Osteochondritis dissecans of the knee: management case presentation A healthy, 13-year-old female presents with a 6 weeks history of anterior knee pain.
Osteochondritis dissecans of the knee: management case presentation A healthy, 13-year-old female presents with a 6 weeks history of anterior knee pain. The patient describes pain over the tibial tubercle region that worsens with running and jumping. It seems to be progressive and does seem to improve with rest and overnight.
She denies any locking, catching or instability. X-rays are ordered showing a 1 cm stable osteochondritis dissecans lesion over the medial femoral condyle. An MRI is subsequently ordered showing edema noted over the tibial tubercle consistent with Osgood-Schlatter disease.
The OCD lesion had a stable articular surface without any underlying edema or signs of instability. Which of the following is the most appropriate treatment? Operative management, internal fixation B.
Operative management, OATS procedure C. Operative management, tibial osteotomy D. Nonoperative management introduction Management of osteochondritis dissecans of the knee remains a controversial topic.
The most recent practice guidelines by the American Academy of Orthopaedic Surgeons (AAOS) was unable to make any recommendations graded as ‘strong’ regarding treatment. Treatment decisions are influenced on clinical symptoms, skeletal maturity and characteristics of the lesion (size, location and stability). Skeletal maturity and lesion stability are generally considered the most important information for clinical decision-making.
If you are experiencing symptoms that may be related to osteochondritis dissecans of the knee: management, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
Connect with a doctor, physical therapist, or imaging center near you.
Find a Provider Near You →