Juvenile Osteochondritis Dissecans: Current Concepts.
| Autor: | Akkawi I; Orthopedics, Casa di Cura Villa Erbosa, Bologna, ITA., Zmerly H; Orthopedics, Villa Erbosa Hospital, Bologna, ITA., Draghetti M; Orthopedics, Casa di Cura Villa Erbosa, Bologna, ITA., Felli L; Orthopedics, San Martino Hospital, Genova, ITA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jul 27; Vol. 16 (7), pp. e65496. Date of Electronic Publication: 2024 Jul 27 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.65496 |
| Abstrakt: | Osteochondritis dissecans (OCD) primarily damages the subchondral bone, leading to damage to the articular cartilage. Juvenile OCD (JOCD) of the knee is limited to skeletally immature and young patients with open growth plates on radiographs. We conducted a review of PubMed articles up until March 16, 2024, using a combination of the following keywords: knee, juvenile, and osteochondritis dissecans. This narrative review included a total of 56 relevant articles that investigated the etiology, incidence, clinical presentation, imaging, classification, and treatment of JOCD of the knee in patients less than 20 years of age. The exact etiology is controversial. Most authors believe that the disease involves multiple theories, such as ischemia, recurrent trauma, and genetic predisposition. Radiographs, the first imaging study in this patient group, cannot determine the stability or instability of the surface cartilage of the OCD lesion. As a result, MRI has become a recommended diagnostic method for determining OCD stability and providing important information for determining a treatment plan. For stable JOCD lesions, nonsurgical treatment is often advised. For unstable and stable lesions that do not respond to nonsurgical treatment, several surgical techniques with good healing rates are available. Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Akkawi et al.) |
| Databáze: | MEDLINE |
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