Article
Orthopedics
Michael G. Saper, Viviana Bompadre, Gregory A. Schmale, Sarah Menashe, Monique Burton, Kyle Nagle, Mahesh Thapa
Summary: The study found that the 45 degrees flexion AP view can accurately detect capitellum OCD with high confidence and substantial interobserver agreement. When added to standard AP and lateral radiographs, the 45 degrees flexion AP view aids in the identification of capitellum OCD.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Masatoshi Takahara, Masahiro Maruyama, Tomohiro Uno, Mikio Harada, Hiroshi Satake, Daiichiro Takahara, Michiaki Takagi
Summary: The study revealed that separation of the immature epiphyseal cartilage is an early event in osteochondritis dissecans (OCD), while osteonecrosis in the articular fragment is a late event. Pathological variations correspond to the progression of OCD, with different types of OCD corresponding to different clinical presentations.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Michael Ryan, Benton Emblom, E. Lyle Cain, Jeffrey Dugas, Marcus Rothermich
Summary: The study analyzed the long-term clinical outcomes of patients undergoing arthroscopy for osteochondritis dissecans (OCD) of the capitellum, showing favorable clinical results and high return-to-play rate. Additional statistical analysis is needed to compare outcomes between different sports, surgical techniques, and factors influencing long-term outcomes.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2021)
Article
Medicine, General & Internal
Jannes Kreher, Anna-K Tross, Felix Wuennemann, Gregor Berrsche, Christoph Rehnitz, Alexander Barie, Holger Schmitt
Summary: This case study aimed to report on the clinical and radiographic outcomes of using bioabsorbable pins for fixing osteochondral fragments in children with open growth plates. The results showed that surgical treatment using this technique led to good functional recovery, high rates of radiographic healing, and a high return to sport. A total of 12 patients with 13 knees were evaluated retrospectively, and the standardized patient-reported outcome scores exhibited positive clinical outcomes. Magnetic resonance imaging also showed good healing of the osteochondral defects.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Carl Nissen, Deborah C. Bohn, Allison Crepeau, Eric Edmonds, Theodore Ganley, Regina Kostyun, J. Todd R. Lawrence, J. Lee Pace, Paul Saluan, Carlos Uquillas, Eric Wall, Philip L. Wilson, Donald S. Bae
Summary: This study aimed to evaluate the reliability of imaging assessment of capitellar OCD lesions. The results showed that orthopaedic surgeons had high reliability in assessing elbow characteristics but poor agreement in evaluating the OCD lesion. Therefore, radiographs may not be a reliable screening tool for capitellar OCD.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Dani Rotman, Jae-Man Kwak, Jorge Rojas Lievano, Alexander Hooke, Christopher L. Camp, James S. Fitzsimmons, Shawn W. O'Driscoll
Summary: This study revealed a significant lag in radial head motion compared to passive extension during simulated throwing, indicating asynchronous motion between the radiocapitellar and ulnohumeral joint. This novel finding may contribute to incongruency and elevated shear forces in the capitellum, potentially leading to osteochondritis dissecans lesion development.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Review
Medicine, General & Internal
Lukasz Wiktor, Ryszard Tomaszewski
Summary: This study is the first systematic review on the treatment of osteochondritis dissecans (OCD) using bioabsorbable implants. The findings show that surgical treatment with bioabsorbable implants facilitates a high rate of healing and good clinical outcomes in children and adolescents with OCD.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Genetics & Heredity
Antoine Denis, Sami Chergui, Shuaa Basalom, Philippe M. Campeau, Chantal Janelle, Thierry Pauyo
Summary: This study reports three individuals from one family, with the proband presenting with osteochondritis dissecans, his twin brother and father also showing similar symptoms. Next-generation sequencing revealed a frameshift variant in the ACAN gene in all three individuals, making this a rare case of aggrecanopathy.
MOLECULAR GENETICS & GENOMIC MEDICINE
(2022)
Review
Orthopedics
Dan Cohen, Jeffrey Kay, Muzammil Memon, David Slawaska-Eng, Nicole Simunovic, Olufemi R. Ayeni
Summary: Surgical management of osteochondritis dissecans of the elbow resulted in a high rate of return to sport, including competitive and overhead athletes. Similar rates of return to sport were noted across both open and arthroscopic procedures.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Review
Orthopedics
Si Heng Sharon Tan, Beverly Shu Wen Tan, Wei Yang Wilson Tham, Andrew Kean Seng Lim, James Hoipo Hui
Summary: This systematic review and meta-analysis aimed to determine the incidence and risk factors of osteoarthritis following osteochondritis dissecans of the knee. Increased body mass index and fragment excision were significant risk factors for osteoarthritis. Age and lesion size were probable but inconclusive risk factors, while other factors such as patient gender, lesion location, lesion stability, and treatment methods were not significant risk factors.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Andrea Sessa, Iacopo Romandini, Luca Andriolo, Alessandro Di Martino, Maurizio Busacca, Stefano Zaffagnini, Giuseppe Filardo
Summary: This study evaluated the mid-term results of a cell-free biomimetic osteochondral scaffold for the treatment of juvenile osteochondritis dissecans (OCD) lesions in the knee. The results showed stable clinical improvement and a high survival rate, although abnormal MRI findings persisted. The procedure can be considered a suitable option for young patients with knee OCD.
Article
Orthopedics
Anna Gussner, Danika Baskar, Matt Rohde, Ted Ganley, Kevin Shea
Summary: With the rise of social media, patients with osteochondritis dissecans (OCD) and their families are using online platforms such as Facebook, Instagram, YouTube, and TikTok to seek information and support. However, the quality of information shared in these groups is a concern. It is important to increase physician involvement and awareness of the information shared on social media platforms to improve accuracy and reliability.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2022)
Article
Orthopedics
Laura A. M. Kemmeren, Christiaan J. A. van Bergen, Max Reijman, Tom M. Piscaer
Summary: Investigated current preferences among orthopaedic surgeons for the work-up and treatment choices of juvenile osteochondritis dissecans (JOCD) of the knee, ankle and elbow.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Georgios Komnos, Michael Iosifidis, Fotios Papageorgiou, Ioannes Melas, Dimitrios Metaxiotis, Michael Hantes
Summary: In this study, arthroscopic retrograde drilling and internal fixation with bioabsorbable pins were shown to be an effective treatment for juvenile patients with stage II and III OCD lesions of the knee, with a high healing rate of 90%. Patients experienced significant improvement in pain, function, and overall scores postoperatively.
Article
Orthopedics
Luca Andriolo, Alessandro Di Martino, Sante Alessandro Altamura, Angelo Boffa, Alberto Poggi, Maurizio Busacca, Stefano Zaffagnini, Giuseppe Filardo
Summary: Arthroscopic bone grafting followed by MACT can offer a promising and stable clinical outcome in knee OCD lesions smaller than 4 cm(2), with a low failure rate. However, persistent subchondral alterations were documented in long-term MRI evaluation, suggesting limitations in regenerating the osteochondral unit in patients with knee OCD.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)