Osteochondritis Dissecans: Current Treatment Options

Micheli, Lyle J.; McCartyIII, L. Pearce

doi:10.1007/978-0-387-21553-2_12

Cited by 2 publications

(2 citation statements)

References 64 publications

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“…27 The duration of nonoperative treatment is unclear but probably should not be continued beyond 6 months without strong evidence of significant clinical or radiographic healing. 34 The results of nonoperative treatment vary depending on patient age and the location of the lesion. Yoshida et al 45 reported on 51 knees that were diagnosed and treated before skeletal maturity.…”

Section: Bmentioning

confidence: 99%

Evaluation and Treatment of Osteochondritis Dissecans Lesions of the Knee

et al. 2010

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Osteochondritis dissecans (OCD) is a condition affecting the subchondral bone of joints with secondary effects on articular cartilage that results in pain, effusions, loose-body formation, and mechanical symptoms. Left untreated, OCD can lead to the development of degenerative arthritis secondary to joint incongruity and abnormal wear patterns. This article discusses the etiology of knee OCD lesions, clinical presentation, proper evaluation, and treatment options. Treatment of OCD may include nonoperative measures or operative procedures ranging from drilling or fixation of fragments to complex reconstruction procedures such as autologous chondrocyte implantation, osteochondral autograft, and fresh osteochondral allograft. Physicians must consider many factors, including the patient's age and skeletal maturity, as well as size, location, and stability of OCD lesions to determine the proper course of treatment. [J Knee Surg. 2008;21:106-115.]

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Section: Bmentioning

confidence: 99%

Evaluation and Treatment of Osteochondritis Dissecans Lesions of the Knee

et al. 2010

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“…Some authorities suggest a knee immobiliser splint or cast may be needed; however, care must be taken not to cause muscle atrophy, cartilage degeneration and increased joint stiffness as a result of prolonged immobilisation and restricted weight bearing (Hughston et al, 1984;Kocker et al, 2006). It is therefore felt that non-operative treatment should not continue beyond 6 months without strong evidence of significant healing (Micheli and McCarty, 2004) and should be abandoned if symptoms persist for 3 months and if serial bone scans show little or no increase in uptake despite good patient compliance (Cahill, 1985).…”

Section: Treatmentmentioning

confidence: 99%

Osteochondritis dissecans: a review

Edge

Porter

2010

Trauma

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Osteochondritis dissecans is a disorder caused by separation of a fragment of articular cartilage and subchondrial bone from the joint surface causing pain, inflammation and joint catching or locking which, if left untreated may cause early onset degenerative arthritis. Overall the condition is not common within an incidence of 3-6 cases per 10 000 adult population; however, it remains the most common cause of a loose body within a joint in adolescents. The knee is the most commonly affected joint (75% cases) with the elbow and ankle being the next most common. The disease affects two distinct populations: 5-15 years and 17-36 years and is defined as either the juvenile or adult form of the condition depending on the status of the epiphyseal plate. Much debate remains regarding the relationship between the juvenile and adult forms and the aetiology and best treatment methods for both conditions. The aim of this article is to review the literature regarding this debate and describe current and future treatment methods for osteochondritis dissecans in general and with specific focus on osteochondritis dissecans of the knee.

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Osteochondritis Dissecans: Current Treatment Options

Cited by 2 publications

References 64 publications

Evaluation and Treatment of Osteochondritis Dissecans Lesions of the Knee

Evaluation and Treatment of Osteochondritis Dissecans Lesions of the Knee

Osteochondritis dissecans: a review

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