1,140 results match your criteria Knee Osteochondritis Dissecans


Rehabilitation and successful return to play of a 17-year old elite soccer player with juvenile osteochondritis dissecans trochlear groove lesion of the knee: A case report.

Res Sports Med 2020 Dec 1:1-10. Epub 2020 Dec 1.

Sports Injuries Research Group, Edge Hill University, Ormskirk, UK.

This case summarizes the rehabilitation and return to play management of a 17-year-old elite male soccer player who required surgical stabilization of an Osteochondritis Dissecans (OCD) lesion of the trochlea groove. Trochlea groove lesions represent <1% of OCD cases, resulting in limited evidence to inform practice. The case was initially identified as antalgic running gait, and at this point the player revealed progressively worsening knee pain (over preceding 2 months) which presented as patellofemoral pain with a small knee effusion and quadriceps atrophy present on assessment. Read More

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December 2020

Treatment of osteochondritis dissecans of the patella in adolescents with nanofractured autologous matrix-induced chondrogenesis (NAMIC): A report of five cases.

Knee 2021 Apr 27;30:157-162. Epub 2021 Apr 27.

Knee Unit, Department of Orthopedic Surgery and Traumatology, Parc Taulí University Hospital, Institut d'Investigació i Innovació Parc Taulí CSPT, Autonomous University of Barcelona, Sabadell, Spain.

Purpose: Osteochondritis dissecans (OCD) of the patella is a very rare affliction. The aim of this case series is to evaluate the effectiveness of the Nanofractured Autologous Matrix-Induced Chondrogenesis (NAMIC) technique for the treatment of OCD in young adults.

Methods: Five consecutive patients with patellar osteochondral lesions treated with NAMIC were prospectively studied. Read More

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Outcomes of Osteochondral Autograft Transplantation in Pediatric Patients With Osteochondritis Dissecans of the Capitellum.

J Hand Surg Am 2021 Apr 23. Epub 2021 Apr 23.

Department of Orthopedic Surgery, Shriners Hospitals for Children, Philadelphia, PA.

Purpose: To assess the outcomes of osteochondral autograft transplantations in the treatment of osteochondritis dissecans of the capitellum in the pediatric population.

Methods: Between 2011 and 2016, 15 patients who had undergone osteochondral autograft transplantation at a mean age of 13.7 years at surgery were identified. Read More

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Juvenile Osteochondritis Dissecans of the Knee Joint: Midterm Clinical and MRI Outcomes of Arthroscopic Retrograde Drilling and Internal Fixation with Bioabsorbable Pins.

Cartilage 2021 Apr 24:19476035211003325. Epub 2021 Apr 24.

General University Hospital of Larissa, Larisa, Greece.

Objective: This study aimed to assess the clinical and radiographic outcomes of juvenile patients who suffered from stage II or III osteochondritis dissecans (OCD) of the knee and underwent arthroscopic retrograde drilling and internal fixation with bioabsorbable pins.

Design: Medical and radiological records from patients aged 11 to 16 years, who underwent arthroscopic treatment for OCD lesions of the knee in 2 tertiary hospitals, were retrospectively reviewed. The procedure was indicated by persistent pain and by magnetic resonance imaging (MRI). Read More

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Bilateral osteochondral defects of the patellae in an 11-year-old girl.

BMJ Case Rep 2021 Apr 23;14(4). Epub 2021 Apr 23.

Trauma and Orthopaedics, Royal Free London NHS Trust, London, UK.

Osteochondral defect or osteochondritis dissecans (OCD) of the knee usually affects young, active populations. It is a challenging diagnosis as patients typically present with poorly localised activity-related pain, which is non-specific and covers many differentials. We present an active 11-year-old girl with bilateral osteochondral defects of the patellae: a rare clinical disorder which was affecting her sporting activities. Read More

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Narrative Review - Knee Pain in the Pediatric Athlete.

Curr Rev Musculoskelet Med 2021 Apr 5. Epub 2021 Apr 5.

Department of Physical Medicine and Rehabilitation, Stanford University, 500 Jefferson Avenue #823, Redwood City, CA, 94063, USA.

Purpose Of Review: This review article seeks to highlight common youth athlete knee conditions due to overuse or trauma and elucidate differences from the adult populations.

Recent Findings: Overuse conditions presented include apophysitis, osteochondritis dissecans plica syndrome, and discoid meniscus. Traumatic conditions presented include patellar instability, patellar sleeve fracture, and patellofemoral osteochondral fractures. Read More

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Novel Magnetic Resonance Imaging Classification of Osteochondritis Dissecans of the Knee: A Reliability Study.

J Pediatr Orthop 2021 Mar 29. Epub 2021 Mar 29.

Department of Orthopaedic Surgery & Sports Medicine, Boston Children's Hospital Harvard Medical School, Harvard University, Boston, MA Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA Department of Orthopaedic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI.

Background: Current advanced imaging classification systems for osteochondritis dissecans (OCD) of the knee grade severity of disease by identifying certain lesion characteristics. The most widely used are the Hefti and Nelson systems. A novel classification presents a simpler 3-group approach to diagnose knee OCD by magnetic resonance imaging (MRI), compared with the Hefti (5-group) and Nelson (4-group) classifications. Read More

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Safety and performance of biodegradable magnesium-based implants in children and adolescents.

Injury 2021 Mar 18. Epub 2021 Mar 18.

Department of Pediatric Orthopaedics, Children's Hospital Hamburg-Altona, Hamburg, Germany; Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. Electronic address:

Aims: Biodegradable magnesium-based alloy implants represent a promising option in orthopedic surgery, as the clinical outcomes have been reported to be comparable to those of titanium implants and no surgical interventions are required for removal. To date, little is known about the results of the use of these implants in children and adolescents. Therefore, the aim of the present study was to analyze the safety and performance of these implants in children and adolescents. Read More

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Internal Fixation of Osteochondritis Dissecans Using PushLock Suture Anchors.

Arthrosc Tech 2021 Mar 10;10(3):e705-e709. Epub 2021 Feb 10.

Department of Orthopedic Surgery, Hirosaki University Graduate School of Medicine, Aomori, Japan.

Osteochondritis dissecans (OCD) of the knee is a subchondral bone abnormality that results in the separation of the articular cartilage and bone with subsequent progression to osteoarthritis. Unstable OCD lesions should undergo fixation to preserve the natural contour of the articular surface. Although several fixation procedures have been reported, the appropriate procedure remains unknown. Read More

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Prevalence and Severity of Juvenile Osteochondritis Dissecans in Patients With Juvenile Idiopathic Arthritis.

Orthop J Sports Med 2021 Feb 25;9(2):2325967120984139. Epub 2021 Feb 25.

Seattle Children's Hospital, Seattle, Washington, USA.

Background: Juvenile idiopathic arthritis (JIA) is a heterogeneous group of chronic arthritides presenting in patients aged ≤16 years, with a prevalence of 16 to 150 per 100,000. Juvenile osteochondritis dissecans (OCD) is an idiopathic disease of articular cartilage and subchondral bone, has an onset age of 10 to 16 years, and often affects the knee, with a prevalence of 2 to 18 per 100,000. Currently, there are few studies that have evaluated the relationship between JIA and OCD. Read More

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February 2021

A high rate of children and adolescents return to sport after surgical treatment of osteochondritis dissecans of the elbow: a systematic review and meta-analysis.

Knee Surg Sports Traumatol Arthrosc 2021 Feb 23. Epub 2021 Feb 23.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, 1200 Main St West, 4E15, Hamilton, ON, L8N 3Z5, Canada.

Purpose: The purpose of this systematic review was to determine the return to sport rates following surgical management of ostechondritis dissecans of the elbow.

Methods: The databases EMBASE, PubMed, and MEDLINE were searched for relevant literature from database inception until August 2020 and studies were screened by two reviewers independently and in duplicate for studies reporting rates of return to sport following surgical management of posterior shoulder instability. A meta-analysis of proportions was used to combine the rates of return to sport using a random effects model. Read More

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February 2021

Surgical Management of Osteochondral Defects of the Knee: An Educational Review.

Curr Rev Musculoskelet Med 2021 Feb 15;14(1):60-66. Epub 2021 Feb 15.

Department of Trauma and Orthopaedics, University Hospital Wishaw, 50 Netherton St, Wishaw, Scotland.

Purpose Of Review: Numerous surgical techniques are available to treat osteochondral defects of the knee. The aim of this review is to analyse these procedures, including their methodology, outcomes and limitations, to create a treatment algorithm for optimal management.

Recent Findings: Osteochondral defects of the knee significantly alter the biomechanics of the joint. Read More

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February 2021

Multiple Osteochondritis Dissecans in Multiple Joints.

Case Rep Orthop 2021 28;2021:8828687. Epub 2021 Jan 28.

Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Japan.

Background: Osteochondritis dissecans (OCD) rarely occurs in multiple joints. Furthermore, the existence of left-right asymmetric OCDs in different joints of the contralateral side of the body and lesions occurring with a temporal difference is rare. Here, we report a rare case with multiple OCDs sequentially detected in various joints. Read More

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January 2021

Editorial Commentary: Early Operative Management of "Stable" Osteochondritis Dissecans Lesions Confers Greater Value in Skeletally Immature Patients.

Authors:
Brian R Waterman

Arthroscopy 2021 02;37(2):635-637

The ideal treatment of juvenile osteochondritis dissecans (OCD) varies according to the chronicity of symptoms and radiographic classification. Traditionally, "stable" OCD lesions of the knee are managed conservatively with limited weight bearing and nonoperative care. However, this can require up to 6 to 12 months of observation, and success rates are estimated at only 59%. Read More

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February 2021

Surgical Fixation of Chondral-Only Fragments of the Knee: A Case Series With a Mean 4-Year Follow-up.

Orthop J Sports Med 2021 Jan 19;9(1):2325967120961391. Epub 2021 Jan 19.

Knee Preservation and Cartilage Restoration Center, OrthoIndy, Indianapolis, Indiana, USA.

Background: Chondral-only fragments of the knee have traditionally been treated with excision, with or without cartilage restoration procedures. This is because of the historical assumption that cartilage has limited ability to heal to cancellous or subchondral bone. There is now a growing body of evidence supporting surgical fixation of these fragments. Read More

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January 2021

Management of bilateral osteochondritis dissecans of the trochlea in a skeletally immature patient.

BMJ Case Rep 2021 Jan 27;14(1). Epub 2021 Jan 27.

Orthopedic Surgery, Orthopedic Associates of Central Texas, Austin, Texas, USA.

Osteochondritis dissecans (OCD) lesions are injuries that occur more commonly in the skeletally immature population. In most cases, the aetiology is not well understood, but fortunately, many OCD lesions may heal on their own over time, particularly in skeletally immature patients with open physes. Conversely, if the lesion is considered unstable, surgical intervention may be required. Read More

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January 2021

Clinical and Radiographic Outcomes After Fixation of Chondral Fragments of the Knee in 6 Adolescents Using Autologous Bone Pegs.

Orthop J Sports Med 2020 Nov 17;8(11):2325967120963050. Epub 2020 Nov 17.

Sports Medicine and Joint Center, Funabashi Orthopaedic Hospital, Funabashi, Chiba, Japan.

Background: Little is known regarding the optimal treatment for displaced, purely chondral fragments in the knee.

Purpose: To report the clinical and radiographic outcomes of chondral fragment fixation in adolescents through use of autologous bone pegs.

Study Design: Case series; Level of evidence, 4. Read More

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November 2020

What's New in Osteochondritis Dissecans of the Knee, Elbow, and Ankle.

Instr Course Lect 2021 ;70:433-452

Osteochondritis dissecans is a condition of the subchondral bone, with secondary effects on the articular cartilage. It most commonly affects the knee, elbow, and ankle and is typically seen in young, active populations. Many osteochondritis dissecans lesions are asymptomatic, but more advanced lesions can cause pain, swelling, and mechanical symptoms. Read More

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January 2021

Evaluation and Surgical Management of Knee Osteochondritis Dissecans and Adolescent Cartilage Injuries.

Instr Course Lect 2021 ;70:415-432

Osteochondritis dissecans and cartilage injuries of the knee are among the most challenging clinical entities that pediatric sports medicine specialists encounter. As a weight-bearing joint with significant long-term implications on mobility and overall physical health, the knee also happens to be the most injured or adversely affected joint in preadolescent and adolescent athletes. However, cartilage injuries are unique among other musculoskeletal pathologies in children, in that the healing potential of articular cartilage tissue is limited, and minor injuries or small focal defects can have devastating implications on the lifelong health of the joint. Read More

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January 2021

The nonoperative treatment of osteochondritis dissecans of the knee.

Curr Opin Pediatr 2021 Feb;33(1):59-64

Cincinnati Children's Hospital.

Purpose Of Review: The purpose of this review is to update the reader on the controversial subject of osteochondritis dissecans (OCD) with a focus on nonoperative treatment indications, methods, and success rate.

Recent Findings: Work by an international multicenter study group ROCK (Research in OsteoChondritis of the Knee) will be reviewed including new classifications systems of healing, arthroscopy, radiographs, and MRI, along with new evidence on off-loading bracing compared to restricted weight bearing.

Summary: The paucity of evidence behind OCD treatment of the knee can lead to confusion for doctors, patients, and parents. Read More

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February 2021

Open Treatment for Unstable Osteochondritis Dissecans of the Knee: Autologous Bone Grafting and Bioabsorbable Fixation.

Arthrosc Tech 2020 Nov 20;9(11):e1779-e1784. Epub 2020 Nov 20.

Department of Orthopaedic Surgery & Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska, U.S.A.

Osteochondritis dissecans is a common osteochondral abnormality affecting the knee. In unstable lesions, the underlying bone can be significantly abnormal and necessitate treatment. Although many techniques exist, we favor an open surgical approach to ensure that the bone is properly managed. Read More

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November 2020

Osteochondral Autograft Transfer for Capitellar Chondral and Osteochondral Defects.

Arthrosc Tech 2020 Nov 20;9(11):e1727-e1730. Epub 2020 Nov 20.

Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas, U.S.A.

Chondral and osteochondral lesions of the humeral capitellum, most notably osteochondritis dissecans, most commonly present in adolescent baseball players and gymnasts. A variety of surgical techniques can be used to address these lesions. Osteochondral autograft transfer has recently shown superior rates of return to sport. Read More

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November 2020

Prevalence of hypovitaminosis D in patients with juvenile osteochondritis dissecans.

Rev Esp Cir Ortop Traumatol 2021 Mar-Apr;65(2):132-137. Epub 2020 Dec 4.

Departamento de Ortopedia y Traumatología Infantil - Sanatorio Allende, Córdoba, Argentina. Electronic address:

Background: Juvenile osteochondritis dissecans (JOCD) is an acquired joint disease of unknown etiology that affects skeletally immature patients and has the potential to progress to osteoarthritis. Recent studies have reported a high prevalence of vitaminD deficiency in patients with osteochondral lesions. The aim of our study was to determine serum vitaminD levels in patients diagnosed with JOCD. Read More

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December 2020

Cost-Effectiveness Analysis of Nonoperative Management Versus Early Drilling for Stable Osteochondritis Dissecans Lesions of the Knee in Skeletally Immature Patients.

Arthroscopy 2021 02 1;37(2):624-634.e2. Epub 2020 Dec 1.

Division of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.. Electronic address:

Purpose: To evaluate the cost-effectiveness of a trial of nonoperative management versus early drilling in the treatment of skeletally immature patients with stable osteochondritis dissecans (OCD) of the knee.

Methods: A decision tree model was used to compare the cost-effectiveness of a trial of nonoperative management versus early drilling (within 6 weeks of the first office visit) from payer and societal perspectives over a 3-year time horizon. Relevant transition probabilities, costs (in 2019 US dollars based on Medicare reimbursement), health state utilities, and times to healing were derived from the literature. Read More

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February 2021

Bilateral osteochondritis dissecans of the patella in an adolescent skier with patellofemoral maltracking treated with pulsed electromagnetic field therapy.

J Biol Regul Homeost Agents 2020 Jul-Aug;34(4 Suppl. 3):203-205. Congress of the Italian Orthopaedic Research Society

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Juvenile osteochondritis dissecans of the knee typically occurs in young athletes, and usually localizes on the medial femoral condyle. Bilateral localization is uncommon. Patellofemoral involvement is rare, mainly found in basketball and soccer players, and never related to patellofemoral congenital problems such as trochlear dysplasia. Read More

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January 2021

Bioabsorbable Unsintered Hydroxyapatite/Poly-l-Lactic Acid Pin Fixation of Osteochondritis Dissecans in Adolescents: Initial Experiences.

Z Orthop Unfall 2020 Nov 24. Epub 2020 Nov 24.

Department of Radiology, University Hospital Erlangen, Erlangen, Germany.

Background: This study sought to retrospectively evaluate the clinical and magnetic resonance imaging (MRI) outcomes of u-HA/PLLA pin (u-HA/PLLA: hydroxyapatite/poly-L-lactic acid) pin fixation of unstable osteochondritis dissecans (OCD) lesions of the knee.

Methods: Seven adolescent patients (four females and three males) with arthroscopically unstable OCD lesions of the knee were included. The mean age at diagnosis was 13. Read More

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November 2020

The incidence and risk factors of osteoarthritis following osteochondritis dissecans of the knees: a systematic review and meta-analysis.

Knee Surg Sports Traumatol Arthrosc 2020 Nov 19. Epub 2020 Nov 19.

Department of Orthopaedic Surgery, National University Health System (NUHS), 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore, 119074, Singapore.

Purpose: The current systematic review and meta-analysis aim to pool together the incidence and risk factors of osteoarthritis following osteochondritis dissecans of the knee.

Methods: The systematic review was conducted according to PRISMA guidelines. A search was conducted using PubMed and Cochrane Library with the keywords being "knee" and "osteochondritis dissecans" or "osteochondral lesion". Read More

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November 2020

Overuse Knee Pain in the Pediatric and Adolescent Athlete.

Curr Sports Med Rep 2020 Nov;19(11):479-485

Overuse knee pain is common in young athletes. There are many potential overuse injuries which present with insidious onset of pain that can challenge sports medicine providers, including Osgood-Schlatter's disease, patellofemoral syndrome, osteochondritis dissecans, and stress fractures. The differential diagnosis of insidious onset knee pain also includes malignancies, infections, and rheumatologic issues. Read More

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November 2020

Consensus on Rehabilitation Guidelines among Orthopedic Surgeons in the United States following Use of Third-Generation Articular Cartilage Repair (MACI) for Treatment of Knee Cartilage Lesions.

Cartilage 2020 Oct 30:1947603520968876. Epub 2020 Oct 30.

Penn Center for Advanced Cartilage Repair and Osteochondritis Dissecans Treatment, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Objective: The aim of this study was to evaluate levels of consensus in rehabilitation practices following MACI (autologous cultured chondrocytes on porcine collagen membrane) treatment based on the experience of an expert panel of U.S. orthopedic surgeons. Read More

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October 2020

Osteochondral autograft transplantation versus autologous bone-cartilage paste grafting for the treatment of knee osteochondritis dissecans.

Int Orthop 2021 02 21;45(2):453-461. Epub 2020 Sep 21.

Applied and Translational Research (ATR) Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Purpose: To compare the results of two groups of patients affected by osteochondritis dissecans (OCD) of the knee and treated with either osteochondral autologous transplantation (OAT) or bone-cartilage paste grafting (PG).

Methods: A total of 27 patients affected by OCD lesions of the femoral condyles were included: 15 treated with OAT, 12 with PG, with comparable baseline characteristics (mean age 22.4 ± 7. Read More

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February 2021