Juvenile osteochondritis dissecans

Case contributed by Raad Al Tahat , 21 Jun 2021
Diagnosis certain
Changed by Calum Worsley, 26 Nov 2021

Updates to Case Attributes

Body was changed:

Juvenile osteochondritis dissecans is a disease occurs occurs in pediatric and adolescenceadolescent age groups before the closure of growth plateplates. Many etiologies are hypothesized such as genetic causes, repetitive trauma, inflammation and ischemia. Knee is the commonest site, particularly the posterolateral aspect of the medial femoral condyle. Bilateral involvement is common.

  • -<p>Juvenile <a title="Osteochondritis dissecans of the knee" href="/articles/osteochondritis-dissecans-of-the-knee">osteochondritis dissecans</a> is a disease occurs in pediatric and adolescence age groups before the closure of growth plate. Many etiologies are hypothesized such as genetic causes, repetitive trauma, inflammation and ischemia. Knee is the commonest site, particularly the posterolateral aspect of medial femoral condyle. Bilateral involvement is common.</p><p> </p>
  • +<p>Juvenile <a href="/articles/osteochondritis-dissecans-of-the-knee">osteochondritis dissecans</a> occurs in pediatric and adolescent age groups before the closure of growth plates. Many etiologies are hypothesized such as genetic causes, repetitive trauma, inflammation and ischemia. Knee is the commonest site, particularly the posterolateral aspect of the medial femoral condyle. Bilateral involvement is common.</p><p> </p>

References changed:

  • 1. Masquijo J & Kothari A. Juvenile Osteochondritis Dissecans (JOCD) of the Knee: Current Concepts Review. EFORT Open Rev. 2019;4(5):201-12. <a href="https://doi.org/10.1302/2058-5241.4.180079">doi:10.1302/2058-5241.4.180079</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/31191988">Pubmed</a>
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6541052/

Updates to Study Attributes

Findings was changed:

There is a large crater (osteochondral defect) seen in the medial femoral condyle filled by joint effusion associated with subchondral cystic changes as well as focal bone marrow edema.

Osteochondral fragment seen in the intercondylar area just anterior to ACL root.

Large amount of joint effusion reaching the suprapatellar bursa.

Features are consistent with Juvenile osteochondritis dissecans (OCD).

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