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Osteochondritis dissecan

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https://www.readbyqxmd.com/read/29143868/fishtail-deformity-of-the-distal-humerus-association-with-osteochondritis-dissecans-of-the-capitellum
#1
Stephen J Lehnert, Matthew R Wanner, Boaz Karmazyn
BACKGROUND: Fishtail deformity is a rare deformity of the humerus exhibiting concavity of the lateral trochlea, resulting in ulnotrochlear joint derangement. We wanted to share our experience that osteochondritis dissecans of the capitellum is a common associated complication. OBJECTIVE: To summarize imaging of fishtail deformity in children centered on complications of the radiocapitellar joint. MATERIALS AND METHODS: From the radiology information system, we identified all patients <18 years with the diagnosis of fishtail deformity...
November 16, 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/29125919/autologous-chondrocyte-implantation-sandwich-technique-compared-with-autologous-bone-grafting-for-deep-osteochondral-lesions-in-the-knee
#2
Tom Minas, Takahiro Ogura, Jeff Headrick, Tim Bryant
BACKGROUND: Treating symptomatic osteochondral defects is challenging, especially in young adults with deep (>8-10 mm) empty defects after osteochondritis dissecans (OCD) or collapsed condyles secondary to avascular necrosis (AVN). For this population, osteoarthritis (OA) is inevitable if articular congruence is not restored. PURPOSE: To describe the autologous chondrocyte implantation (ACI) "sandwich" technique with autologous bone grafting (ABG) and compare it with ABG alone for restoration of the osteochondral unit...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29117014/what-s-new-in-pediatric-upper-extremity-sports-injuries
#3
Jennifer J Beck, Connor G Richmond, Marc A Tompkins, Ann Heyer, Kevin G Shea, Aristides I Cruz
BACKGROUND: Sports injuries are common in pediatric and adolescent patients and the evaluation and treatment of these injuries continues to evolve. The purpose of this review is to provide a comprehensive appraisal of the most recent literature, highlighting updates on sports-related upper extremity injuries in pediatric patients. METHODS: An electronic search of the PubMed, EMBASE, and Google Scholar databases was performed for keywords related to pediatric overhead athletes, osteochondritis dissecans (OCD) of the capitellum, medial epicondyle fractures, shoulder instability, and clavicle fractures...
November 7, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29114640/evolution-of-osteochondritis-dissecans-of-the-lateral-femoral-condyle-combined-with-discoid-meniscus
#4
Erica Bulgheroni, Lorenzo Mattioli, Paolo Bulgheroni
The discoid meniscus is a rare anomaly of the knee that affects mostly the lateral meniscus and is often asymptomatic. The osteochondritis dissecans is a disorder of the subchondral bone and articular cartilage and occurs frequently associated with the discoid lateral meniscus. In the present case, we showed the evolution of this association related to surgical treatment. A patient with lateral knee pain and a magnetic resonance depicting a torn discoid lateral meniscus and osteochondritis dissecans of the lateral femoral condyle was treated with partial meniscectomy and meniscal sutures...
June 2017: Joints
https://www.readbyqxmd.com/read/29104071/hybrid-fixation-in-adult-osteochondritis-dissecans-of-the-knee
#5
L Chadli, C Steltzlen, C Toanen, P Boisrenoult, P Beaufils, N Pujol
Osteochondritis dissecans progresses to osteoarthritis if integration of the fragment is not obtained. The prognosis of osteochondritis dissecans is more severe in adults, as spontaneous integration due to physeal closure does not occur. Hybrid fixation consists in combining screw fixation of the fragment with mosaicplasty through the fragment to promote integration into the native condyle. We describe this technique with reference to 17 patients.
November 2, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29103840/the-influence-of-full-thickness-chondral-defects-on-outcomes-following-meniscal-allograft-transplantation-a-comparative-study
#6
Bryan M Saltzman, Maximilian A Meyer, Timothy S Leroux, Matthew E Gilelis, Margot Debot, Adam B Yanke, Brian J Cole
PURPOSE: To compare a series of patients who underwent meniscus allograft transplantation (MAT) with full-thickness chondral defects (FTD) with those with no chondral defect (ND) with regard to the following: change in patient-reported outcomes (PROs) from baseline to 2-year follow-up and baseline to the final follow-up (including comparisons to minimal clinically important differences), complications and complication rates, reoperations and reoperation rates/timing, and failures and time to failure (revision MAT or conversion to total knee arthroplasty)...
November 2, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29100468/treatment-of-knee-osteochondritis-dissecans-with-a-cell-free-biomimetic-osteochondral-scaffold-clinical-and-imaging-findings-at-midterm-follow-up
#7
Francesco Perdisa, Elizaveta Kon, Andrea Sessa, Luca Andriolo, Maurizio Busacca, Maurilio Marcacci, Giuseppe Filardo
BACKGROUND: Osteochondritis dissecans (OCD) is a developmental condition of subchondral bone that may result in secondary separation and instability of the overlying articular cartilage, which in turn may lead to degeneration of the overall joint and early osteoarthritis. Biphasic scaffolds have been developed to address defects of the entire osteochondral unit by reproducing the different biological and functional requirements and guiding the growth of both bone and cartilage. PURPOSE: To evaluate midterm clinical and imaging results after cell-free osteochondral scaffold implantation for the treatment of knee OCD...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29044618/ultrasonographic-screening-for-subclinical-osteochondrosis-of-the-femoral-trochlea-in-foals-28-166-days-old-a-prospective-farm-study
#8
G Martel, D Crowley, J Olive, J Halley, S Laverty
BACKGROUND: Extensive osteochondritis dissecans (OCD) lesions of the lateral ridge of the trochlea of the femur (LRTF), the most common OCD- affected site in the stifle, have a poor outcome with surgical debridement and can be career ending. The early detection of osteochondrosis lesions and their conservative management holds the promise to enhance outcome. We hypothesise that ultrasonography is a valuable field screening tool to detect and monitor early subclinical LRTF osteochondrosis...
October 17, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/28987527/risk-factors-for-radiographic-progression-of-osteoarthritis-after-partial-meniscectomy-of-discoid-lateral-meniscus-tear
#9
J H Ahn, D M Kang, K J Choi
INTRODUCTION: Partial meniscectomy has been preferred in the treatment of discoid lateral meniscus (DLM) with tear, rather than total or subtotal meniscectomy, which could lead to late radiographic degenerative changes. HYPOTHESIS: One or more risk factors contribute to radiographic progression of osteoarthritis after partial meniscectomy of DLM tear. MATERIAL AND METHODS: Inclusion criteria were consecutive patients who underwent arthroscopic surgeries for DLM tear from January 2005 to December 2010 by one surgeon...
October 5, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28977816/internal-fixation-of-osteochondritis-dissecans-lesions-in-the-patellofemoral-joint
#10
Clayton W Nuelle, Jack Farr
No abstract text is available yet for this article.
October 4, 2017: Journal of Knee Surgery
https://www.readbyqxmd.com/read/28970993/ultrasound-arthroscopy-of-hip-in-treatment-of-osteochondritis-dissecans
#11
Antti Joukainen, Tuomas Virén, Pekko Penttilä, Jukka Liukkonen, Pia Henriikka Puhakka, Heikki Kröger, Juha Töyräs
An ultrasound arthroscopy (UA) technique is a promising tool for the evaluation of the articular cartilage during arthroscopic examination. However, the applicability of UA for the evaluation of the hip joint is unknown. We describe a UA assessment of a patient with osteochondritis dissecans at the femoral head. An ultrasound catheter designed for intravascular imaging was inserted into the hip joint by use of conventional arthroscopic portals, and the cartilage surfaces of the femoral head and acetabulum were investigated with ultrasound...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28970987/all-arthroscopic-suture-fixation-of-patellar-osteochondritis-dissecans
#12
Johannes Barth, Paul Brossard, Achilleas Boutsiadis, Nicolas Tardy, Jean-Claude Panisset, Romain Seil
Osteochondritis dissecans of the knee, despite its cause, is characterized by the impairment of the subchondral bone. Failure of its spontaneous healing makes surgical fixation often necessary. The patella is less affected than other locations in the knee. Its surgical treatment remains a challenge due to the thickness of the lesion and the complex approach of the retropatellar cartilage. Arthroscopy has the theoretical advantage to avoid a possible arthrotomy; however, the retrograde application of fixation materials does not guarantee good fragment compression and may lead to cartilage penetration and damage...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28968135/comparison-of-clinical-and-radiographic-outcomes-between-central-and-lateral-lesions-after-osteochondral-autograft-transplantation-for-osteochondritis-dissecans-of-the-humeral-capitellum
#13
Takeshi Matsuura, Yusuke Hashimoto, Kazuya Nishino, Yohei Nishida, Shinji Takahashi, Nagakazu Shimada
BACKGROUND: Clinical studies have reported satisfactory results after osteochondral autograft transplantation (OAT) for central lesions of unstable osteochondritis dissecans (OCD) of the elbow. However, the outcomes after OAT for lateral lesions remain unclear. HYPOTHESIS: The clinical outcomes of OAT would be better for central lesions than for lateral lesions. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: The authors retrospectively evaluated 103 juvenile athletes (mean age, 13...
September 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28944252/anconeus-muscle-pedicle-bone-graft-with-periosteal-coverage-for-osteochondritis-dissecans-of-the-humeral-capitellum
#14
Kozo Shimada, Ko Temporin, Keiichiro Oura, Hiroyuki Tanaka, Ryosuke Noguchi
BACKGROUND: Treatment of advanced osteochondritis dissecans (OCD) of the capitellum is controversial, especially in moderate-sized lesions. PURPOSE: To establish a treatment algorithm for capitellum OCD, we tried to determine the utility of and problems associated with anconeus muscle-pedicle bone graft with periosteal coverage (ABGP) for the treatment of moderate-sized articular OCD defects of the capitellum. STUDY DESIGN: Case series; Level of evidence, 4...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28902761/care-of-water-polo-players
#15
Jennifer D Stromberg
Water polo is a team sport that combines swimming with overhead throwing and wrestling. This places water polo players at risk for a unique group of illnesses and injuries. In addition to the medical problems and injuries seen in competitive swimmers, water polo players are at risk for a variety of traumatic injuries, including concussions, eye injuries, tympanic membrane perforation, fractures, dislocations, and lacerations. Repetitive overhead throwing also places these athletes at risk for related injuries, such as shoulder problems, including rotator cuff strain and impingement, and elbow problems, such as ulnar collateral ligament injuries, posteromedial impingement, and osteochondritis dissecans of the radial capitellum...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28866343/clinical-outcome-of-arthroscopic-treatment-for-posteromedial-elbow-impingement-in-adolescent-baseball-players
#16
Tetsuya Matsuura, Toshiyuki Iwame, Naoto Suzue, Jyoji Iwase, Shunsuke Tamaki, Kenji Yokoyama, Koichi Sairyo
PURPOSE: To evaluate the clinical outcomes of arthroscopic treatment in adolescent baseball players with posteromedial elbow impingement. METHODS: This retrospective study evaluated the clinical outcome of arthroscopic treatment for posteromedial elbow impingement in adolescent baseball players. Patients were eligible for participation if they had undergone surgery at least 2 years earlier and excluded if they had arthritis, loose bodies, osteochondritis dissecans, ulnar collateral ligament tear, flexor/pronator injuries or medial epicondylitis, or nerve problems...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28860685/modyfied-wedge-osteotomy-for-osteoarthritis-of-elbow-secondary-to-osteochondritis-dissecans-in-adolecent-with-multiple-epiphyseal-dysplasia-a-case-report
#17
Takashi Yoshida, Wook-Cheol Kim, Yoshinobu Oka, Masashi Nakase, Atsushi Nishida, Hiroaki Wada, Yuji Arai, Toshikazu Kubo
Multiple epiphyseal dysplasia (MED) may be complicated by osteochondritis dissecans (OCD), most commonly reported in the knee, but involvement of the elbow is very rare. Optimal treatment for MED-associated elbow OCD and treatment outcome have not been established. This report describes the case of an adolescent male patient with elbow OCD treated by arthroscopic drilling at a previous clinic. Progression of osteoarthritis and radial head subluxation were observed. Resection of the osteophytes and modified wedge osteotomy of the lateral condyle were then performed, and a favorable result was obtained by decompression and sufficient congruency of the radiohumeral joint...
December 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28844419/pediatric-elbow-arthroscopy-indications-and-safety
#18
Steven M Andelman, Kristen M Meier, Amanda L Walsh, Joung Heon Kim, Michael R Hausman
BACKGROUND: Elbow arthroscopy is a minimally invasive means by which to treat a variety of acute and chronic elbow conditions. Although the safety and efficacy is well documented in the adult population, comparatively little information is available about the role of elbow arthroscopy in the pediatric population. This study reports the indications for and safety of elbow arthroscopy in a series of pediatric patients. METHODS: A retrospective review was performed from 2001 to 2015 of a surgical database at a single institution...
August 22, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28814326/distal-defect-of-the-humerus-a-possible-normal-variant-a-case-report
#19
Akio Sakamoto, Shuichi Matsuda
BACKGROUND: Many normal variants of bones on plain radiographs have been reported. CASE PRESENTATION: In the current report, a 14-year-old Asian girl noticed an occasional slight elbow pain. She had no traumatic episode. Plain radiographs showed a well-defined osteolytic lesion with a sclerotic rim, which was continuous with the normal subarticular bone in the distal humerus. Magnetic resonance imaging revealed that the defect area seen on the plain radiograph showed low-signal to iso-signal intensity on T1-weighted images and slightly high-signal intensity on T2-weighted fat suppression images...
August 17, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28812032/nonoperative-management-of-osteochondritis-dissecans-of-the-knee-progression-to-osteoarthritis-and-arthroplasty-at-mean-13-year-follow-up
#20
Thomas L Sanders, Ayoosh Pareek, Nick R Johnson, James L Carey, Travis G Maak, Michael J Stuart, Aaron J Krych
BACKGROUND: Osteochondritis dissecans (OCD) is a disorder of subchondral bone that commonly affects the knee. PURPOSE: To (1) evaluate the rate of arthritis and knee arthroplasty in a population-based cohort of patients with OCD lesions treated nonoperatively and (2) evaluate factors that may predispose patients to knee osteoarthritis and arthroplasty. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Eighty-six patients (mean age, 21...
July 2017: Orthopaedic Journal of Sports Medicine
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