title: Osteochondritis Dissecans of the Knee in Children and Adolescents: Our Experience with Transchondral Drilling.
abstract: Osteochondritis dissecans(OCD) of the knee is identified with increasing frequency in the adolescent patient. Left untreated, OCD can cause significant impairment and restriction in physical activity and development of osteoarthritis at an early age. The diagnosis of lesions of OCD can be confirmed on plain radiographs. MRI has emerged as the gold standard to evaluate the stability of the lesion and the integrity of the overlying articular cartilage. Treatment of OCD lesions depend on the stability of the lesion. Stable lesions can be treated conservatively by physical activity modification and immobilization. Unstable lesions and stable lesions not responding to conservative measures should be treated surgically. Surgical options range from arthroscopic drilling, either transarticular or extra-articular drilling for stable lesions or salvage procedures such as autologous chondrocyte transplantation (ACT), mosaicplasty to restore joint and cartilage congruency.
authors.affiliation: Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Czech Republic: Department of Orthopedic Surgery. haroun.shaikh@fnhk.cz.
authors.forename: Hasour Hassan
authors.initials: HH
authors.lastname: Shaikh
authors.affiliation: Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Czech Republic: Department of Orthopedic Surgery.
authors.forename: Jan
authors.initials: J
authors.lastname: Vícha
authors.affiliation: Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Czech Republic: Department of Orthopedic Surgery.
authors.forename: Tomáš
authors.initials: T
authors.lastname: Proček
authors.affiliation: Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Czech Republic: Department of Orthopedic Surgery.
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Pavlata
authors.affiliation: Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Czech Republic: Department of Orthopedic Surgery.
authors.forename: Tomáš
authors.initials: T
authors.lastname: Kučera
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D007719:Knee Joint; D008297:Male; D010008:Osteochondritis Dissecans / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Juvenile OCD; Knee joint; Osteochondritis dissecans; Transarticular drilling