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MRI of osteochondral injuries of the knee and ankle in the athlete. Design and evaluation of nano-hydroxyapatite/poly(vinyl alcohol) hydrogels coated with poly(lactic-co-glycolic acid)/nano-hydroxyapatite/poly(vinyl alcohol) scaffolds for cartilage repair. Osteochondral lesions are relatively common in children and adolescents, and the incidence is increasing. They may also be called osteochondritis dessicans or osteochondral fractures. Multiple treatment options are available for both traumatic osteochondral injuries and OCD lesions, with important determining factors of treatment being skeletal maturity of the patient, instability of the fragment, lesion location, and size of the lesion. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). Epub 2012 Mar 3. Treatment may include activity modification, drilling, fixation, or osteochondral replacement of osteochondritis dissecans lesions in the knee. TEL: +82-2-2626-3239, FAX: +82-2-2626-2486, Email: wwiiw@naver.com. Many osteochondral defects are caused by too much pressure on the joints and cartilage, and there are some cases where certain lifestyle changes and emphasis on joint health can help prevent these problems. Most OCD lesions in skeletally immature patients will heal with nonoperative treatment. Although an association with mechanical and traumatic factors has been established, the etiology remains poorly understood. Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Correspondence to: Mi Hyun Song, M.D. eCollection 2019. Lateral patella dislocation is a common traumatic cause of osteochondral injury that typically occurs at the medial facet of the patella or at the lateral aspect of the distal femur. We report a case of an osteochondral lesion of the lunate facet of the radiocarpal joint in a 6-year-old girl with chronic wrist pain after falling on her hand. The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage. In some rare cases, osteochondral lesions … lesions of the knee repaired with a bioabsorbable device. Su W, Hu Y, Zeng M, Li M, Lin S, Zhou Y, Xie J. J Orthop Surg Res. Cartilage is a connective tissue that covers the bones between joints. There were four boys and nine girls. Osteochondral lesions of the talus in a sports medicine clinic. Osteochondral lesions are relatively common in children and adolescents, and the incidence is increasing. Read "Treatment of osteochondral defects of the talus in children, Knee Surgery, Sports Traumatology, Arthroscopy" on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. This retrospective IRB-approved and HIPPA-compliant study included children with OLT, who underwent an ankle MRI examination between March 1, 2011, and May 31, 2018. This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL). It occurs when a small segment of bone begins to crack and separate from its surrounding region due to a lack of blood supply. A joint is where the ends of bones meet, such as your knee, ankle, or shoulder joint. Br J Radiol. Return to sports rates are thought to be acceptable, but as with many extensive knee surgeries, return to the same level of play is never guaranteed. Healing of the osteochondritis dissecans lesion should be monitored by routine follow-up imaging tests. The knee is the most common site of osteoarthritis (OA). Durch den hohen Erwartungsdruck steigt die Trainingsintensität und damit Verletzungen.… HHS what are the causes? In older people, the lesion typically appears as an area of osteosclerotic bone with a radiolucent line between the osteochondral defect and the epiphysis. Outcomes of osteochondral lesions of the knee repaired with a bioabsorbable device. Neglected Pediatric Osteochondral Fracture Dislocation of the Patella. The use of fairly large osteochondral plugs appears to correlate with retro-patellar crepitus and increased scintigraphic activity, and is not therefore recommended. The bone right underneath the cartilage will also be injured. 2012;2012:249687. Clin Sports Med. When there is a break, tear, separation, or disruption of the cartilage that could be referred to as an osteochondral lesion. 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