Osteochondritis dissecans lesions occur frequently in children and adolescents. Treatment can be challenging and depends on the status of the articular cartilage and subchondral bone. Injection of calcium phosphate bone substitute into the area of subchondral bone edema (Subchondroplasty; Knee Creations, West Chester, PA) may be an option. We present a case of a lateral tibial plateau osteochon...

We report a rare case of osteochondritis dissecans involving the fourth proximal interphalangeal joint in a young Japanese drummer. We treated it successfully with the removal of loose body and drilling of the donor site.

Thirty-five cases of osteochondritis dissecans of the talus, operated on between 1950 and 1978, were studied. Twenty-four were available for follow-up an average of 47 months later. Three standard surgical approaches were used, and the osteochondritic fragment removed. In some cases the base of the defect was drilled. Good results were obtained in 15 patients, and fair in nine. There were no po...

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...

Osteochondritis dissecans of the knee, despite its cause, is characterized by the impairment of the subchondral bone. Failure of its spontaneous healing makes surgical fixation often necessary. The patella is less affected than other locations in the knee. Its surgical treatment remains a challenge due to the thickness of the lesion and the complex approach of the retropatellar cartilage. Arthr...

We prospectively studied the clinical, arthroscopic and histological results of collagen-covered autologous chondrocyte implantation (ACI-C) in patients with symptomatic osteochondritis dissecans of the knee. The study included 37 patients who were evaluated at a mean follow-up of 4.08 years. Clinical results showed a mean improvement in the modified Cincinnati score from 46.1 to 68.4. Excellen...