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...

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...

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.

PURPOSE the aim of the present study was to evaluate the clinical outcome of the treatment of osteochondritis dissecans (OCD) of the knee with a type-I collagen-hydroxyapatite nanostructural biomimetic osteochondral scaffold. METHODS twenty-three patients affected by symptomatic knee OCD of the femoral condyles, grade 3 or 4 of the International Cartilage Repair Society (ICRS) scale, underwen...

Cartilage damage of the knee is common and may present in patients as a variety of symptoms. These conditions can be classified based on location, etiology, and/or pathophysiology. A systematic approach to the evaluation and classification of chondral injuries helps improve definitive management. The four most common types of knee cartilage damage are osteochondritis dissecans, incidental chond...

The cause of osteochondritis dissecans is still disputed. Axhausen (1912) suggested that the lesion could be embolic in origin, but Fairbank (1933) and Smillie (1951) believed that trauma was more likely to be responsible. The occurrence of multiple joint lesions, with a hereditary tendency, was demonstrated by Bernstein (1925), by Wagoner and Cohn (1931), by Gardiner (1955), and by Pick (1955)...

Osteochondritis of the distal tibial epiphysis is a very rare entity. 9 cases have been described in 7 articles and 8 other cases have been mentioned in textbooks. This paper describes the 10th case of osteochondritis of the distal tibial epiphysis and summarizes the clinical and radiological presentations of the 9 other cases. The etiology of this entity is well debated in the literature. We b...

Six boys with fragmentation of the proximal pole of the patella are reported; the condition was bilateral in one. Four of the six presented with symptoms of Osgood-Schlatter's disease or Larsen-Johansson disease of the same or of the contralateral knee, but they had no symptoms or signs relating to the proximal pole of the patella; one also had features suggesting minimal chondromalacia patella...

Bony fusion ofthe anterior part oftwo vertebral bodies is occasionally noted in radiographs of the adult spine, and is usually interpreted as a congenital abnormality or the result of previous infection. It is the author’s belief that it is more commonly a rare manifestation of Scheuermann’s vertebral osteochondritis. The essential lesion in vertebral osteochondritis is the escape of interverte...