title: Arthroscopic treatment of an osteochondral lesion in a child with chronic wrist pain: case report.
abstract: Osteochondral lesions of the wrist are rare in the pediatric and adolescent population. We report a case of an osteochondral lesion of the lunate facet of the radiocarpal joint in a 6-year-old girl with chronic wrist pain after falling on her hand. Arthroscopic debridement of the osteochondral fragment relieved the symptoms and improved wrist function. Osteochondral lesions should be considered in the differential diagnosis of chronic wrist pain in children with a history of trauma.
authors.affiliation: Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
authors.forename: Wayne A
authors.initials: WA
authors.lastname: Chen
authors.forename: L Andrew
authors.initials: LA
authors.lastname: Koman
authors.forename: Zhongyu
authors.initials: Z
authors.lastname: Li
mesh_terms: D000058:Accidental Falls; D018771:Arthralgia / Q000175:diagnosis* / Q000601:surgery; D001182:Arthroscopy / Q000379:methods; D002648:Child; D002908:Chronic Disease; D003646:Debridement / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012667:Lunate Bone / Q000473:pathology / Q000601:surgery; D010007:Osteochondritis / Q000175:diagnosis* / Q000601:surgery; D010147:Pain Measurement; D011859:Radiography; D018570:Risk Assessment; D012720:Severity of Illness Index; D013585:Synovitis / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery