Grade I Osteochondritis Dissecans in a Young Professional Athlete

@article{Kumar2018GradeIO,
  title={Grade I Osteochondritis Dissecans in a Young Professional Athlete},
  author={Vinod Kumar and Nishit Bhatnagar and Jeetendra Singh Lodhi},
  journal={Indian Journal of Orthopaedics},
  year={2018},
  volume={52},
  pages={344 - 352}
}
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. Early diagnosis and treatment produce best long term results. The objective of this study is to determine the best mode of… 
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References

SHOWING 1-10 OF 63 REFERENCES
Management strategies for osteochondritis dissecans of the knee in the skeletally immature athlete.
TLDR
It is recommended that rehabilitation of JOCD be tailored to the individual patient, based on the stage and radiographic status of the lesion and the mode of surgery employed when surgically addressed.
Management of Osteochondritis Dissecans of the Knee
TLDR
The majority of adult osteochondritis dissecans cases as well as those skeletally immature patients with unstable lesions and secondary loose bodies require fixation and possible bone grafting, and magnetic resonance imaging may allow early prediction of lesion healing potential.
Nonoperative Treatment for Osteochondritis Dissecans of the Capitellum
TLDR
Spontaneous healing potential in early lesions, especially in patients with open capitellar growth plates, appears high, and nonoperative treatment is appropriate, whereas healing potential is extremely low in advanced osteochondritis dissecans lesions.
Evaluation and treatment of osteochondritis dissecans lesions of the knee.
TLDR
Physicians must consider many factors, including the patient's age and skeletal maturity, as well as size, location, and stability of OCD lesions to determine the proper course of treatment, including nonoperative measures or operative procedures.
Extraarticular Drilling for Stable Osteochondritis Dissecans in the Skeletally Immature Knee
TLDR
When nonoperative management of stable JOCD fails, arthroscopic extraarticular drilling is an effective treatment to protect the articular surface and promote bone healing.
Osteochondritis dissecans of the capitellum.
TLDR
This thesis has demonstrated that state-of-the-art quantitative 3-dimensional CT and mapping technique are reliable methods in the assessment of the size and location of an OCD lesion, which are two important parameters in surgical decision making.
The Demographics and Epidemiology of Osteochondritis Dissecans of the Knee in Children and Adolescents
TLDR
In this population-based cohort study of pediatric OCD of the knee, male patients had a much greater incidence of OCD and almost 4 times the risk of OCD compared with female patients, and patients aged 12 to 19 years had 3 times therisk of OCD as compared with 6- to 11-year-old children.
Juvenile Osteochondritis Dissecans of the Knee: Predictors of Lesion Stability
TLDR
MRI continues to be reliably sensitive to JOCD lesions and a good predictor of low-grade, stable lesions, however, MRI predictability of high- grade, unstable J OCD lesions is less reliable.
Histologic Findings and Possible Causes of Osteochondritis Dissecans of the Knee
TLDR
Based on the histologic findings of this study, the following origins and the pathologic progression of osteochondritis dissecans might be assumed: the initial change in the subchondral area is bone necrosis or sub chondral fracture; the necrotic bone is then absorbed and replaced either by viable subchONDral trabeculae or cartilage without bone trabECulae.
Arthroscopic Surgery for Isolated Capitellar Osteochondritis Dissecans in Adolescent Baseball Players: Minimum Three-Year Follow-Up
TLDR
Arthroscopic surgery for symptomatic osteochondritis dissecans of the capitellum in adolescent baseball players can provide excellent rating scores with intermediate follow-up but does not assure return to baseball.
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