2,585 results match your criteria osteochondritis dissecans


Osteochondral Lesions of the Distal Tibial Plafond: A Systematic Review of Lesion Locations and Treatment Outcomes.

Orthop J Sports Med 2021 Apr 15;9(4):2325967121997120. Epub 2021 Apr 15.

Division of Sports Medicine, Department of Orthopaedic Surgery, Duke Sport Science Institute, Duke University, Durham, North Carolina, USA.

Background: Osteochondral lesions of the tibial plafond (OLTPs) remain less common than osteochondral lesions of the talus (OLTs), but recognition of the condition has increased.

Purpose: To systematically evaluate the literature on lesion locations and treatment outcomes of OLTPs, whether in isolation or in combination with OLTs.

Study Design: Systematic review; Level of evidence, 4. Read More

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Treatment strategies for osteochondral lesions of the talus: A review of the recent evidence.

Foot (Edinb) 2021 Apr 20;47:101805. Epub 2021 Apr 20.

East Kent Hospitals NHS University Foundation Trust, Ashford, United Kingdom.

Background: There has been no consensus regarding the treatment of osteochondral lesions of the talus, there has been many attempts to formulate a treatment pathway, with multiple proposed modalities and adjuncts used.

Objectives: The aim of this paper was to investigate the evidence published in the recent history, identify the relevant papers, review and summarize the findings, to help clarify the available operative treatment options and their respective efficacies based on the level of evidence provided.

Study Design & Methods: A literature search through electronic databases MEDLINE and EMBASE was done, these databases were screened for publications and papers form June 2004 to June 2019. Read More

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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

Early Improvement in Patient-Reported Outcome Scores After Operative Treatment of Osteochondritis Dissecans of the Humeral Capitellum.

J Hand Surg Am 2021 Apr 27. Epub 2021 Apr 27.

Department of Orthopedic Surgery, Washington University, St. Louis, MO. Electronic address:

Purpose: Outcome measures that lack sensitivity for the detection of clinical changes early after surgery for capitellar osteochondritis dissecans (OCD) make it difficult to determine the optimal treatment for these defects. We sought to evaluate the early responsiveness of patient-reported outcomes measurement information system (PROMIS) scores in a cohort of patients operatively treated for capitellar OCD.

Methods: Four PROMIS questionnaires (mobility, upper extremity [UE], pain interference, and peer relations) were electronically administered to patients treated for capitellar OCD at a single tertiary academic medical center between January 1, 2015, and July 1, 2018. Read More

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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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Editorial Commentary: Osteochondral Allografting Is a "Kid-Friendly" Cartilage Repair Procedure.

Authors:
William Bugbee

Arthroscopy 2021 May;37(5):1597-1598

La Jolla, California.

Fresh osteochondral allograft transplantation has been my preferred procedure for chondral and osteochondral lesions for many decades. This is particularly true for patients younger than 18 years of age, where diagnoses such as osteochondritis dissecans, osteochondral fractures, and osteonecrosis predominate, rendering the situation as much a "bone problem" as a "cartilage problem." In the universe of cartilage-repair techniques, osteochondral allografts are particularly useful when bone defects must be managed. 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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Association Between Osteochondritis Dissecans of the Humeral Capitellum and Medial Epicondyle Lesion in Baseball Players.

Orthop J Sports Med 2021 Apr 7;9(4):23259671211007741. Epub 2021 Apr 7.

Department of Orthopaedic Surgery, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.

Background: Osteochondritis dissecans (OCD) of the humeral capitellum occurs in adolescent overhead athletes, and medial epicondyle (ME) lesions are also common in this population.

Purpose: To evaluate the association between elbow OCD and ME lesions in adolescent baseball players.

Study Design: Cross-sectional study; Level of evidence, 3. Read More

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Treatment Strategies and Outcomes for Osteochondritis Dissecans of the Capitellum.

Am J Sports Med 2021 Apr 22:3635465211000763. Epub 2021 Apr 22.

Brighton and Sussex University Hospital, Brighton, UK.

Background: The optimum management of osteochondritis dissecans (OCD) of the capitellum is a widely debated subject.

Purpose: To better understand the efficacy of different surgical modalities and nonoperative treatment of OCD as assessed by radiological and clinical outcomes and return to sports.

Study Design: Systematic review; Level of evidence, 4. 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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Limiting the Pitch Count in Youth Baseball Pitchers Decreases Elbow Pain.

Orthop J Sports Med 2021 Mar 18;9(3):2325967121989108. Epub 2021 Mar 18.

Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan.

Background: Reducing the number of pitches thrown is regarded as the most effective way to prevent throwing injuries in youth baseball pitchers. However, few studies have compared the effectiveness of limiting the pitch count versus the limiting the number of innings pitched in terms of elbow injuries.

Hypothesis: We hypothesized that, compared with inning limits, pitch count limits would lead to greater decreases in elbow pain, range of motion deficits, positive moving valgus stress test results, and the risk of capitellar osteochondritis dissecans (OCD). Read More

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Magnetic Resonance Imaging in Osteochondritis Dissecans of the Humeral Capitellum: Preoperative Assessment of Lesion Size and Lateral Wall Integrity.

J Hand Surg Am 2021 Mar 29. Epub 2021 Mar 29.

Department of Orthopedic Surgery, Washington University School of Medicine, St Louis, MO. Electronic address:

Purpose: Magnetic resonance imaging (MRI) is a helpful tool in the evaluation of osteochondritis dissecans (OCD) of the humeral capitellum. The relationship between MRI appearance and clinically relevant intraoperative findings is incompletely understood. The goal of this study was to evaluate capitellar OCD lesions via preoperative MRI and to determine its accuracy in predicting lesion characteristics including lesion size and capitellar lateral wall integrity. 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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Overuse Elbow Injuries in Youth Gymnasts.

Am J Sports Med 2021 Mar 29:3635465211000776. Epub 2021 Mar 29.

OrthoCarolina, Charlotte, North Carolina, USA.

Background: Gymnastics is a unique sport that places significant loads across the growing elbow, resulting in unique overuse injuries, some of which are poorly described in the current literature.

Purpose: To provide a comprehensive review of the unique overuse elbow injuries seen in youth gymnasts and to provide an up-to-date synthesis of the available literature and clinical expertise guiding treatment decisions in this population.

Study Design: Narrative review. 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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Minimally Invasive Orthopaedic Surgery.

Vet Comp Orthop Traumatol 2021 03 16;34(2):v-vi. Epub 2021 Mar 16.

Sydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, Australia.

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Re-operation rate after surgical treatment of osteochondral lesions of the talus in paediatric and adolescent patients.

J Orthop Surg Res 2021 Mar 15;16(1):187. Epub 2021 Mar 15.

Department of Diagnostic and Interventional Radiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.

Background: The aim of this study is to analyse the re-operation rate after surgical treatment of osteochondral lesions of the talus (OCLTs) in children and adolescents.

Methods: Between 2009 and 2019, 27 consecutive patients with a solitary OCLT (10 male, 17 female; mean age 16.9 ± 2. 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

Comparison Between Osteochondral Autograft Transplantation and Arthroscopic Fragment Resection for Large Capitellar Osteochondritis Dissecans in Adolescent Athletes: A Minimum 5 Years' Follow-up.

Am J Sports Med 2021 04 11;49(5):1145-1151. Epub 2021 Mar 11.

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

Background: The choice of surgical option for unstable large capitellar osteochondritis dissecans (OCD) lesions in skeletally immature athletes remains controversial.

Purpose/hypothesis: The purpose was to investigate functional and radiographic outcomes after arthroscopic fragment resection and osteochondral autograft transplantation (OAT) for unstable large capitellar OCD lesions in skeletally immature athletes with a minimum 5 years' follow-up. We hypothesized that the outcomes after OAT for large capitellar OCD lesions would be superior to those after arthroscopic fragment resection. Read More

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Ulnar collateral ligament dysfunction increases stress on the humeral capitellum: a finite element analysis.

JSES Int 2021 Mar 16;5(2):307-313. Epub 2020 Dec 16.

Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

Background: Repetitive mechanical stress on the elbow joint during throwing is a cause of ulnar collateral ligament dysfunction that may increase the compressive force on the humeral capitellum. This study aimed to examine the effects of ulnar collateral ligament material properties on the humeral capitellum under valgus stress using the finite element method.

Methods: Computed tomography data of the dominant elbow of five healthy adults were used to create finite element models. Read More

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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

Canine Elbow Dysplasia: Ununited Anconeal Process, Osteochondritis Dissecans, and Medial Coronoid Process Disease.

Vet Clin North Am Small Anim Pract 2021 Mar;51(2):439-474

MedVet Medical and Cancer Centers for Pets, Columbus, 8155 Markhaven Drive, Columbus, OH 43235, USA.

Elbow dysplasia is a major cause of front limb lameness in medium to large dog breeds. Underlying causes include ununited anconeal process, medial coronoid process disease, and osteochondritis dissecans. When a definitive diagnosis of elbow dysplasia is made, the surgeon can improve elbow function but cannot entirely prevent progression of osteoarthrosis. Read More

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Lateral wall fixation with bone pegs for advanced osteochondritis dissecans of the humeral capitellum.

JSES Int 2021 Jan 29;5(1):35-41. Epub 2020 Oct 29.

Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Background And Hypothesis: It is generally considered that fragment fixation with bone pegs (FFBP) for osteochondritis dissecans (OCD) of the humeral capitellum can be indicated for stages I and II according to the International Cartilage Repair Society (ICRS) classification of OCD and it is difficult to obtain complete bone union for advanced lesions. However, the clinical and radiologic results of FFBP with cancellous bone graft for ICRS-OCD stage III with lateral wall involvement have not been described in detail. Good bone union can be achieved with the lateral wall fragment of the capitellum by FFBP in combination with refreshing the sclerotic surface at the base of the lesion and cancellous bone grafting even in ICRS-OCD stage III lesions. Read More

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January 2021

Location of Talar Osteochondral Defects in Chronic Lateral Ankle Instability in an Asian Population.

J Foot Ankle Surg 2021 Jan 19. Epub 2021 Jan 19.

Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, Singapore; The Bone and Joint Centre, Mount Elizabeth Hospital, Singapore.

Osteochondral defect of the talus is traditionally described to involve the anterolateral and posteromedial portion of the talar dome in patients with chronic lateral ankle instability. Recent studies challenged this notion with advances in preoperative imaging and arthroscopy. Since Asian patients are more prone to ligamentous laxity, we postulate that the morphology and severity of osteochondral defects may be different in this population. Read More

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January 2021