ArticleOrthopedic reviews2022
An update on osteochondritis dissecans of the knee.
Article in Orthopedic reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Management and Outcomes of Osteochondritis Dissecans of the Knee in the Pediatric and Adolescent Population.Current reviews in musculoskeletal medicine · 2026Review
- Optimizing surgical strategies for osteochondritis dissecans: integrating biological and mechanical enhancements across ICRS grades.Journal of orthopaedic surgery and research · 2026Article
- Arthroscopic Reduction and Internal Fixation of Detached Osteochondritis Dissecans Lesions Using Bioabsorbable Screws and Fibrin Glue.Arthroscopy techniques · 2025Article
- Sport-Specific Risks of Osteochondritis Dissecans Across Athletic Disciplines: A Narrative Review.Healthcare (Basel, Switzerland) · 2025Review
- Article
- Detriment of subchondral plate violation in antegrade osteochondral procedures-lessons and future direction.Annals of joint · 2025Review
- Understanding Osteochondritis Dissecans: A Narrative Review of the Disease Commonly Affecting Children and Adolescents.Children (Basel, Switzerland) · 2024Review
- Management of Juvenile Osteochondral Fractures Utilising Absorbable PLGA Implants.Journal of clinical medicine · 2024Article
- A Comparative Analysis of Osteochondritis Dissecans and Avascular Necrosis: A Comprehensive Review.Journal of clinical medicine · 2024Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Osteochondritis dissecans of the knee (OCD) is a multifactorial pathology in where repetitive microtrauma plays a central role in the etiopathogenesis. Knee MRI is indicated in young, active patients who have knee pain and/or effusion, to make an early diagnosis and decide about treatment, according essentially to the MRI stability signs. The choice of treatment should be also tailored, based on the patient's skeletal maturity, as well as the size and location of the lesion. Conservative treatment with restricting sports activities is the first line treatment and often sufficient to ensure healing in patients with open physes. Surgical treatment depends on the persistence of symptoms after 6 months of conservative treatment and/or based on the development of signs of instability of the lesion. Stable lesions with intact articular cartilage may be treated by drilling of the subchondral bone aiming to stimulate vascular ingrowth and subchondral bone healing. Every attempt should be made to retain the osteochondral fragment when possible. Instable lesions should be fixed or "replaced" with salvage procedures to prevent the onset of early osteoarthritis in this young population. Furthers studies are needed to improve the knowledge and optimizing non-operative and surgical treatment and to develop noninvasive diagnostic tools to predict with more accuracy the fragment's stability.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.