Osteochondritis Dissecans: Current Understanding of Epidemiology, Etiology, Management, and Outcomes.

ABSTRACT:

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Osteochondritis dissecans occurs most frequently in the active pediatric and young adult populations, commonly affecting the knee, elbow, or ankle, and may lead to premature osteoarthritis.

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While generally considered an idiopathic phenomenon, various etiopathogenetic theories are being investigated, including local ischemia, aberrant endochondral ossification of the secondary subarticular physis, repetitive microtrauma, and genetic predisposition.

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Diagnosis is based on the history, physical examination, radiography, and advanced imaging, with elbow ultrasonography and novel magnetic resonance imaging protocols potentially enabling early detection and in-depth staging.

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Treatment largely depends on skeletal maturity and lesion stability, defined by the pr

SUBMITTER: Chau MM 

PROVIDER: S-EPMC8272630 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature