Osteochondritis Dissecans.

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Abstract

Conflict of interest statement: Disclosure: Daniel Wood declares no relevant financial relationships with ineligible companies. Disclosure: Donald Davis declares no relevant financial relationships with ineligible companies. Disclosure: Kevin Carter declares no relevant financial relationships with ineligible companies. 2. Sports Med Arthrosc Rev. 2011 Mar;19(1):56-63. doi: 10.1097/JSA.0b013e31820b94b9. Juvenile osteochondritis dissecans. Polousky JD(1). Author information: (1)Rocky Mountain Youth Sports Medicine Institute, Rocky Mountain Hospital for Children, CO, USA. johnpolousky@msn.com Juvenile osteochondritis dissecans (JOCD) has been a recognized entity for more than 100 years. Despite our long recognition of OCD, the natural history and most effective therapies are poorly understood. Although conclusive evidence of an exact cause is lacking, there is widespread agreement that JOCD is related to repetitive trauma. Patients with JOCD present with vague pain and occasionally, mechanical symptoms. The diagnosis of JOCD can be confirmed on plain radiographs. Magnetic resonance imaging has emerged as the study of choice to evaluate the stability of the lesion and integrity of the overlying articular cartilage. Treatment decisions are based on the stability of the lesion. Stable JOCD lesions should be treated initially with activity modification and possibly, immobilization. Unstable lesions and stable lesions not responding to an initial course of nonoperative therapy should be surgically treated. Surgical treatment is based on the radiographic and arthroscopic characteristics of the lesion. Multiple techniques from simple arthroscopic drilling and fixation to salvage techniques for cartilage restoration are discussed. DOI: 10.1097/JSA.0b013e31820b94b9