Results of drilling osteochondritis dissecans before skeletal maturity

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Results of drilling osteochondritis dissecans before skeletal maturity.

We report the arthroscopic drilling of classical lesions of osteochondritis dissecans in 11 knees in 10 children with at least six months history and no sign of clinical or radiological improvement. There were eight boys and two girls and the average age at operation was 12 years 11 months. Relief of pain was noticed within days of operation; radiological healing occurred within 12 months in ni...

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Osteochondritis dissecans in ancient British skeletal material.

OSTEOCHONDRITIS DISSECANS (which is not to be confused with osteochondritis juvenilis) is a common disease but it is also a somewhat mysterious one. Its essential pathology consists of an avascular necrosis occurring in the sub-chondral bone of a joint followed by degenerative changes in the overlying cartilage. As the disease progresses, a zone of demarcation forms around the avascular area an...

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Osteochondritis Dissecans Involving the Trochlear Groove Treated With Retrograde Drilling

Osteochondritis dissecans (OCD) occurs frequently in the humeral capitellum of the upper extremity, whereas OCD involving the trochlear groove (trochlear groove OCD) is rarely reported. A standard treatment for trochlear groove OCD has therefore not been determined, although several methods have been tried.The case of a 14-year-old male gymnast with bilateral trochlear groove OCD is presented. ...

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Osteochondritis Dissecans

THIS book has been recommended as the official text book for Queen's University students taking the introductory course in pharmacology and therapeutics at the start of their clinical work. It is an excellent book for these students who have just finished two years of physiology, for not only is much of the subject matter already familiar to them but the approach to the whole subject which is a...

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Treatment of osteochondritis dissecans.

It has been known for more than a decade that osteochondritis dissecans of the knee joint in children will heal with rest or even spontaneously (Decker 1938, Wiberg 1941, Strange 1944, Smillie 1946, Van Demark 1952, Green and Banks 1953). This capacity is lost with maturity and may not extend beyond adolescence (Wiberg 1943). Current treatment thereafter consists of symptomatic removal of the l...

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 1989

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.71b4.2768313