Improving Visualization of Osteochondritis Dissecans Using Delay-Multiply-and-Sum Reconstruction.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Conflict of interest S.W.O. has received an honorarium for speaking at the annual SIGN conference and receives royalties not related to this research from Acumed, LLC, Wright Medical Group, Inc. and DJO (Aircast Corp.). 17. J Clin Med. 2024 Jan 4;13(1):287. doi: 10.3390/jcm13010287. A Comparative Analysis of Osteochondritis Dissecans and Avascular Necrosis: A Comprehensive Review. Konarski W(1), Poboży T(1), Konarska K(2), Śliwczyński A(3), Kotela I(4), Krakowiak J(3). Author information: (1)Department of Orthopaedic Surgery, Ciechanów Hospital, 06-400 Ciechanów, Poland. (2)Medical Rehabilitation Center, Sobieskiego 47D, 05-120 Legionowo, Poland. (3)Social Medicine Institute, Department of Social and Preventive Medicine, Medical University of Lodz, 90-647 Lodz, Poland. (4)Department of Orthopedic Surgery and Traumatology, Central Research Hospital of Ministry of Interior, Wołoska 137, 02-507 Warsaw, Poland. Musculoskeletal disorders, standing as the fifth leading cause of disability-adjusted life years globally, present significant challenges in orthopedics. Osteochondritis dissecans (OCD) and avascular necrosis (AVN) are distinct but closely related conditions within this spectrum, impacting patients' quality of life with pain, limited mobility, and dysfunction. OCD, involving cartilage and bone detachment in joints, predominantly affects young athletes, but its exact etiology and optimal management remain subjects of ongoing research. Conversely, AVN, marked by bone tissue death due to compromised blood supply, is linked to systemic factors like corticosteroid use and traumatic injuries. Diagnosis for both conditions relies on radiography and magnetic resonance imaging. Conservative treatment for AVN includes the use of a cane or crutches, pharmacological therapy, or physical therapy. On the other hand, in OCD, the primary approach is activity/sports restriction. Surgical treatment options for AVN patients encompass core decompression, bone grafting, or, in the most advanced cases, total hip arthroplasty. OCD may be surgically treated through subchondral drilling or fixation of unstable lesions. Advanced cases of OCD involve cartilage salvage with resurfacing techniques. The presentation of differences between these conditions enhances our understanding, facilitating improved diagnosis and management strategies. DOI: 10.3390/jcm13010287 PMCID: PMC10780049