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OSTEOCHONDRITIS DESSICANS

Rheumatology

OSTEOCHONDRITIS DESSICANS

1. Lesion of the underlying subchondral bone with/without involvement of the overlying cartilage. Commonly involve the medial femoral condyle.

2. Grade 1 - compression of subchondral trabeculae with preservation of the cartilage.

3. Grade 2 - incomplete detachment of an osteochondral fragment.

4. Grade 3 - complete avulsion of an osteochondral fragment without dislocation.

5. Grade 4 - complete avulsion of an osteochondral fragment with dislocation (loose body).

6. Surgical techniques can be palliative (arthroscopic debridement), reparative (microfracture), or restorative (autologous chondrocyte implantation, osteochondral graft).


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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