Osteochondritis dissecans of the patella

Ss, Desai; Mr, Patel; Lj, Michelli; Jw, Silver; Rt, Lidge

doi:10.1302/0301-620x.69b2.3818768

Cited by 52 publications

(32 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…OCD involving the patella is seen in less than 2% of all cases [4]. The primary cause of OCD remains inconclusive, although a widely accepted theory is a combination of repeated trauma and ischemia of the joint surfaces [6,7,22].…”

Section: Introductionmentioning

confidence: 99%

Cell-based Therapy Improves Function in Adolescents and Young Adults With Patellar Osteochondritis Dissecans

Teo

Buhary

Tai

et al. 2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Recent advances have been made in using chondrocytes and other cell-based therapy to treat cartilage defects in adults. However, it is unclear whether these advances should be extended to the adolescent and young adult-aged patients. Questions/purposes We assessed cell-based surgical therapy for patellar osteochondritis dissecans (OCD) in adolescents and young adults by (1) determining function with the International Knee Documentation Committee (IKDC) subjective and Lysholm-Gillquist scores; and (2) evaluating activity level using the Tegner-Lysholm scale. Methods We retrospectively reviewed 23 patients between 12 and 21 years of age (mean 16.8 years) treated for OCD lesions involving the patella from 2001 to 2008. Twenty patients had autologous chondrocyte implantation and three patients had cultured bone marrow stem cell implantation. There were 19 males and four females. We obtained preoperative CT scans to assess patella subluxation, tilt, and congruence angle to determine choice of treatment. We obtained IKDC subjective knee evaluation scores, Tegner-Lysholm activity levels, and LysholmGillquist knee scores preoperatively and at 6, 12, and 24 months postoperatively. Results Mean IKDC score, Tegner-Lysholm outcomes, and Lysholm-Gillquist scale improved from 45, 2.5, and 50, respectively, at surgery to 75, 4, and 70, respectively, at 24-month followup. Complications include periosteal hypertrophy observed in two patients. Conclusion Cell-based therapy was associated with shortterm improvement in function in adolescents and young adults with patellar

show abstract

Section: Introductionmentioning

confidence: 99%

Cell-based Therapy Improves Function in Adolescents and Young Adults With Patellar Osteochondritis Dissecans

Teo

Buhary

Tai

et al. 2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Este patrón se sugiere para todas las articulaciones, como lo demuestran numerosos estudios clínicos de rodilla (Desai et al 1987;Jaberi 2002;Uematsu et al 2005), del codo (Brownlow et al 2006), del tobillo (Ming et al 2004) Por otra parte, no existe consenso acerca de los efectos de la edad en la prevalencia de la OCD, aunque esta patología parece influir en mayor medida a individuos que transitan las primeras etapas de la vida. La forma juvenil se presenta en niños y adolescentes entre 5 y 15 años de edad (Schenck y Goodnight 1996), la cual se asocia con el crecimiento y desarrollo óseo epifisial y con microtraumas repetitivos (e.g.…”

Section: Terminología Patogénesis Y Epidemiología General De La Ocdunclassified

Osteocondritis disecante. Primeros resultados en restos humanos de cazadores-recolectores del Holoceno en Patagonia austral

et al. 2018

View full text Add to dashboard Cite

RMA Osteocondritis disecante. Primeros resultados en restos humanos de cazadores-recolectores del Holoceno en Patagonia australLa osteocondritis disecante (OCD) es una condición caracterizada por la separación localizada de un fragmento del cartílago articular y el hueso subcondral, que afecta a las epífisis articulares de humanos y otros mamíferos (e.g. perros, gatos, cerdos, ratas, caballos, entre otros) (Edmonds y Heyworth 2014; Schenck y Goodnight 1996). Ha sido comúnmente estudiada en bioarqueología como un indicador asociado con la actividad física, aunque otros componentes etiológicos pueden estar involucrados (e.g. factores genéticos-hereditarios, variaciones anatómicas de las articulaciones, isquemia del cartílago durante el crecimiento o la vejez de un individuo; Bulgheroni et al. 2017;Bullough 2004;Ytrehus et al. 2007).En Argentina, son escasas las investigaciones paleopatológicas que han considerado el análisis de la OCD en restos humanos, las cuales en general consistieron en relevamientos descriptivos de lesiones en individuos

show abstract

“…[21] Cerrahi olarak ilk basamak, lezyonun artroskopik incelenmesidir. Standart portallerin yanında superolateral portal patellofemoral eklem muayenesi için gereklidir.…”

Section: Artroskopik Inceleme Ve Debridmanunclassified

“…Büyük bir defekt alanı sonradan yakınmaların devam etmesine neden olmaktadır. [9,21] Patelladaki defekt alanı düzgün yüzeyli ve fibröz dokuyla dolmuş ise haliyle bırakılması öne-rilmektedir. [9] Küçük ya da semptomatik olmayan lezyonlar için sadece debridman yeterlidir.…”

Section: Artroskopik Inceleme Ve Debridmanunclassified

Patellofemoral joint: Chondral and osteochondral lesions and osteochondritis dissecans

Yılmaz¹

2012

TOTBİD Dergisi

View full text Add to dashboard Cite

Patellofemoral eklemin kıkırdak yaralanmaları çok sık görülmemesine rağmen, tedavideki zorlukları ve tibiofemoral eklemden farklılıkları nedeniyle önem arz etmektedir. Trokleanın iç bükey, patellanın dış bükey olması ve bu bölgede makaslama kuvvetlerinin yoğun olması, kıkırdak tedavi yöntemlerinin başarı oranını azaltmaktadır. Bu bölge için tedavi planlamasında patellanın dizilim bozukluğu ve aşırı yüklenmesi göz önünde bulundurulmalıdır. Tibial tüberkülün anteromedializasyonu bu amaçla gerçekleştirilmesi önerilen bir girişimdir.

show abstract

Osteochondritis dissecans of the patella

Cited by 52 publications

References 4 publications

Cell-based Therapy Improves Function in Adolescents and Young Adults With Patellar Osteochondritis Dissecans

Cell-based Therapy Improves Function in Adolescents and Young Adults With Patellar Osteochondritis Dissecans

Osteocondritis disecante. Primeros resultados en restos humanos de cazadores-recolectores del Holoceno en Patagonia austral

Patellofemoral joint: Chondral and osteochondral lesions and osteochondritis dissecans

Contact Info

Product

Resources

About