2006, Number 1
Rev Mex Ortop Ped 2006; 8 (1)
Chaidez RP, Yáñez AA, Hernández SA
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ABSTRACTIntroduction: Osteochondritis Dissecans (OD), is an infrequent multifactorial degenerative process which is probably misdiagnosed with other knee entities. Objective: The purpose of this study is to describe the physical findings, treatment and outcome of the cases of Ostecochondritis Dissecans (OD) of the knee, in patients younger than 18 years, in a ten years period at Shriners Hospital for Children, México City Unit. Material and methods: A systematic review of all hospital records from 1995 to 2005 was made, searching for the diagnosis of OD of the knee. The following variables were investigated; age, sex, family history of OD, onset of symptoms, history of trauma, history of ischemia, side , anatomic site, treatment and outcome. Results: Ten cases were found in ten years, with an average age of 14 years, and a predominance of male patients; The left knee and the medial femoral condyle were affected more frequently; all cases were initially treated conservatively.. Half of the cases required some type of surgery. This study concluded that an accurate diagnosis and adequate management damage can be controlled and a good quality of life can be achieved.