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osteochondritis dissecans

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https://www.readbyqxmd.com/read/27904793/current-concepts-in-treatment-of-patellofemoral-osteochondritis-dissecans
#1
Chris Juneau, Russ Paine, Eric Chicas, Emily Gardner, Lane Bailey, James McDermott
: Identification, protection, and management of patellofemoral articular cartilage lesions continue to remain on the forefront of sports medicine rehabilitation. Due to high-level compression forces that are applied through the patellofemoral (PF) joint, managing articular cartilage lesions is challenging for sports medicine specialists. Articular cartilage damage may exist in a wide spectrum of injuries ranging from small, single areas of focal damage to wide spread osteoarthritis involving large chondral regions...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27900309/from-loose-body-to-osteochondritis-dissecans-a-historical-account-of-disease-definition
#2
Vittorio Tarabella, Giuseppe Filardo, Berardo DI Matteo, Luca Andriolo, Patrizia Tomba, Anna Viganò, Maurilio Marcacci
Osteochondritis dissecans (OCD) is a rare yet fascinating disease affecting young, active patients. It remains a 'mysterious disease' whose etiopathology, still unclear, is the subject of ongoing studies aiming improving the knowledge of this condition and, therefore, treatment options, too. Even though the first descriptions of intra-articular loose bodies date back to very ancient times, it is only relatively recently that, thanks to the contribution of some very eminent physicians, it became recognized as a specific orthopaedic condition...
July 2016: Joints
https://www.readbyqxmd.com/read/27829936/ultrasound-guided-arthroscopic-management-of-hallux-rigidus
#3
Łukasz M Paczesny, Jacek Kruczyński
INTRODUCTION: The use of metatarso-phalangeal joint arthroscopy in the treatment of osteochondritis dissecans was first described in 1988. The technique produces good results. However, it can be difficult to enter a joint when it is deformed by degenerative disease. Sonography is a modern visualisation modality which can be used in orthopaedic surgery. AIM: To describe a method of intraoperative sonographic navigation during first metatarso-phalangeal joint arthroscopy...
2016: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/27826762/matrix-based-autologous-chondrocyte-implantation-in-children-and-adolescents-a-match-paired-analysis-in-a-follow-up-over-three-years-post-operation
#4
Thomas Richard Niethammer, Martin Holzgruber, Mehmet Fatih Gülecyüz, Patrick Weber, Matthias Frank Pietschmann, Peter Ernst Müller
PURPOSE: The aim of this study is the investigation of the clinical results after third generation autologous chondrocyte implantation in the knee in a follow-up over three years post-operation. Our primary focus is on the effects of this procedure on children and adolescent patients as there is a lack of knowledge regarding the clinical outcomes in children/adolescents in particular when compared with adults. METHODS: A total of 40 patients (43 defects) <20 years with cartilage defects of the knee were treated with third generation ACI (Novocart® 3D)...
November 8, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27811520/shoulder-and-elbow-injuries-in-the-adolescent-athlete
#5
Mia Smucny, Joel Kolmodin, Paul Saluan
With the recent increase in youth sports participation and single-sport youth athletes over the past 30 years, there has been an increase in the number of acute and overuse sports injuries in this population. This review focuses on overuse and traumatic injuries of the shoulder and elbow in young athletes. In particular we discuss little league shoulder, glenohumeral internal rotation deficit, glenohumeral instability, superior labrum anterior posterior lesions, Little League elbow, Panner disease, osteochondritis dissecans of the capitellum, posteromedial elbow impingement, and posterolateral rotatory instability of the elbow...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27811514/overuse-injuries-in-the-pediatric-population
#6
Mark Wu, Ryan Fallon, Benton E Heyworth
Athletic overuse injuries are becoming an increasingly common entity in the active pediatric population. The prevalence of these injuries may be attributed to the combination of an underdeveloped musculoskeletal system, increased participation in competitive sport at a younger age, and increased duration and intensity of training. Many of these injuries may go unreported and/or undiagnosed, as they do not all result in time lost from sports, and are not always appreciated on imaging. Left unrecognized, untreated, or poorly managed, overuse injuries can have long-term health consequences for young athletes...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27782935/sporadically-occurred-bilateral-osteochondritis-dissecans-on-the-trochlea-of-the-femur-case-report
#7
Nobuyuki Kumahashi, Akinori Matsumoto, Suguru Kuwata, Masaru Kadowaki, Yuji Uchio
We report the case of a 13-year-old boy with bilateral osteochondritis dissecans in the lateral femoral trochlea of the knees. They were classified as grade 3 in the right knee and grade 1 in the left knee on the basis of the Nelson classification within 1 year after first diagnosis. In the right knee, the fragment was surgically fixed, but the left knee healed with conservative treatment. This case indicates the possibility that osteochondritis dissecans of the lateral femoral trochlea may develop bilaterally at different times and present at different stages...
October 25, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27776368/erratum-research-in-osteochondritis-dissecans-of-the-knee-2016-update
#8
Jeffrey J Nepple, Matthew D Milewski, Kevin G Shea
No abstract text is available yet for this article.
October 24, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/27769090/-treatment-of-osteochondral-lesions-in-the-ankle-a-guideline-from-the-group-clinical-tissue-regeneration-of-the-german-society-of-orthopaedics-and-traumatology-dgou
#9
M Aurich, D Albrecht, P Angele, C Becher, S Fickert, J Fritz, P E Müller, P Niemeyer, M Pietschmann, G Spahn, M Walther
Background: Osteochondral lesions (OCL) of the ankle are a common cause of ankle pain. Although the precise pathophysiology has not been fully elucidated, it can be assumed that a variety of factors are responsible, mainly including traumatic events such as ankle sprains. Advances in arthroscopy and imaging techniques, in particular magnetic resonance imaging (MRI), have improved the possibilities for the diagnosis of OCLs of the ankle. Moreover, these technologies aim at developing new classification systems and modern treatment strategies...
October 21, 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27757802/erratum-to-osteochondritis-dissecans-lesions-in-family-members-does-a-positive-family-history-impact-phenotypic-potency
#10
Alex L Gornitzky, R Justin Mistovich, Brittany Atuahene, Eileen P Storey, Theodore J Ganley
No abstract text is available yet for this article.
October 18, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27742247/fresh-osteochondral-allograft-transplantation-for-osteochondritis-dissecans-of-the-capitellum-in-baseball-players
#11
Raffy Mirzayan, Michael J Lim
BACKGROUND: Osteochondritis dissecans (OCD) of the capitellum is a rare yet debilitating injury seen in young athletes. This is the first report in the literature describing fresh osteochondral allograft transplantation (FOCAT) to treat OCD of the capitellum. METHODS: Nine male baseball players (mean age, 15.3; range, 14-18 years), with OCD of the capitellum were treated with FOCAT. There were 6 pitchers and 3 position players. A ligament-sparing, mini-open approach was used...
November 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27734566/femoral-epiphyseal-cartilage-matrix-changes-at-predilection-sites-of-equine-osteochondrosis-quantitative-mri-second-harmonic-microscopy-and-histological-findings
#12
Gabrielle Martel, Charles-André Couture, Guillaume Gilbert, Stéphane Bancelin, Hélène Richard, Thomas Moser, Sabrina Kiss, François Légaré, Sheila Laverty
Osteochondrosis is an ischemic chondronecrosis of epiphyseal growth cartilage that results in focal failure of endochondral ossification and osteochondritis dissecans at specific sites in the epiphyses of humans and animals, including horses. The upstream events leading to the focal ischemia remain unknown. The epiphyseal growth cartilage matrix is composed of proteoglycan and collagen macromolecules and encases its vascular tree in canals. The matrix undergoes major dynamic changes in early life that could weaken it biomechanically and predispose it to focal trauma and vascular failure...
October 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27726754/imaging-of-sports-related-injuries-of-the-lower-extremity-in-pediatric-patients
#13
M Cody O'Dell, Diego Jaramillo, Laura Bancroft, Laura Varich, Gregory Logsdon, Sabah Servaes
With increasing participation and intensity of training in youth sports in the United States, the incidence of sports-related injuries is increasing, and the types of injuries are shifting. In this article, the authors review sports injuries of the lower extremity, including both acute and overuse injuries, that are common in or specific to the pediatric population. Common traumatic injuries that occur in individuals of all ages (eg, tears of the acetabular labrum and anterior cruciate ligament) are not addressed, although these occur routinely in pediatric sports...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27697187/editorial-commentary-knee-focal-cartilage-defect-treatment-must-be-individualized
#14
Darius Moezzi
Knee focal cartilage treatment depends on many variables including lesion size, location, age, and patient activity level. High level of evidence meta-analysis suggests that the osteochondral autograft transfer system is superior to microfracture for larger lesions and osteochondritis dissecans, but cartilage restoration indications must be individualized based on additional variables.
October 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27695981/arthroscopic-treatment-of-symptomatic-discoid-meniscus-in-children
#15
Tetsuo Hagino, Satoshi Ochiai, Shinya Senga, Takashi Yamashita, Masanori Wako, Takashi Ando, Hirotaka Haro
PURPOSE: To study discoid meniscus in children who underwent arthroscopic surgery at our center. SUBJECTS AND METHODS: Thirty-four patients (39 knees) younger than 15 years with discoid lateral meniscus (mean age, 12.9 years; 13 males, 21 females) who underwent arthroscopic surgeries since 2007 were studied. The surgical procedure consisted of, in principle, saucerization with additional suture repair in the case of meniscal instability at the peripheral rim of the residual meniscus...
October 1, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27687489/corr-insights-%C3%A2-osteochondritis-dissecans-lesions-in-family-members-does-a-positive-family-history-impact-phenotypic-potency
#16
Kent A Reinker
No abstract text is available yet for this article.
September 29, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27684059/arthroscopy-of-the-dorsal-and-plantar-pouches-of-the-tarsocrural-joint-for-the-treatment-of-osteochondritis-dissecans-in-the-horse-clinical-features-and-follow-up
#17
Oliver James, Richard Payne, Andrew Bathe, Tim Greet, Claire Wylie
OBJECTIVE: To describe the clinical details and pathology within the dorsal and plantar pouches of the tarsocrural joint of a population of horses that underwent arthroscopic surgery for tarsocrural osteochondritis dissecans (OCD). STUDY DESIGN: Retrospective cohort study. ANIMALS: Horses referred for arthroscopic treatment of tarsocrural OCD between 2005 and 2013 (102 horses; 144 joints). METHODS: Case records of all horses that had tarsocrural arthroscopy for OCD at Rossdales Equine Hospital, Newmarket, United Kingdom were included...
September 29, 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27666628/the-clinical-and-radiological-importance-of-extraarticular-contrast-material-leakage-into-adjacent-synovial-compartments-on-ankle-mr-arthrography-in-patients-with-ocd-and-anterolateral-impingement
#18
Hayri Ogul, Yunus Guzel, Berhan Pirimoglu, Kutsi Tuncer, Gokhan Polat, Fatih Ergun, Recep Sade, Ummugulsum Bayraktutan, Ihsan Yuce, Mecit Kantarci
PURPOSE: To evaluate the tibiotalar joint capacity and the localisation, frequency and amount of extravasation in patients with extraarticular contrast material leakage into adjacent synovial compartments on ankle magnetic resonance (MR) arthrography. MATERIALS AND METHODS: Sites of extravasation were determined in the ankle MR arthrograms of 69 patients. Thirty-four patients without extraarticular contrast material leakage into locations unrelated to the injection path were included as a control group...
October 2016: European Journal of Radiology
https://www.readbyqxmd.com/read/27644553/outcome-of-an-elbow-check-up-system-for-child-and-adolescent-baseball-players
#19
Toshiyuki Iwame, Tetsuya Matsuura, Naoto Suzue, Shinji Kashiwaguchi, Takenobu Iwase, Shoji Fukuta, Daisuke Hamada, Tomohiro Goto, Takahiko Tsutsui, Keizo Wada, Hiroshi Egawa, Akihiro Nagamachi, Koichi Sairyo
PURPOSE: Our aim was to examine the outcome of an elbow check-up system for youth baseball players. In particular, we investigated the nature of elbow injuries in youth baseball players with elbow pain and ultrasonographic findings of the capitellum. MATERIALS AND METHODS: A total of 1605 players participating in the regional summer championship in July 2013 underwent a questionnaire survey, physical examination, ultrasound imaging, and radiographic examination...
2016: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/27637663/pediatric-knee-osteochondritis-dissecans-lesions
#20
REVIEW
Aristides I Cruz, Kevin G Shea, Theodore J Ganley
Osteochondritis dissecans (OCD) can cause knee pain and dysfunction in children. The etiology of OCD remains unclear; theories on causes include inflammation, ischemia, ossification abnormalities, genetic factors, and repetitive microtrauma. Most OCD lesions in skeletally immature patients will heal with nonoperative treatment. The success of nonoperative treatment decreases once patients reach skeletal maturity. The goals of surgical treatment include maintenance of articular cartilage congruity, rigid fixation of unstable fragments, and repair of osteochondral defects with cells or tissues that can adequately replace lost or deficient cartilage...
October 2016: Orthopedic Clinics of North America
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