Is There a Connection Between Attention Deficit Hyperactivity Disorder and Osteochondritis Dissecans?

Autor:	Dale KM; Vanderbilt University, Orthopedic Surgery, Nashville, TN., Livermore A; University of Wisconsin-Madison, Orthopedic Surgery and Rehabilitation, Madison, WI., Hanna R; University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI., Laham S; Spectrum Health, Grand Rapids, MI., Noonan KJ; University of Wisconsin-Madison, Orthopedic Surgery and Rehabilitation, Madison, WI., Halanski M; Children's Hospital of Omaha, Pediatric Orthopedic Surgery, Omaha, NE., Lang PJ; University of Wisconsin-Madison, Orthopedic Surgery and Rehabilitation, Madison, WI.
Jazyk:	angličtina
Zdroj:	The Iowa orthopaedic journal [Iowa Orthop J] 2020; Vol. 40 (1), pp. 105-109.
Abstrakt:	Background: To determine if children with Osteochondritis Dessicans (OCD) lesions of the distal femur are more likely to have a co-morbid diagnosis of Attention Deficit/ Hyperactivity Disorder (ADHD) than age matched controls and to assess the impact of ADHD on OCD outcomes. Methods: A retrospective chart review of patients treated at a single tertiary care hospital between 2000-2012 was performed. Charts were reviewed for a diagnosis of OCD of the distal femur in all skeletally immature patients (males < 16 years and females < 14 years). These were then screened for a comorbid diagnosis of ADHD. Age-matched controls with anterior knee pain without OCD were then reviewed to determine if ADHD was more common in the OCD population. Treatment and outcomes of the OCD lesions were then compared in children with and without ADHD. Results: The prevalence of ADHD was 23% in patients with OCD lesions and was significantly greater than the 11% found in the anterior knee pain age-matched controls (p<0.05). The average grade of lesions at presentation was similar in both groups (2.2 ADHD vs 2.1 no ADHD) however, at final follow-up, the average OCD grade was significantly worse for children with ADHD (1.4 vs 0.7, p<0.004). Conclusion: There is a significantly higher prevalence of ADHD in children with OCD lesions compared with age-matched controls. This study suggests children that with osteochondritis dessicans and ADHD may not have as favorable treatment course as children without the hyperactivity disorder. Level of Evidence: III . Competing Interests: Disclosures: The authors report no potential conflicts of interest related to this study. (Copyright © The Iowa Orthopaedic Journal 2020.)
Databáze:	MEDLINE
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