI. A microvascular transfer of osteochondral tissue was performed successfully. At follow-up 1 year after surgery, the MRI examination revealed vital cartilage; the patient was free of pain and had returned to his previous level of activity.
Topics: Cartilage; Humans; Intra-Articular Fractures; Male; Osteochondritis; Osteochondritis Dissecans; Pain; Talus; Transplantation, Autologous
PubMed: 35393276
DOI: 10.1136/bcr-2021-248150 -
The Veterinary Record Jun 1986
Topics: Animals; Cat Diseases; Cats; Male; Osteochondritis; Osteochondritis Dissecans
PubMed: 3739162
DOI: 10.1136/vr.118.23.646-a -
Arthroscopy : the Journal of... 1990Osteochondritis dissecans (OCD) is a common entity in both the juvenile and adult populations, with an incidence of 3 to 6/10,000 in adults. Much of the early literature...
Osteochondritis dissecans (OCD) is a common entity in both the juvenile and adult populations, with an incidence of 3 to 6/10,000 in adults. Much of the early literature grouped juvenile and adult osteochondritis dissecans, osteochondral fracture, and accessory ossification into the same category. Conclusions were then drawn on the combined group. Nonetheless, this is a diverse group. This review discusses only OCD. There have been multiple etiological theories of OCD, ranging from trauma to ischemia to accessory centers of ossification and to genetics. It is evident that the true etiology is probably multifactorial. Bone scan, computed tomographic scan, and magnetic resonance imaging advances have enhanced the physician's ability to make the diagnosis of osteochondritis dissecans as well as to stage operative intervention. There is a vast difference between juvenile and adult OCD, as seen in the natural history, prognosis, and treatment options. In general, the juvenile patients have better results overall. The indications for operative intervention for these juvenile patients are a nonhealing attached fragment, fully or partially detached lesions of the articular surface, and loose bodies. Nonoperative treatment in the adult patient has been shown to accelerate degenerative arthritis, which involves all 3 compartments of the knee. Therefore, symptomatic lesions and loose bodies comprise the surgical indications for adult OCD. An understanding of this disease process will help the physician optimize the patient's results.
Topics: England; Europe; History, 16th Century; History, 18th Century; History, 19th Century; History, 20th Century; Humans; Joint Loose Bodies; Knee Joint; Osteochondritis Dissecans; United States
PubMed: 2206181
DOI: 10.1016/0749-8063(90)90074-n -
Journal of Pediatric Orthopedics. Part B Jul 1998This is a case report of osteochondritis of the medial plantar apophysis of the calcaneus presenting as medial plantar heel pain in a 15-year-old basketball player. The...
This is a case report of osteochondritis of the medial plantar apophysis of the calcaneus presenting as medial plantar heel pain in a 15-year-old basketball player. The lesion was detected radiographically and by increased focal uptake on bone scan. Conservative treatment resulted in complete pain relief and normal calcaneal appearance with union of the osteochondral fragment. No recurrence was noted during 3 years of follow-up.
Topics: Adolescent; Basketball; Calcaneus; Cumulative Trauma Disorders; Follow-Up Studies; Humans; Male; Osteochondritis; Pain Measurement; Tomography, X-Ray Computed
PubMed: 9702679
DOI: 10.1097/01202412-199807000-00014 -
The Journal of Hand Surgery... Jun 2016We report two rare cases of osteochondral dissecans of the humeral capitellum, each associated with a large subchondral cyst. The procedure employed for reconstruction...
We report two rare cases of osteochondral dissecans of the humeral capitellum, each associated with a large subchondral cyst. The procedure employed for reconstruction of the massive bone defect yielded excellent clinical and radiological outcomes in both cases, and therefore seems promising for treatment of osteochondritis dissecans.
Topics: Biopsy; Bone Cysts; Bone Transplantation; Child; Female; Humans; Humerus; Ilium; Magnetic Resonance Imaging; Male; Orthopedic Procedures; Osteochondritis Dissecans; Radiography
PubMed: 27454643
DOI: 10.1142/S2424835516720097