Clinical findings. It is known from long-term followup studies, such as those conducted by Linden, 7 that osteochondritis dissecans diagnosed in adulthood is likely to lead to the development of early onset osteoarthritis. Twelve patients had lesions in the knee (five of these had lesions in both knees); in one patient the affected joint was the ankle, with the lesion being in the talus. The Healing Potential of Stable Juvenile Osteochondritis Dissecans Knee Lesions. The visibility of the lesion depends on its location and on the amount of knee flexion used. Osteochondral lesions are relatively common in children and adolescents, and the incidence is increasing. This special focus section will discuss the diagnosis and treatment options for traumatic osteochondral knee injuries, including the subset secondary to juvenile OCD lesions. Department of Orthopaedic Surgery, Korea University Guro Hospital, 148 Gurodongro, Guro-gu, Seoul 08308, Korea. There were four boys and nine girls. Epub 2013 Dec 10. The causes of osteochondral injuries are not yet completely understood, but some theories are lack of blood supply to the affected area, heredity, direct compressive trauma or repetitive strain. They may also be called osteochondritis dessicans or osteochondral fractures. Kessler JI, Jacobs JC Jr, Cannamela PC, et al. Int J Surg Case Rep. 2020 Dec 2;78:48-53. doi: 10.1016/j.ijscr.2020.11.151. Osteochondral lesions of the wrist are rare in the pediatric and adolescent population. Anatomy. Abstract: The appropriate surgical technique for the treatment of unstable osteochondral lesions of the knee remains unclear and had been traditionally described with an open arthrotomy. Neglected Pediatric Osteochondral Fracture Dislocation of the Patella. We report a case of an osteochondral lesion of the lunate facet of the radiocarpal joint in a 6-year-old girl with chronic wrist pain after falling on her hand. Osteochondral injury to the mid-lateral weight-bearing portion of the lateral femoral condyle associated with patella dislocation. These can occur from an acute traumatic injury to the knee or an underlying disorder of the bone. NIH Su W, Hu Y, Zeng M, Li M, Lin S, Zhou Y, Xie J. J Orthop Surg Res. Osteochondral injuries. Harding described the lateral X-ray as a method to identify the site of an OCD lesion. Bioabsorbable pins for treatment of osteochondral fractures of the knee after acute patella dislocation in children and young adolescents. 2019 Dec 17;14(1):446. doi: 10.1186/s13018-019-1450-0.  |  This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.Osteochondritis dissecans occurs most often in children and adolescents. Pain with weight bearing activities This site needs JavaScript to work properly. Chondral and osteochondral injuries were the most common lesions discovered in children undergoing MRI for evaluation of internal derangement of the knee in one study . Such lesions are a tear or fracture in the cartilage covering one of the bones in a joint. These injuries may include softening of the cartilage layers, cyst-like lesions within the bone below the cartilage, or fracture of the cartilage and bone layers. J Trauma 1980; 20:924. Adv Orthop. Osteochondral lesions are acquired, potentially reversible injuries of the subchondral bone with or without associated articular cartilage involvement. This site needs JavaScript to work properly. Healing of the osteochondritis dissecans lesion should be monitored by routine follow-up imaging tests. Lee RK, Griffith JF, Yuen BT, Ng AW, Yeung DK. Kinder sind heute sehr früh im Sport leistungsmäßig involviert. 3 of these 5 patients had mild symptoms. study estimated a prevalence of 20,4% of knee osteoarthritis in people aged 65 years or older in Italy . Arthroscopy 2008; 24 (01) 62-68 ; 54 Jehan S, Loeffler MD, Pervez H. Osteochondral fracture of the lateral femoral condyle involving the entire weight bearing articular surface fixed with biodegradable screws. Design and evaluation of nano-hydroxyapatite/poly(vinyl alcohol) hydrogels coated with poly(lactic-co-glycolic acid)/nano-hydroxyapatite/poly(vinyl alcohol) scaffolds for cartilage repair. Case Rep Orthop. Most OCD lesions in skeletally immature patients will heal with nonoperative treatment. This guide will help you understand 1. where in the knee the condition develops 2. how doctors diagnose the problem 3. what treatment options are available In osteochondritis dissecans, fragments of cartilage or bone become loose within a joint, leading to pain and inflammation.These fragments are sometimes referred to as joint mice. Many of these lesions are first diagnosed by plain film. eCollection 2020 Nov. Orthop Surg. The natu ral history in child ren can be. [2] That process can lead to pain, loose body formation and joint effusion.[1]  Symptoms. There were four boys and nine girls. Osteochondral lesions are relatively common in children and adolescents, and the incidence is increasing. Osteochondritis dissecans is an idiopathic disease which affects the subchondral bone and its overlying articular cartilage due to loss of blood flow. Lastly, the treatment is different for pure cartilage lesions, pure bony lesions with intact cartilage, and osteochondral lesions. 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