An 11-year-old boy complains of 4 weeks of medial knee pain that began while playing tennis. Carey JL, Grimm NL. In most cases, there is a full range of movement in the joint without signs of ligamentous instability. rest and repeat examination and radiographs until complete healing occurs. The bone is clearly demarcates the osteocartilagineo surrounding tissue to break away and become "free" in the 'articulation (called joint mice). Management of osteochondritis dissecans of the femoral condyle. Radiographs of the right knee demonstrate open growth plates and a well circumscribed 1x1cm area of sclerotic subchondral bone with a radiolucent halo separating this area from his femoral epiphysis. Which of the following is the most appropriate initial treatment? Osteochondritis Dissecans. La osteocondritis disecante es una enfermedad articular en la que el hueso que se encuentra debajo del cartílago de una articulación muere debido a la falta de flujo sanguíneo. Tested Concept. Tested Concept, Arthroscopic open reduction and internal fixation, Full weight bearing with avoidance of athletic acticity, (OBQ06.200) It is more common in boys than in girls but this may be changing as more girls are playing sports. His exam is completely normal and symmetric to his left knee. Osteochondritis dissecans (OCD) most commonly affects the knee. Osteochondritis dissecans causes irregularity and fragility of affected cartilage. Osteochondritis dissecans (OCD) most commonly affects the knee. arthroscopy with removal of the loose body, followed by lateral column osteotomy. Radiographs are shown in Figures 22a and 22b. (OBQ08.258) A 13-year-old pitcher develops pain over the lateral aspect of his throwing elbow. Osteochondritis dissecans is an acquired, potentially reversible idiopathic lesion of subchondral bone resulting in delamination and sequestration with or without articular cartilage involvement and instability. Crossref, Medline, Google Scholar; 59. The other name that gets associated with this problem is Osteochondritis Dissecans. Evidence? synovial fluid behind the lesion on MRI correlates with a worse prognosis. Copyright © 2020 Lineage Medical, Inc. All rights reserved. Controversy surrounds the etiology of osteochondritis dissecans of the knee. Overview. - James Carey, MD (3.14, 2018 Winter SKS), Video Spotlight: Osteochondral Grafting and Fixation - Tom Debarardino, MD (3.10, 2018 Winter SKS). A 12-year-old Little League pitcher reports lateral elbow pain and “catching.” Examination reveals painful pronation and supination and tenderness over the lateral elbow. Osteochondritis dissecans (OCD) is a disease that originates in the subchondral bone that affects the articular cartilage. Please rate topic. A less common condition called osteochondritis dissecans is also caused by excessive throwing, and may be the source of the pain on the outside of the elbow. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. A radiograph of the knee is shown in Figure A. Please rate topic. By Orthobullets. (OBQ08.258) Osteochondritis dissecans most often affects the knee, ankle and elbow. Osteochondritis Dissecans of Elbow. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. Kramer DE, Yen Y-M, Simoni MK, Miller PE, Micheli LJ, Kocher MS, et al. Which of the following factors is the best predictor of successful non-operative management of an osteochondritis dissecans lesion in the knee? Osteochondritis Dissecans. --- Send in a voice message: https://... – Luister direct op jouw tablet, telefoon of browser naar Shoulder & Elbow⎪Osteochondritis Dissecans of Elbow van The Orthobullets Podcast - geen downloads nodig. Osteochondritis Dissecans is an acquired joint defect which involves the subchondral bone and the overlying articular cartilage. What is the best initial treatment plan? No single treatment works for everybody. The incidence and prevalence is currently unknown as many of the lesions remain asymptomatic in both athletic and non-athletic individuals. In the long term OCD can lead to subsequent deg… It most commonly heals by itself, but in adults, or adolescents over the age of 14, it seems more likely to break off than to heal. As a result, it is possible for portions of cartilage to become lodged within the joint, leading to limitation in motion. Epidemiology: A Daily High-Yield review podcast by Orthobullets⏤the Free Learning & Collaboration Community for Orthopaedic Surgery Education. The Orthobullets Podcast In this episode, we review the high-yield topic of Osteochondritis Dissecans from the Knee & Sports section. MRI is shown in Image A. (overhead or upper extremity weight bearing activities), Panner's disease (osteochondrosis of the capitellum), Cartilage fracture with bony collapse or displacement, arthroscopic microfracture or drilling of capitellum, arthroscopic debridement and loose body excision, osteochondral autograft or allograft transplantation surgery. An 11-year-old boy presents with recurrent knee effusions and discomfort with athletic activity. Examination shows reproduction of pain with internal rotation of the tibia during extension of the knee, and relief of pain with tibial external rotation. (OBQ10.87) A 26-year-old rugby player has been having progressive anterior pelvic pain for the last 3 months. In this episode, we review the high-yield topic of Osteochondritis Dissecans of Elbow from the Shoulder & Elbow section as well as some review questions. Osteochondritis Dissecans. "Osteochondritis dessicans is a common condition among the skeletally immature. 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