Title: A Case Report and Functional Outcome in Bilateral Osteochondritis Dissecans in the Knee which was Operated Arthroscopically
Author: Dr Kumar Aditya, Dr A.K.Mahto
DOI: https://dx.doi.org/10.18535/jmscr/v12i03.10
Abstract
Definition
- Osteochondritis Dissecans (OCD) is a disorder of subchondral bone, which secondarily affects the overlying articular cartilage.
- In OCD, an area of subchondral bone becomes necrotic, resulting in a loss of structural support for the overlying articular cartilage. This process leads to degeneration and fragmentation of the articular cartilage and underlying bone.
- In the absence of treatment or spontaneous regression, the osteochondral fragment gradually separates from its bony bed, eventually forming a loose body.
References
- Brückl R, Rosemeyer B, Thiermann G. Osteochondrosis dissecans of the knee. Results of operative treatment in juveniles. Arch Orthop Trauma Surg. 1984;102:221–4.
- Hefti F, Beguiristain J, Krauspe R, Möller-Madsen B, Riccio V, Tschauner C, et al. Osteochondritis dissecans: a multicenter study of the European Pediatric Orthopedic Society. J Pediatr Orthop B. 1999;8:231–45.
- Cahill BR. Osteochondritis dissecans of the knee: Treatment of juvenile and adult forms. J Am Acad Orthop Surg. 1995;3:237–47.
- Crawford DC, Safran MR. Osteochondritis dissecans of the knee. J Am Acad Orthop Surg. 2006;14:90–100.
- Kocher MS, Tucker R, Ganley TJ, Flynn JM. Management of osteochondritis dissecans of the knee; current concepts review. Am J Sports Med. 2006;34:1181–91.
- Van Demark RE. Osteochondritis dissecans with spontaneous healing. J Bone Joint Surg. 1952;35:143–8.
- Wall EJ, Vourazeris J, Myer GD, Emery KH, Divine JG, Nick TG, et al. The healing potential of stable juvenile osteochondritis dissecans knee lesions. J Bone Joint Surg Am. 2008;12:2655–64.
- Yoshida S, Ikata T, Takai H, Kashiwaguchi S, Katoh S, Takeda Y. Osteochondritis dissecans of the femoral condyle in the growth stage. Clin Orthop Relat Res. 1998;346:162–70.
- Aglietti P, Buzzi R, Bassi PB, Fioriti M. Arthroscopic drilling in juvenile osteochondritis dissecans of the medial femoral condyle. Arthroscopy. 1994;10:286–91.
- Anderson AF, Richards DB, Pagnani MJ, Hovis WD. Antegrade drilling for osteochondritis dissecans of the knee. Arthroscopy. 1997;13:319–24.