Bilateral osteochondritis dissecans of the lateral femoral condyle following bilateral total removal of lateral discoid meniscus: a case report.
Osteochondritis dissecans (OCD) of the lateral femoral condyle sometimes occurs with a discoid lateral meniscus. Recently, it was reported that OCD of the lateral femoral condyle occurred after total removal of the lateral meniscus. We report the case of a 12-year-old boy with bilateral OCD of the lateral femoral condyle following bilateral total removal for discoid lateral meniscus. Valgus deviation of the knee after total removal and increased sporting activity might have concentrated excessive stress on the lateral condyles in the standing position. As a result, bilateral OCD might have occurred. Drilling of the areas of OCD on the bilateral lateral femoral condyles was done and the patient wore inner wedge arch supports postoperatively. After 2 years, neither knee pain nor arthrosis has occurred so far, but long-term follow-up of this patient is considered to be necessary.
Hashimoto
Yusuke
Y
Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan. hussy@med.osaka-cu.ac.jp
Yoshida
Gen
G
Tomihara
Tomohiro
T
Matsuura
Takeshi
T
Satake
Shinji
S
Kaneda
Kunikazu
K
Shimada
Nagakazu
N
D001182:Arthroscopy; D002648:Child; D006801:Humans; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery*; D019637:Orthopedic Procedures / Q000009:adverse effects; D010008:Osteochondritis Dissecans / Q000209:etiology / Q000601:surgery*