medigraphic.com
ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2006, Number 1

<< Back

Rev Mex Ortop Ped 2006; 8 (1)

Osteochondritis dissecans of knee in children: Report of ten years

Chaidez RP, Yáñez AA, Hernández SA

Language: Spanish
References: 34
Page: 23-27
PDF size: 67.94 Kb.


ABSTRACT

Introduction: Osteochondritis Dissecans (OD), is an infrequent multifactorial degenerative process which is probably misdiagnosed with other knee entities. Objective: The purpose of this study is to describe the physical findings, treatment and outcome of the cases of Ostecochondritis Dissecans (OD) of the knee, in patients younger than 18 years, in a ten years period at Shriners Hospital for Children, México City Unit. Material and methods: A systematic review of all hospital records from 1995 to 2005 was made, searching for the diagnosis of OD of the knee. The following variables were investigated; age, sex, family history of OD, onset of symptoms, history of trauma, history of ischemia, side , anatomic site, treatment and outcome. Results: Ten cases were found in ten years, with an average age of 14 years, and a predominance of male patients; The left knee and the medial femoral condyle were affected more frequently; all cases were initially treated conservatively.. Half of the cases required some type of surgery. This study concluded that an accurate diagnosis and adequate management damage can be controlled and a good quality of life can be achieved.


REFERENCES

  1. Matherne TH, Monu JU. The Radiology of osteochondritis dissecans: A synopsis. Contemporary Diagnostic Radiology 2005; 28(12): 1-5.

  2. Rodríguez M, Gómez F. Osteocondritis disecante de la rodilla. Rev Ortop Traumatol 2002; 5: 428-435.

  3. Ribbans W, Natarajan R, Alavala S. Pediatric foot fractures. Clinical Orthopaedics & Related Research 2005; (432): 107-115.

  4. Anderson AF, Anderson CN. Management of osteochondritis dissecans of the knee. Techniques in Knee Surgery 2005; 4(1): 23-35.

  5. Luhmann S, Schootman. Magnetic resonance imaging of the knee in children and adolescents: its role in clinical decision-making. Journal of Bone & Joint Surgery- American Volume 2005; 87-A(3): 497-502.

  6. Suman RK, Stothe IG, Illingworth G. Diagnostic arthroscopy of the knee in children. J Bone Joint Surg Br 1984; 66: 535–7.

  7. Flynn JM, Widmann RF. The limping child: evaluation and diagnosis. J Am Acad Orthop Surg 2001; 9: 89-98.

  8. Romero G, Cabañas E. Artroscopia de rodilla en adolescentes y preadolescentes. Rev Ortop Traumatol 2002; 3: 254-258.

  9. Aichroth P. Osteochondritis dissecans of the knee. Surgical techniques in orthopaedics and traumatology. Duparc J, Ed. Elsevier, Paris 2000: 55-59.

  10. O’Shea KJ, Murphy KP, Heekin RD. The diagnostic accuracy of history, physical examination, and radiographs in the evaluation of traumatic knee disorders. Am J Sports Med 1996; 24: 164-7.

  11. Cepero S, Ullot R. Osteochondritis of the femoral condyles in children and adolescents: our experience over the last 28 years. Journal of Pediatric Orthopaedics B 2005; 14(1): 24-29.

  12. Flynn J, Kocher M. Osteochondritis Dissecans of the Knee. Journal of Pediatric Orthopedics 2004; 24(4): 434-443.

  13. Federico DJ, Lynch JK. Osteochondritis dissecans of the knee: a historical review of etiology and treatment. Arthroscopy 1990; 6: 190-197.

  14. Robertson W, Kelly B. Osteochondritis dissecans of the knee in children. Current Opinion in Pediatrics 2003; 15(1): 38-44.

  15. O’Connor M, Palaniappan M. Osteochondritis dissecans of the knee in children: a comparison of mri and arthroscopic findings. Journal of Bone & Joint Surgery-British Volume 2002; 84-B(2): 258-262.

  16. Irani R, Karasick D. Case report. A possible explanation of the pathogenesis of osteochondritis dissecans. J Pediat Orthop 1984; 4: 358-360.

  17. Hughston J, Hergenroeder P. Osteochondritis dissecans of the femoral condyles. J Bone and Joint Surg 1984; 66-A: 1340-1348.

  18. Anderson AF, Lipscomb AB. Antegrade curettement, bone grafting and pinning of osteochondritis dissecans in the skeletally mature knee. Am J Sports Med 1990; 18: 254-261.

  19. Anderson AF, Pagnani MJ. Osteochondritis dissecans of the femoral condyles: Long-term results of excision of the fragment. Am J Sports Med 1997; 25: 830–834.

  20. Bauer M, Jonsson K. Osteochondritis dissecans of the ankle. A 20-year follow-up study. J Bone and Joint Surg 1987; 69-B(1): 93-96.

  21. Bradley J, Dandy DJ. Results of drilling osteochondritis dissecans before skeletal maturity. J Bone Joint Surg Br 1989; 71: 642–644.

  22. Cahill BR. Osteochondritis dissecans of the knee: treatment of juvenile and adult forms. J Am Acad Orthop Surg 1995; 3: 237-247.

  23. Sgaglione N, Abrutyn D. Update on the treatment of osteochondral fractures and osteochondritis dissecans of the knee. Sports Medicine & Arthroscopy Review. Evaluation and Treatment of Articular Cartilage Lesions in the Knee. Part 2. 2003; 11(4): 222-235.

  24. Pill S, Ganley T. Role of magnetic resonance imaging and clinical criteria in predicting successful nonoperative treatment of osteochondritis dissecans in children. Journal of Pediatric Orthopedics 2003; 23(1): 102-108.

  25. Bergstrom R, Gillquist J. Arthroscopy of the knee in children. J Pediatr Orthop 1984; 4: 542–545.

  26. Casscells SW. The place of arthroscopy in the diagnosis and treatment of internal derangement of the knee: an analysis of 1,000 cases. Clin Orthop 1980; 151: 135–142.

  27. Kocher MS, DiCanzio J. Diagnostic performance of clinical examination and selective magnetic resonance imaging in the evaluation of intraarticular knee disorders in children and adolescents. Am J Sports Med 2001; 29: 292–296.

  28. Stanitski CL. Correlation of arthroscopic and clinical examinations with magnetic resonance imaging findings of injured knees in children and adolescents. Am J Sports Med 1998; 26: 2–6.

  29. De Smet A, Fisher DR. Value of MR imaging in staging osteochondral lesions of the talus (osteochondritis dissecans): results in 14 patients. AJR Am J Roentgenol 1990; 154: 555-558.

  30. Ewing JW. Arthroscopic surgical management of osteochondritis dissecans of the knee. Arthroscopy 1988; 4: 37-40.

  31. Mesgarzadeh M, Sapega A. Osteochondritis dissecans: analysis of mechanical stability with radiography, scintigraphy, and MR imaging. Radiology 1987; 165: 775-780.

  32. Slough JA, Noto AM. Tibial cortical bone peg fixation in osteochondritis dissecans of the knee. Clin Orthop 1991; 267: 122-127.

  33. Navarro R, Cohen M. The arthroscopic treatment of osteochondritis dissecans of the knee with autologous bone sticks. Arthroscopy 2002; 18: 840–844.

  34. Yoshizumi Y, Sugita T, Kawamata T. Cylindrical osteochondral graft for osteochondritis dissecans of the knee: a report of three cases. Am J Sports Med 2002; 30: 441–445.




2020     |     www.medigraphic.com