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Chapter-287 Osteochondritis Dissecans of Knee

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Rao Nandan
2. Kamble Prashant
3. Gandhi Ketan
ISBN
9789385891052
DOI
10.5005/jp/books/12869_288
Edition
3/e
Publishing Year
2016
Pages
4
Author Affiliations
1. Surat, Gujarat, India
2. Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
3. Bharati Vidyapeeth Medical College and Bharati Hospitals and Research Centre, Pune, Maharashtra, India
Chapter keywords
Osteochondritis dissecan, OCD, juvenile OCD, autologous osteochondral grafting, allograft, osteochondritic lesion, subchondral bone

Abstract

Osteochondritis dissecans (OCD) a pathological condition characterized by separation of a segment of articular cartilage together with subchondral bone either partially or completely from the joint surface. Osteochondritis is also more common in athletes and high impact sporting population. It is postulated that repetitive trauma predisposes to subchondral fracture and later on the classic appearance of OCDs. The treatment modality depends on the age of the patient, size, situation and stability of the lesion. It is generally agreed that juvenile OCD responds well to conservative management and adult OCD rarely does so. Two well-illustrated boxes on magnetic resonance imaging criteria for instability and arthroscopic classification of osteochondritic lesions are also provided in this chapter. Four well-labeled figures are also presented in this chapter.

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