From Hippocrates to Hunter and at present, articular cartilage injury presents significant problems. Articular cartilage injury is the Achilles’ heel of the athlete. What can be done about this? First, the etiology of the pothole needs to be defined. Osteoarthritis, traumatic injuries, and osteochondritis dissecans are the big three. Better diagnostic and imaging techniques are now available to...

Two patients with osteochondritis dissecans of the hip were operated on and their case histories are presented. The relatively large foci were situated on the weight-bearing surface of the joint and the fragments were fixed using transplants of cortical bone. In both cases the focus healed, and the symptoms were relieved. At follow-up six and nine years later respectively, the clinical results ...

Title Autologous Osteochondral Mosaicplasty for Osteochondritis Dissecans of the Elbow in Teenage Athletes Author(s) Iwasaki, Norimasa; Kato, Hiroyuki; Ishikawa, Jyunichi; Masuko, Tatsuya; Funakoshi, Tadanao; Minami, Akio Citation The Journal of Bone and Joint Surgery, 91(10): 2359-2366 Issue Date 2009-10-01 DOI Doc URL http://hdl.handle.net/2115/48253 Right Copyright © 2009 The Journal of Bone...

Osteochondritis dissecans (OCD) of the humeral capitellum is a disorder affecting mainly boys between the ages of 12 and 15 years. The exact etiology of OCD is not clear, but it is believed that repetitive trauma is the primary cause. Genetic factors are thought to play a secondary role in the pathogenesis. We present 17-year-old identical twins with similar MRI and arthroscopic findings, sugge...

We present our arthroscopic technique for fixation of an unstable osteochondritis dissecans (OCD) lesion. This technique includes arthroscopic evaluation of cartilage and bone quality of the OCD fragment, hinging open the lesion, debridement of fibrous nonunion tissue, reducing the fragment, and obtaining multi-point compression screw fixation. This technique avoids the morbidity of an open art...

Osteochondritis dissecans (OCD) is a common joint disorder in knee, ankle and elbow, however it can be rarely found in glenohumeral joint. In this study, we report an asymptomatic case of humeral head OCD, which was detected incidentally following a trauma. X-rays showed an area of lucency around an oval bony fragment measuring about 1 cm on the superior aspect of the humeral head. However, the...