7,583 results match your criteria Osteochondritis Dissecans


Overuse injuries in sport: a comprehensive overview.

J Orthop Surg Res 2018 Dec 5;13(1):309. Epub 2018 Dec 5.

Department of Musculoskeletal Disorders, School of Medicine and Dentistry, University of Salerno, Salerno, Italy.

Background: The absence of a single, identifiable traumatic cause has been traditionally used as a definition for a causative factor of overuse injury. Excessive loading, insufficient recovery, and underpreparedness can increase injury risk by exposing athletes to relatively large changes in load. The musculoskeletal system, if subjected to excessive stress, can suffer from various types of overuse injuries which may affect the bone, muscles, tendons, and ligaments. Read More

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December 2018
2 Reads

Is Patient Satisfaction Associated With Clinical Outcomes After Osteochondral Allograft Transplantation in the Knee?

Am J Sports Med 2018 Nov 27:363546518812420. Epub 2018 Nov 27.

Division of Orthopaedic Surgery, Scripps Clinic, La Jolla, California, USA.

Background:: The association between patient satisfaction and patient-reported outcomes after cartilage repair is not well understood.

Purpose:: To investigate the association of patient satisfaction with pain, function, activity level, and quality of life after fresh osteochondral allograft (OCA) transplantation in the knee.

Study Design:: Case-control study; Level of evidence, 3. Read More

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November 2018
1 Read

The relation between ankle morphology and osteochondritis dissecans of talus.

Acta Orthop Belg 2018 Jun;84(2):229-234

The purpose of this study is to describe, if there is, any relation between ankle morphology and development of talus osteochondritis dissecans (OCD) using certain morphological parameters derived from high resolution magnetic resonance imaging (MRI). Study included a total of 93 patients: 26 patients with traumatic medial talus OCD, 30 patients with idiopathic medial talus OCD and 37 patients with normal ankle as the control group. Five MRI morphological parameters (Maximal Tibial Thickness (MTiTh), Malleolar Width (MalW), Length of Trochlea Tali Arc (TaL), Height of Trochlea Tali Arc (TaH) and Angle of Trochlea Tali Inclination (TaIA)) that are expected to be relevant to talus OCD formation are measured and compared for the three groups. Read More

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Outcomes of surgical treatment for osteochondritis dissecans of the elbow: evaluation by lesion location.

J Shoulder Elbow Surg 2018 Dec;27(12):2262-2270

Department of Orthopaedic Surgery, Shimane University School of Medicine, Shimane, Japan.

Background: For treatment of advanced elbow osteochondritis dissecans (OCD), we have used surgical treatment. Although favorable treatment outcomes have been reported for centrally located OCD, treatment outcomes are generally questionable and the choice of surgical method is controversial for laterally located OCD. Our purpose was to evaluate the treatment outcomes based on lesion location. Read More

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December 2018
1 Read

The effects of knee support on the sagittal lower-body joint kinematics and kinetics of deep squats.

J Biomech 2018 Oct 26. Epub 2018 Oct 26.

Department of Biomedical Engineering, University of Virginia, USA; Department of Mechanical Engineering, University of Virginia, USA; Department of Orthopedic Surgery, University of Virginia, USA. Electronic address:

Little work has been done to examine the deep squat position (>130° sagittal knee flexion). In baseball and softball, catchers perform this squat an average of 146 times per nine-inning game. To alleviate some of the stress on their knees caused by this repetitive loading, some catchers wear foam knee supports. Read More

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October 2018
6 Reads

Investigation of factors related to the occurrence of osteochondral lesions of the talus by 3D bone morphology of the ankle.

Bone Joint J 2018 Nov;100-B(11):1487-1490

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

Aims: The aims of this study were to evaluate the morphology of the ankle in patients with an osteochondral lesion of the talus using 3D CT, and to investigate factors that predispose to this condition.

Patients And Methods: The study involved 19 patients (19 ankles) who underwent surgery for a medial osteochondral lesion (OLT group) and a control group of 19 healthy patients (19 ankles) without ankle pathology. The mean age was significantly lower in the OLT group than in the control group (27. Read More

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November 2018

The Treatment of Adult Osteochondritis Dissecans with Autologous Cartilage Implantation: A Systematic Review.

J Knee Surg 2018 Nov 5. Epub 2018 Nov 5.

Department of Orthopaedic Surgery, Sports Medicine Research, The Ohio State University Wexner Medical Center, Columbus, Ohio.

We sought to evaluate the effectiveness of autologous chondrocyte implantation (ACI) for the treatment of adult osteochondritis dissecans (OCD) lesions according to patient-reported outcomes, complication rates, and failure rates. A search of MEDLINE, Scopus, and Cochrane Library was performed to identify clinical studies (levels I-IV) reporting outcomes after ACI treatment for OCD in adult knees. Our inclusion criteria included the following: (1) published between January 2000 and April 2017, (2) stable and unstable OCD lesions of the knee, (3) use of ACI in at least one group, (4) subjects ≥18 years old or skeletally mature, (5) inclusion of at least one patient-reported clinical outcome measure, and (6) written in English. Read More

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November 2018
6 Reads

Elbow Surgery in Athletes.

Sports Med Arthrosc Rev 2018 Dec;26(4):181-184

Andrews Sports Medicine, Birmingham, AL.

Injuries and disorders of the elbow in athletes are common especially among throwing athletes. Common injuries encountered in the throwing athlete include ulnar collateral ligament injuries, ulnar neuritis, capitellar osteochondritis dissecans, valgus extension overload with posterior olecranon impingement, olecranon stress fracture, and loose bodies. A thorough knowledge of both the functional anatomy as well as throwing biomechanics are required to properly diagnosis and treat these problems. Read More

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December 2018
1 Read

Sustained Results in Long-Term Follow-Up of Autologous Chondrocyte Implantation (ACI) for Distal Femur Juvenile Osteochondritis Dissecans (JOCD).

Adv Orthop 2018 23;2018:7912975. Epub 2018 Sep 23.

The Micheli Center for Sports Injury Prevention, Waltham, MA, USA.

Introduction: Concern regarding ability of autologous chondrocyte implantation (ACI) to correct for the bone and cartilage pathology of knee juvenile osteochondritis dissecans (JOCD) exists. The purpose of this study was to determine long-term, patient-based outcomes of ACI treatment of JOCD in young patients. Authors hypothesized long-term outcomes are comparable to reported mid-term outcomes. Read More

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September 2018
4 Reads

Effectiveness of ultrasonography screening and risk factor analysis of capitellar osteochondritis dissecans in adolescent baseball players.

J Shoulder Elbow Surg 2018 Nov;27(11):2038-2044

Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan; Medical Mechatronic Engineering Program, Cheng Shiu University, Kaohsiung, Taiwan. Electronic address:

Background: Capitellar osteochondritis dissecans (COCD) is a common elbow injury in young baseball athletes. It may be asymptomatic at the early stage and may progress if left untreated. This study investigated the effectiveness of ultrasonography (US) screening for COCD in adolescent baseball players and identified risk factors of COCD. Read More

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November 2018
8 Reads

Nonoperative management of stable pediatric osteochondritis dissecans of the capitellum: predictors of treatment success.

J Shoulder Elbow Surg 2018 Nov;27(11):2030-2037

Division of Sports Medicine, Department of Orthopedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address:

Background: Osteochondritis dissecans (OCD) of the capitellum is a rare but potentially debilitating condition. We sought to determine the healing potential of stable capitellar OCD treated nonoperatively, as well as factors predictive of successful nonoperative management.

Methods: We performed a retrospective review of patients younger than 19 years who presented with stable OCD of the capitellum and were treated nonoperatively for a minimum of 2 months. Read More

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November 2018
4 Reads

Contact force between the tibial spine and medial femoral condyle: A biomechanical study.

Clin Biomech (Bristol, Avon) 2018 Dec 27;60:9-12. Epub 2018 Sep 27.

Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Background: Contact between the tibial spine and medial femoral condyle with internal tibial rotation (ITR) has been proposed as a factor for the development of osteochondritis dissecans lesions. We hypothesized that tibial spine contact force (CF) would increase significantly with applied internal tibial torque (IT).

Methods: A 20 mm diameter cylinder of bone encompassing the tibial spine was cored and attached to a load cell. Read More

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December 2018
6 Reads

Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report.

Rev Bras Ortop 2018 Sep-Oct;53(5):636-642. Epub 2018 Aug 20.

Universidade de São Paulo, Faculdade de Medicina, Departamento de Ortopedia e Traumatologia, São Paulo, SP, Brazil.

Osteochondral fracture after acute patellar dislocation in teenagers is relatively common (up to 60% of cases of patellar dislocation), but poorly diagnosed. There are several treatments proposed for this type of injury, but none well defined in the literature. A male patient, 13 years old, with a diagnosis of osteochondral fracture of the lateral femoral condyle after acute dislocation of the right patella. Read More

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August 2018
1 Read

Juvenile osteochondritis dissecans of the knee is a result of failure of the blood supply to growth cartilage and osteochondrosis.

Osteoarthritis Cartilage 2018 Dec 21;26(12):1691-1698. Epub 2018 Sep 21.

Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, St. Paul, Minnesota, USA. Electronic address:

Objective: Juvenile osteochondritis dissecans (JOCD) is similar to osteochondrosis dissecans (OCD) in animals, which is the result of failure of the cartilage canal blood supply, ischemic chondronecrosis and delayed ossification, or osteochondrosis. The aim of the current study was to determine if osteochondrosis lesions occur at predilection sites for JOCD in children.

Method: Computed tomographic (CT) scans of 23 knees (13 right, 10 left) from 13 children (9 male, 4 female; 1 month to 11 years old) were evaluated for lesions consisting of focal, sharply demarcated, uniformly hypodense defects in the ossification front. Read More

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December 2018
1 Read

Bone Peg Grafting for Capitellar Osteochondritis Dissecans in Adolescent Baseball Players.

JBJS Essent Surg Tech 2018 Mar 14;8(1):e8. Epub 2018 Mar 14.

Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.

Background: Capitellar osteochondritis dissecans (OCD) is a focal injury of the articular cartilage involving separation of a segment of cartilage from the subchondral bone that is infrequently encountered in the dominant-side elbow of adolescent throwing athletes. The literature suggests that patients may achieve better short and mid-term results when treated with certain types of surgical procedures. Selection of the appropriate surgical method should be based on the International Cartilage Repair Society (ICRS) OCD classification system. Read More

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March 2018
2 Reads

Treatment of Capitellar Osteochondritis Dissecans With a Novel Regenerative Technique: Case Report of 3 Patients After 4 Years.

Orthop J Sports Med 2018 Sep 13;6(9):2325967118795831. Epub 2018 Sep 13.

IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

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September 2018
7 Reads

A Magnetic Resonance Imaging-Based Staging System for Osteochondritis Dissecans of the Elbow: A Validation Study Against the International Cartilage Repair Society Classification.

Orthop J Sports Med 2018 Sep 12;6(9):2325967118794620. Epub 2018 Sep 12.

Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Background: Evaluations of the stability of osteochondritis dissecans (OCD) lesions of the elbow using magnetic resonance imaging (MRI) have resulted in reports with variable accuracy. Therefore, the International Cartilage Repair Society (ICRS) classification remains the gold standard to determine OCD lesion stability. Because OCD commonly occurs in pediatric patients, a noninvasive method comparable with the ICRS classification is desired. Read More

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September 2018
1 Read

Arthroscopic Meniscopexy for the Treatment of Nontraumatic Osteochondritis Dissecans in the Knee Joint of Adult Patients.

Cartilage 2018 Sep 15:1947603518800541. Epub 2018 Sep 15.

1 Department of Orthopedic Sports Medicine and Arthroscopic Surgery, Hessing Stiftung Augsburg, Augsburg, Germany.

Objective The etiology of osteochondritis dissecans (OCD) is still uncertain. Recently, it has been hypothesized that instability of the anterior horn of the meniscus is an important cause for the development of a nontraumatic OCD in adolescents with good results after surgical stabilization. This case series aims to evaluate the treatment results after meniscus stabilization in adults with nontraumatic OCD. Read More

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September 2018
5 Reads

Elbow arthroscopy in children and adolescents: analysis of outcome and complications.

Eur J Med Res 2018 Sep 15;23(1):42. Epub 2018 Sep 15.

Orthopaedic-Surgery Center (OCC), Tübingen, Germany.

Background: Chondral or osteochondral lesions, post-traumatic contracture and loose bodies of the elbow are often associated with chronic pain, stiffness, repetitive swelling and joint blockages. Therefore, arthroscopy of the elbow is often used in the elderly for the treatment of osteochondral defects or arthrolysis. There are only a few reports and studies about arthroscopic therapy of the elbow in children and adolescents. Read More

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September 2018
7 Reads

OSTEOCHONDRAL AUTOGRAFT TRANSFER FOR TREATMENT OF STIFLE OSTEOCHONDRITIS DISSECANS IN TWO RELATED SNOW LEOPARDS ( PANTHERA UNCIA).

J Zoo Wildl Med 2018 Sep;49(3):788-793

Two related female snow leopards ( Panthera uncia) were diagnosed with osteochondritis dissecans of the lateral femoral condyle via radiographs and computed tomography. Lesions were either bilateral (Patient 1) or unilateral (Patient 2). Surgical treatment was performed using an osteochondral autograft transfer system following cartilage flap removal. Read More

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September 2018
1 Read

Osteochondritis Dissecans Lesion of the Radial Head.

Am J Orthop (Belle Mead NJ) 2018 Aug;47(8)

Sovereign Medical Group, Glen Rock, NJ.

This case shows an atypical presentation of an osteochondritis dissecans (OCD) lesion of the radial head with detachment diagnosed on plain radiographs and magnetic resonance imaging (MRI). OCD lesions are rather uncommon in the elbow joint; however, when present, these lesions are typically seen in throwing athletes or gymnasts who engage in activities involving repetitive trauma to the elbow. Involvement of the radial head is extremely rare, accounting for <5% of all elbow OCD lesions. Read More

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August 2018
7 Reads

Venomous caterpillars: From inoculation apparatus to venom composition and envenomation.

Toxicon 2018 Oct 24;153:39-52. Epub 2018 Aug 24.

Immunochemistry Laboratory, Butantan Institute, Av. Vital Brazil, 1500, 05503-900, São Paulo, SP, Brazil. Electronic address:

Envenomation by the larval or pupal stages of moths occurs when the victim presses their hairs. They penetrate the subcutaneous tissue, releasing toxins such as proteolytic enzymes, histamine and other pro-inflammatory substances. Cutaneous reactions, including severe pain, oedema and erythema are frequent local manifestations of caterpillar envenomation, but, in some cases, the reactions can evolve into vesicles, bullae, erosions, petechiae, superficial skin necrosis and ulcerations. Read More

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October 2018

10-Min 3D Turbo Spin Echo MRI of the Knee in Children: Arthroscopy-Validated Accuracy for the Diagnosis of Internal Derangement.

J Magn Reson Imaging 2018 Aug 24. Epub 2018 Aug 24.

Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Background: Ten-minute MRI of the pediatric knee can add value through increased cost-effectiveness and decreased sedation needs but requires validation of its clinical efficacy.

Purpose: To determine the arthroscopy-based diagnostic accuracy and interreader reliability of 10-min 3D Controlled Aliasing In Parallel Imaging Results In Higher Acceleration (CAIPIRINHA) turbo spin echo (TSE) MRI with two isotropic pulse sequences for the diagnosis of internal derangement in children with painful knee conditions.

Study Type: Prospective. Read More

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August 2018
12 Reads

Decreased Defect Size and Partial Restoration of Subchondral Bone on Computed Tomography After Arthroscopic Debridement and Microfracture for Osteochondritis Dissecans of the Capitellum.

Am J Sports Med 2018 Oct 24;46(12):2954-2959. Epub 2018 Aug 24.

Department of Orthopaedic Surgery, Amphia Hospital, Breda, the Netherlands.

Background: Arthroscopic debridement and microfracture are considered the primary surgical treatment for capitellar osteochondritis dissecans (OCD). Healing of the subchondral bone plays an essential role in cartilage repair, while lack of healing is related to the development of osteoarthritis. To date, it is unknown to what extent healing of the subchondral bone occurs after this technique in the elbow. Read More

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October 2018
2 Reads

Osteochondritis Dissecans of the Knee: Short-Term Outcomes of a Hybrid Technique to Restore a Partially Salvageable Progeny Fragment.

Cartilage 2018 Aug 24:1947603518796132. Epub 2018 Aug 24.

1 Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Objective This retrospective case series describes a hybrid fixation technique and determines the clinical outcomes, knee function, and activity level of patients at short-term follow-up. Design Seventeen patients (18 knees) with unstable osteochondritis dissecans (OCD) lesions involving the knee were treated with a hybrid fixation technique in which the salvageable fragment was fixed and osteochondral autograft transplantation system (OATS) was used for the unsalvageable fragment. Thirteen lesions involved the medial femoral condyle, 4 involved the lateral femoral condyle, and 1 involved the patella. Read More

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August 2018
8 Reads

OSTEOCHONDRITIS DISSECANS OF THE RADIAL HEAD IN A YOUNG ATHLETE: A CASE REPORT.

Int J Sports Phys Ther 2018 Aug;13(4):726-736

Universidad Rey Juan Carlos, Madrid, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Spain;

Background And Purpose: Elbow pain is common in young gymnasts and is frequently encountered by physical therapists working in direct access outpatient clinics. Most elbow pain is benign; however, non-specific symptoms can mask serious medical pathologies, as is the case with osteochondritis dissecans (OCD). OCD is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Read More

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August 2018
1 Read

Osteochondral Lesions of the Knee: Differentiating the Most Common Entities at MRI.

Radiographics 2018 Sep-Oct;38(5):1478-1495. Epub 2018 Aug 17.

From the Department of Radiology, Einstein Healthcare Network, 5501 Old York Rd, Philadelphia, PA 19141 (T.G, M.C., B.W.C.) and Department of Radiology, University of Alabama at Birmingham, Birmingham, Ala (Y.M.).

Several pathologic conditions may manifest as an osteochondral lesion of the knee that consists of a localized abnormality involving subchondral marrow, subchondral bone, and articular cartilage. Although understanding of these conditions has evolved substantially with the use of high-spatial-resolution MRI and histologic correlation, it is impeded by inconsistent terminology and ambiguous abbreviations. Common entities include acute traumatic osteochondral injuries, subchondral insufficiency fracture, so-called spontaneous osteonecrosis of the knee, avascular necrosis, osteochondritis dissecans, and localized osteochondral abnormalities in osteoarthritis. Read More

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August 2018
10 Reads

Grade I Osteochondritis Dissecans in a Young Professional Athlete.

Indian J Orthop 2018 Jul-Aug;52(4):344-352

Department of Orthopaedics, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.

Background: Osteochondritis dissecans (OCD) is a disorder primarily affecting subchondral bone, with secondary effects on the overlying articular cartilage. Knee joint (75%) and radiocapitellar joint (6%) are the most common sites for OCD lesions. The presence of an open growth plate differentiates juvenile osteochondritis dissecans from adult form of osteochondritis. Read More

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August 2018
3 Reads

"The quiet necrosis": An early medieval case of multifocal juvenile osteochondritis dissecans of the knee.

Knee 2018 Dec 1;25(6):1318-1321. Epub 2018 Aug 1.

Department of Medicine, University of Udine, 33100 Udine, Italy. Electronic address:

Background: osteochondritis dissecans (OCD) is an ancient disease with few well-described cases in paleopathological records. Here, we report a very rare case of OCD on both lateral femoral condyles and on the lateral condyle of the right tibia in an early medieval human skeleton.

Methods: macroscopic examination of the bone vestiges of a young male unearthed from a 6th-8th Lombard cemetery in the northeast Italy was perform. Read More

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December 2018
14 Reads

[Osteoblastoma of the ankle: an uncommon location].

Pan Afr Med J 2018 20;29:164. Epub 2018 Mar 20.

Service de Chirurgie Orthopédique, CHU Rabat, Hopital Ibn Sina, Université Mohammed V, Souissi, Maroc.

Osteoblastoma is a rare benign bone tumor occurring in adults younger than 30 years, with a clear predominance in men. It mainly occurs at the level of the spine and of the diaphysis in long bones. It occurs exceptionally in the ankle. Read More

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Arthroscopic Management of Osteochondrosis of the Glenoid Cavity in a Dog.

J Am Anim Hosp Assoc 2018 Sep/Oct;54(5):e54503. Epub 2018 Jul 24.

From Ecole Nationale Vétérinaire de Toulouse, Toulouse, France.

A 5 mo old English setter dog was presented with mild left forelimb lameness. Physical examination revealed pain upon shoulder palpation and extension. Mediolateral radiographs of both shoulders showed a subchondral bone defect in the mid-portion of the glenoid cavity. Read More

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November 2018
5 Reads

Osteochondritis dissecans of the trochlea: case report.

Rev Bras Ortop 2018 Jul-Aug;53(4):499-502. Epub 2018 Jun 8.

Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

The authors report a rare case of osteochondritis dissecans of the trochlea. The treatment of these lesions, in which the osteochondral fragment is not viable, is difficult and often limited in Brazil. A clinical case is presented with functional and radiological outcomes after treatment with microfracture technique, bone graft, and collagen membrane coverage. Read More

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June 2018
2 Reads

Osteochondritis Dissecans in the Knee of Skeletally Immature Patients: Rates of Persistent Pain, Osteoarthritis, and Arthroplasty at Mean 14-Years' Follow-Up.

Cartilage 2018 Jul 1:1947603518786545. Epub 2018 Jul 1.

1 Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, MN, USA.

Objective Osteochondritis dissecans (OCD) is a knee disorder of predominately pediatric populations. Because of low incidence, it has traditionally been difficult to study OCD. The purpose of this study was to report long-term outcomes of skeletally immature OCD lesions and determine risk factors for persistent knee pain at final follow-up. Read More

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July 2018
2 Reads

Osteochondritis Dissecans of the Knee: Etiology and Pathogenetic Mechanisms. A Systematic Review.

Cartilage 2018 Jul 1:1947603518786557. Epub 2018 Jul 1.

1 II Orthopaedic and Traumatologic Clinic, Rizzoli Orthopaedic Institute, Bologna, Italy.

Objective The purpose of this manuscript is to analyze the evidence regarding etiopathogenesis of knee osteochondritis dissecans (OCD) lesions through a systematic review, so to summate the current understanding of the origin and progression of this pathologic articular processes. Design A systematic review of the literature was performed on the PubMed and Cochrane databases on October 2017 by 2 independent authors and included all levels of evidence. This included all English language literature, pertaining specifically to etiopathology of knee OCD with exclusions for review articles and expert opinion. Read More

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July 2018
2 Reads

Expression of pro-apoptotic markers is increased along the osteochondral junction in naturally occurring osteochondrosis.

Bone Rep 2018 Dec 21;9:19-26. Epub 2018 Jun 21.

Department of Clinical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, OR 97331, USA.

Osteochondrosis (OC) is a naturally occurring disease of the articular-epiphyseal cartilage and subchondral bone layers, leading to pain and decreased mobility. The objective of this study was to characterize gene and protein expression of apoptotic markers in chondrocytes surrounding cartilage canals and along the osteochondral junction of osteochondrosis (OC)-affected and normal cartilage, using naturally occurring disease in horses. Paraffin-embedded osteochondral samples (6 OC, 8 normal controls) and cDNA from chondrocytes captured with laser capture microdissection (4 OC, 6 normal controls) were obtained from the lateral trochlear ridge of femoropatellar joints in 14 immature horses (1-6 months of age). Read More

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December 2018
27 Reads

Clinical and Biological Signature of Osteochondritis Dissecans in a Cross-Sectional Study.

Biomed Res Int 2018 28;2018:5458704. Epub 2018 May 28.

SC Laboratorio di Immunoreumatologia e Rigenerazione Tissutale, Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy.

The healing potential of knee osteochondritis dissecans (OCD) focal lesions is not well defined. We performed a cross-sectional study correlating local and systemic biological characteristics with the patients' characteristics. We evaluated both local tissue markers (CD34, CD146, CD166, and tartrate-resistant acid phosphatase (TRAP)) and systemic serum biomarkers (fragments or propeptide of type II collagen: C2C, CTX-II, CPII, and TRAP5b) on histologically scored osteochondral fragments or serum from OCD patients. Read More

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May 2018
15 Reads

Internal Fixation of Unstable Osteochondritis Dissecans: Do Open Growth Plates Improve Healing Rate?

Am J Sports Med 2018 Aug 11;46(10):2394-2401. Epub 2018 Jul 11.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background: Osteochondritis dissecans (OCD) is a disorder of unknown origin that can affect knees in skeletally mature and immature patients. Surgical management is an important cornerstone of treatment for unstable OCD lesions.

Purpose: To determine the (1) healing rate after internal fixation of unstable OCD between skeletally immature and mature knees, (2) risk factors for failure, and (3) patient-reported outcomes among healed patients. Read More

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August 2018
3 Reads

Osteochondritis dissecans shows a severe course and poor outcome in patients with juvenile idiopathic arthritis: a matched pair study of 22 cases.

Rheumatol Int 2018 Jul 10. Epub 2018 Jul 10.

Department of Orthopaedics, Medical Faculty, University of Duesseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.

Juvenile osteochondritis dissecans (JOCD) and juvenile idiopathic arthritis (JIA) are both common diseases which may affect joints and bony structures in pediatric patients. In some cases, JOCD and JIA occur at the same time. In this study, the course of JOCD in patients with JIA was therefore evaluated to provide possible recommendations for further treatment opportunities and control examinations. Read More

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July 2018
2 Reads

Biomechanical Comparison of Epiphyseal Anterior Cruciate Ligament Fixation Using a Cortical Button Construct Versus an Interference Screw and Sheath Construct in Skeletally Immature Cadaveric Specimens.

Orthop J Sports Med 2018 Jun 13;6(6):2325967118776951. Epub 2018 Jun 13.

Division of Sports Medicine, Department of Orthopedic Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.

Background: Anterior cruciate ligament (ACL) ruptures have become increasingly common in pediatric and adolescent athletes. While multiple methods exist, all-epiphyseal ACL reconstruction is a popular technique in the skeletally immature patient. Given the high rate of reruptures in this population and the increasing number of commercially available fixation devices, biomechanical testing is crucial to understand the performance of these devices in pediatric epiphyseal bone. Read More

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June 2018
2 Reads

Editorial Commentary: Is the Cure Worse Than the Disease? Harvesting Autologous Osteochondral Transfer Plugs for Treatment of Lesions of the Elbow.

Arthroscopy 2018 Jul;34(7):2094-2095

For autologous osteochondral transfer procedures for osteochondritis dessicans of the elbow, surgeons usually use the knee or ribs as donor sites. This procedure is not without donor site complications. Finding local donor sites is important to reducing the overall morbidity of this procedure. Read More

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July 2018
1 Read

Bilateral Bicondylar Osteochondritis Dissecans in a Child with Spastic Diplegia and Crouch Gait: A Case Report.

JBJS Case Connect 2018 Apr-Jun;8(2):e41

Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland.

Case: The cause of osteochondritis dissecans is unknown. Various hypotheses suggest mechanical, ischemic, and hereditary causes. We describe a 13-year-old girl with spastic diplegia, a form of cerebral palsy, who had an associated crouch gait and presented with bilateral osteochondral defects of the medial and lateral femoral condyles. Read More

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June 2018
11 Reads

Limitation of in-situ arthroscopic fixation for stable juvenile osteochondritis dissecans in the knee.

J Pediatr Orthop B 2018 Nov;27(6):516-521

Department of Orthopaedic Surgery.

Current treatment algorithms for stable juvenile osteochondritis dissecans (JOCD) of the knee have not been established. For arthroscopically stable lesion, in-situ arthroscopic fixation with bioabsorbable pins was introduced as a more desirable approach because of less surgical morbidity and faster recovery. However, there is a paucity of literature that concludes on its efficacy. Read More

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November 2018
2 Reads

A matched quantitative computed tomography analysis of 3 surgical approaches for osteochondral reconstruction of the capitellum.

J Shoulder Elbow Surg 2018 Oct 22;27(10):1762-1769. Epub 2018 Jun 22.

Hospital for Special Surgery, New York, NY, USA. Electronic address:

Background: The location of capitellar osteochondritis dissecans (OCD) lesions in the sagittal plane guides the surgical approach used for autologous osteochondral transplantation. We sought to compare the capitellar region accessible for orthogonal graft placement through 3 approaches: (1) posterior anconeus-split approach; (2) lateral approach with lateral collateral ligament (LCL) preservation (LCL-preserving lateral approach); and (3) lateral approach with LCL release (LCL-sacrificing lateral approach).

Methods: The 3 approaches were sequentially performed on 9 cadaveric elbows: posterior anconeus-split approach, LCL-preserving lateral approach, and LCL-releasing lateral approach. Read More

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October 2018
10 Reads

Elasticity of the pronator teres muscle in youth baseball players with elbow injuries: evaluation using ultrasound strain elastography.

J Shoulder Elbow Surg 2018 Sep 22;27(9):1642-1649. Epub 2018 Jun 22.

Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Japan.

Background: Although the pronator teres muscle, a major dynamic stabilizer of elbow valgus stress during throwing, frequently presents stiffness, its relationship with elbow injuries in youth baseball players is unknown. This study investigated the relationship between the elasticity of the pronator teres muscle and elbow injuries in youth baseball players.

Methods: The strain ratio (SR) of 15 individuals with osteochondritis dissecans of the humeral capitellum (OCD group), 67 individuals with medial epicondylar fragmentation (medial injury group), and 115 healthy individuals (control group) was measured as the index of the elasticity of the pronator teres muscle using ultrasound strain elastography. Read More

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September 2018
2 Reads

Treatment of large deep osteochondritis lesions of the knee by autologous matrix-induced chondrogenesis (AMIC): Preliminary results in 13 patients.

Orthop Traumatol Surg Res 2018 Sep 20;104(5):695-700. Epub 2018 Jun 20.

Société d'orthopédie de l'ouest (SOO), 18, rue de Bellinière, 49800 Trélazé, France.

Background: Osteochondral defects due to advanced osteochondritis of the knee eventually cause osteoarthritis. Autologous matrix-induced chondrogenesis (AMIC) may hold potential for overcoming the treatment challenges raised by defects larger than 2cm. The primary objective of this study was to assess medium-term functional outcomes of AMIC. Read More

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September 2018
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Use of Synthetic Osteochondral Implants to Treat Bilateral Shoulder Osteochondritis Dissecans in a Dog.

Vet Comp Orthop Traumatol 2018 Sep 20;31(5):385-389. Epub 2018 Jun 20.

Department of Orthopaedic, Davies Veterinary Specialists, Higham Gobion, Hitchin, United Kingdom.

Case Description:  An 8-month-old American Bulldog was presented for assessment of bilateral thoracic limb lameness. Computed tomographic imaging revealed large, deep osteochondritis dissecans lesions in both humeral heads.

Treatment And Outcome:  The osteochondritis dissecans lesions were debrided and the exposed subchondral defects were prepared to receive synthetic grafts. Read More

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September 2018
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Neither significant osteoarthritic changes nor deteriorating subjective outcomes occur after hybrid fixation of osteochondritis dissecans in the young adult.

Knee Surg Sports Traumatol Arthrosc 2018 Jun 19. Epub 2018 Jun 19.

Orthopedic Department, Centre Hospitalier de Versailles, Le Chesnay, France.

Purpose: The goal of the fixation of painful osteochondritis dissecans of the femoral condyles in adults is to integrate the osteochondral fragment and thus achieve a normal hyaline cartilaginous coverage. The addition of a biological process to primary fixation may result in improved fragment integration (hybrid fixation). Osteochondral plugs may fulfil this role. Read More

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June 2018
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Osteochondritis dissecans-Does platelet rich plasma really help.

J Clin Orthop Trauma 2018 Apr-Jun;9(2):153-156. Epub 2017 Sep 29.

Central Institute of Orthopaedics, VMMC & Safdarjung hospital, Delhi, India.

Osteochondritis dissecans is a common disorder of knee and can be treated by various methods, depending on age of patient and stability of chondral fragment. In Osteochondritis dissecans ICRS type III lesion i.e. Read More

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September 2017
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Mid and long term outcomes after fixation of osteochondritis dissecans.

J Orthop 2018 Jun 9;15(2):536-539. Epub 2018 Jan 9.

Department of Orthopaedic Surgery, Juntendo University School of Medicine, Japan.

Objective: To assess the longitudinal outcomes of osteochondritis dissecans (OCD) fixation and to detect the influencing factor for the results of OCD.

Methods: 22 OCD fixation using bioabsorbable pins were assessed Lysholm score, Tegner activity scale and KOOS at preoperative, postoperative short (3.0 years) and mid-long (11. Read More

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June 2018
2 Reads