Healing OCD lesion medial femoral condyle

Case contributed by Dr Chris O'Donnell

Presentation

Chronic medial knee pain treated with reduced weight bearing and no sports

Patient Data

Age: 19
Gender: Male
Modality: MRI

Typical lesion of osteochondritis dissecans on the lateral aspect of the medial femoral condyle in September 2011.  Substantial oedema in the bone marrow of the medial femoral condyle especially deep to the dissecans fragment but no fluid tracking beneath the fragment to indicate separation (ie no features of instability).

Modality: MRI

 OCD lesion treated conservatively with almost complete healing in 9 months. Note overlying articular cartilage has always been intact.

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Case Information

rID: 18283
Case created: 26th Jun 2012
Last edited: 9th Nov 2015
Inclusion in quiz mode: Included

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