Y. Matsusue, T. Yamamuro, H. HamaArthroscopic multiple osteochondral transplantation to the chondral defect in the knee associated with anterior cruciate ligament disruption. J Bone Joint Surg Br. Knee MRI – Axial cut showing the osteochondral defect of the patella. Paediatric. 595-600. 1 The knee joint is perhaps one of the busiest joints in the body as it bears most of the body weight when standing. 2014; 34:625 … The degree of damage may range from a rupture of the cartilage to a slight crack of the bone to a piece of the bone breaking off within the joint. The objective of this study is to compare the efficacy and safety of MACI® vs arthroscopic microfracture in the treatment of patients aged 10 to 17 years with symptomatic articular chondral or osteochondral defects of the knee. - pediatric OCD: steochondritis dessicans - natural history: - references: - Isolated Full Thickness Chondral Injuries. Multiple studies in adults have shown that osteochondral allograft transplantation is an effective treatment option for large chondral and osteochondral defects of the knee. Comment in Knee Surg Sports Traumatol Arthrosc. However, the potential for donor site morbidity remains a concern. Chondral and osteochondral injuries of the knee are becoming increasingly prevalent in the paediatric population. Patient demographics, the clinical presentation, and the role of trauma are critical for differential diagnosis. Osteochondral Defect is the name given to a condition most noticeable in the knee, in which a part of the bone and cartilage gets separated from the knee joint resulting in chronic pain in the knee and difficulties performing normal activities of daily living. (OBQ09.101) A 10-year-old boy has atraumatic, progressive right knee pain for 2 months. Clinical Pearls. 4.8a–c. This review … Hixon AL, Gibbs LM. J Bone Joint Surg Am. New procedures, technologies and improved assessment tools seek to address these injuries, which can cause significant disability, particularly in the young healthy patient. Small tasks such as walking to the bathroom or standing at the kitchen sink will be painful if you are experiencing osteochondral defect symptoms. Am J Sports Med. A Study of 5233 Knee Arthroscopies. It is made up of bones, … Request PDF | Pediatric Knee Osteochondritis Dissecans Lesions | Osteochondritis dissecans (OCD) can cause knee pain and dysfunction in children. 2006;273–293. Osteochondral defect; 14 public playlist includes this case . A localized osteochondral defect can be … Acute traumatic and sports-related osteochondral (OC) injuries occur in a variety of settings in the pediatric knee. 85(2):223-30. . J Bone Joint Surg Am. 1 article features images from this case. Prevalance and Outcome of Treatment. Common entities include acute traumatic osteochondral injuries, subchondral insufficiency fracture, so-called spontaneous osteonecrosis of the knee, avascular necrosis, osteochondritis dissecans, and localized osteochondral abnormalities in osteoarthritis. If there is damage to the articulating structures of the knee, you will know it. • High-quality evidence for the optimal evaluation and management of pediatric OCD lesions remains sparse, and continued research is needed. Regardless of etiology, osteochondritis dissecans is an idiopathic focal joint disorder affecting the subchondral bone. An acute knee injury resulting from patellar instability episodes, forced hyperextension, or direct blows to the knee may occasionally lead to the generation of osteochondral fragments originating from the patella, trochlea, or femoral condyle. It was decided to use the superomedial aspect of the trochlea as the donor sight for the osteochondral autograft. [2] That process can lead to pain, loose body formation and joint effusion. The Healing Potential of Stable Juvenile Osteochondritis Dissecans Knee Lesions. Osteochondral defects in the knee are due to lesions of the cartilage and bone. A prospective, randomised comparison of autologous chondrocyte implantation versus mosaicplasty for osteochondral defects in the knee. Foot Ankle Int. Large osteochondral defects involving the femoral condyles of the knee have frustrated orthopaedic surgeons for generations. 2003. Orthopaedics (1999), pp. GK - Paeds - MSK - Trauma; Rapid Reporting; Paeds; RAL-1003 B; Pediatrics; Certificate: 5 Paediatric- MSK Trauma; MSK-Trauma; S - practice 2017: paeds; 5. Any lesion larger than 500 mm² is prone to poor clinical outcome. Clinical studies are needed to establish the safety and outcome benefit of this technique over standard methods of cartilage repair. 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