Knee osteochondritis dissecans-treatment technical aspects.

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Abstract

Conflict of interest statement: I have following potential conflicts of interest to disclose. I am a member of the advisory board for Episurf Medical AB. I have been on the speaker's bureau for Arthrex during 2021. I am on the speaker's bureau for Anika I have consultancies for Xintela AB and for Finceramica during 2021. I am editor in chief of Journal CARTILAGE. 11. Diagnostics (Basel). 2024 Sep 1;14(17):1931. doi: 10.3390/diagnostics14171931. Juvenile Osteochondritis Dissecans: A Case Report. Nudelman H(1)(2), Lőrincz A(1)(2), Kassai T(3), Józsa G(1)(2). Author information: (1)Department of Thermophysiology, Institute for Translational Medicine, Medical School, University of Pécs, 12 Szigeti Street, 7624 Pécs, Hungary. (2)Division of Pediatric Surgery, Traumatology, Urology and Pediatric Otolaryngology, Department of Pediatrics, Medical School, University of Pécs, 7 József Attila Street, 7623 Pécs, Hungary. (3)Department of Pediatric Traumatology, Péterfy Hospital, Manninger Jenő National Trauma Center, 17 Fiumei Street, 1081 Budapest, Hungary. (1) Background: This report aims to illustrate the development, progression, diagnosis, and treatment of chronically present articular surface lesions. (2) Methods: In this report, two patients are described from the point of the initial presentation of symptoms to surgical consultation based on radiologic findings. These patients underwent corrective surgery in the form of mosaicplasty to repair lesions present on the articular surface and the underlying subchondral bone. (3) Discussion: Diagnosing juvenile OCD remains challenging due to its variable clinical presentation and minute radiologic discoveries. X-rays are useful; however, the gold standard remains arthroscopy, which can be both diagnostic and therapeutic. Future prospects include the use of novel sonographic methods and the use of artificial intelligence within the given modalities. (4) Conclusions: The detailed imaging provided by MRI, combined with the insights from X-rays and potentially other modalities, allows for a nuanced understanding of this disease. This comprehensive approach ensures that treatment decisions are well-informed, optimising outcomes for young patients with this condition. DOI: 10.3390/diagnostics14171931 PMCID: PMC11394152