Juvenile osteochondritis dissecans

Discussion:

This case highlights a relatively asymptomatic patient with a large osteochondral defect. The DESS sequence is helpful to confirm cartillage integrity and allows the orthopedic surgical team to make plans for micro-drilling of the lesion.

If the cartillage is fissured or there is evidence of loosening (fluid behind the lesion), disolvable plastic screws can be used to hold the fragment in place while it heals.

It is important to treat these patients to ensure the OCD doesn't delaminate.

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