Top

Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-02-2013 | Knee

Osteochondritis dissecans development after bone contusion of the knee in the skeletally immature: a case series

Authors: Kevin G. Shea, John C. Jacobs Jr., Nathan L. Grimm, Ronald P. Pfeiffer

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2013

Abstract

Osteochondritis dissecans (OCD) is thought to be an acquired osteochondral disorder, and its aetiology may be multifactorial. Trauma, both acute and repetitive events, has previously been proposed as a potential cause for OCD development. We present two cases of skeletally immature boys who developed a symptomatic OCD lesion following a femoral condyle bone contusion. These cases suggest that an acute traumatic event may lead to the development of OCD of the knee.

Adachi N, Deie M, Nakamae A, Ishikawa M, Motoyama M, Ochi M (2009) Functional and radiographic outcome of stable juvenile osteochondritis dissecans of the knee treated with retroarticular drilling without bone grafting. Arthroscopy 25(2):145–152PubMedCrossRef

Boughanem J, Riaz R, Patel RM, Sarwark JF (2011) Functional and radiographic outcomes of juvenile osteochondritis dissecans of the knee treated with extra-articular retrograde drilling. Am J Sports Med 39(10):2212–2217PubMedCrossRef

Chambers HG, Shea KG, Carey JL (2011) AAOS Clinical Practice Guideline: diagnosis and treatment of osteochondritis dissecans. J Am Acad Orthop Surg 19(5):307–309

Conway FM (1937) Osteochondritis dissecans. Description of the stages of the condition and its probable traumatic etiology. Am J Surg 38:691–699CrossRef

Crawford DC, Safran MR (2006) Osteochondritis dissecans of the knee. J Am Acad Orthop Surg 14(2):90–100PubMed

Detterline AJ, Goldstein JL, Rue JP, Bach BR Jr (2008) Evaluation and treatment of osteochondritis dissecans lesions of the knee. J Knee Surg 21(2):106–115PubMed

Fairbank HA (1933) Osteo-chondritis dissecans. Br J Surg 21(81):67–82CrossRef

Flynn JM, Kocher MS, Ganley TJ (2004) Osteochondritis dissecans of the knee. J Pediatr Orthop 24(4):434–443PubMedCrossRef

Geeslin AG, LaPrade RF (2010) Location of bone bruises and other osseous injuries associated with acute grade III isolated and combined posterolateral knee injuries. Am J Sports Med 38(12):2502–2508PubMedCrossRef

10.

Green JP (1966) Osteochondritis dissecans of the knee. J Bone Jt Surg Br 48(1):82–91

11.

Hefti F, Beguiristain J, Krauspe R, Moller-Madsen B, Riccio V, Tschauner C, Wetzel R, Zeller R (1999) Osteochondritis dissecans: a multicenter study of the European Pediatric Orthopedic Society. J Pediatr Orthop B 8(4):231–245PubMed

12.

Hughes JA, Cook JV, Churchill MA, Warren ME (2003) Juvenile osteochondritis dissecans: a 5-year review of the natural history using clinical and MRI evaluation. Pediatr Radiol 33(6):410–417PubMed

13.

Kocher MS, Tucker R, Ganley TJ, Flynn JM (2006) Management of osteochondritis dissecans of the knee: current concepts review. Am J Sports Med 34(7):1181–1191PubMedCrossRef

14.

Krappel FA, Bauer E, Harland U (2005) Are bone bruises a possible cause of osteochondritis dissecans of the capitellum? A case report and review of the literature. Arch Orthop Trauma Surg 125(8):545–549CrossRef

15.

Miller MD, Osborne JR, Gordon WT, Hinkin DT, Brinker MR (1998) The natural history of bone bruises. A prospective study of magnetic resonance imaging-detected trabecular microfractures in patients with isolated medial collateral ligament injuries. Am J Sports Med 26(1):15–19PubMed

16.

Paakkala A, Sillanpaa P, Huhtala H, Paakkala T, Maenpaa H (2010) Bone bruise in acute traumatic patellar dislocation: volumetric magnetic resonance imaging analysis with follow-up mean of 12 months. Skeletal Radiol 39(7):675–682PubMedCrossRef

17.

Sales de Gauzy J, Mansat C, Darodes PH, Cahuzac JP (1999) Natural course of osteochondritis dissecans in children. J Pediatr Orthop B 8(1):26–28PubMed

18.

Shea KG, Grimm NL, Laor T, Wall E (2011) Bone bruises and meniscal tears on MRI in skeletally immature children with tibial eminence fractures. J Pediatr Orthop 31(2):150–152PubMedCrossRef

19.

Tei K, Kubo S, Matsumoto T, Matsushita T, Matsumoto A, Kurosaka M, Kuroda R (2012) Combined osteochondral fracture of the posterolateral tibial plateau and Segond fracture with anterior cruciate ligament injury in a skeletally immature patient. Knee Surg Sports Traumatol Arthrosc 20(2):252–255PubMedCrossRef

20.

Uozumi H, Sugita T, Aizawa T, Takahashi A, Ohnuma M, Itoi E (2009) Histologic findings and possible causes of osteochondritis dissecans of the knee. Am J Sports Med 37(10):2003–2008PubMedCrossRef

21.

Viskontas DG, Giuffre BM, Duggal N, Graham D, Parker D, Coolican M (2008) Bone bruises associated with ACL rupture: correlation with injury mechanism. Am J Sports Med 36(5):927–933PubMedCrossRef

22.

Wagoner G, Cohn BNE (1931) Osteochondritis dissecans. A resume of the theories of etiology and the consideration of heredity as an etiologic factor. Arch Surg 23:1–24CrossRef

23.

Wall EJ, Vourazeris J, Myer GD, Emery KH, Divine JG, Nick TG, Hewett TE (2008) The healing potential of stable juvenile osteochondritis dissecans knee lesions. J Bone Jt Surg Am 90(12):2655–2664CrossRef

24.

Yonetani Y, Nakamura N, Natsuume T, Shiozaki Y, Tanaka Y, Horibe S (2010) Histological evaluation of juvenile osteochondritis dissecans of the knee: a case series. Knee Surg Sports Traumatol Arthrosc 18(6):723–730PubMedCrossRef

Title: Osteochondritis dissecans development after bone contusion of the knee in the skeletally immature: a case series
Authors: Kevin G. Shea
John C. Jacobs Jr.
Nathan L. Grimm
Ronald P. Pfeiffer
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-1983-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Osteochondritis dissecans development after bone contusion of the knee in the skeletally immature: a case series

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2013

Anatomic study of the attachment of the medial patellofemoral ligament and its characteristic relationships to the vastus intermedius

Close-looped graft suturing improves mechanical properties of interference screw fixation in ACL reconstruction

Spontaneous osteonecrosis of the knee (SONK)

Relationship between the extent of labral lesions and the frequency of glenohumeral dislocation in shoulder instability

MR imaging of anterior knee pain: a pictorial essay

The effects of Low-intensity Pulsed Ultrasound on tendon-bone healing in a transosseous-equivalent sheep rotator cuff model