Osteochondritis Dissecans
DOI:
https://doi.org/10.53089/medula.v10i1.50Keywords:
Knee disfunction, osteochondral splitting, osteochondral graftingAbstract
Osteochodritis dissecans (OCD) is a focal change in the subcondral bone. This alteration results in either partial or complete osteochondral fragmentation. OCD usually suffered by athletes (children, adolescents, or adults). Osteochondritis dissecans is source of pain and knee dysfunction during adolescent growth. It need to detected early to avoid secondary osteoarthritis.
It most commonly occurs in the knee (75%), elbows (5%), and ankles (4%). Total incidence of OCD in the distal femur is 6,09 per 100.000 people per year. Male’s incidence (8,82-10 per 100.000) is higher than women’s (3,32- 4,04 per 100.000). Juvenile type knee OCD usually occurs at age 11,3-13,4 years. The average age on adult OCD is 17- 36 years. The pathogenesis of OCD is still not fully understood. Impact injuries can cause edema or bleeding in the subarticular bone. Local ischemic arises due to capillaries squeezing or thrombus formation. In certain circumstances, osteochondral fractures or fragmentation can occur. OCD can be treated both nonoperatively and operatively.
References
Douglas MA, Patricia DN, Jefferson K, editor. Dorland’s Illustrated Medical Dictionary. Edisi ke-32. Philadelphia: Elsevier Saunders. 2012
Grant C. Osteochondritis Dissecans [Internet]. USA: Medscape; 2018 [Disitasi pada 28 Mei 2019]. Tersedia pada situs: https://emedicine.medscape.com/
Elena G, Cristina M, Francesca P, Laura G, Elizaveta K, Giuseppe F, dkk. Clinical and Biological Signature of Osteochondritis Dissecans in a Cross-Sectional Study.BioMed Research International. 2018; 2018: 1-9
Akbar B WR, Jasvir SK, editor. Diagnostic Imaging of Musculoskeletal Diseases a Systematic Approach. New York: Springer. 2010
Giacomo Z, Giovanni DV, Matte O. Osteochondritis dissecans of the knee. Joints. 2014; 2(1): 29-36
Ayoosh P, Thomas L, Isabella TW, Dirk RL, Daniel BF, Aaron JK. Incidence of Symptomatic Osteochondritis Dissecans Lesions of the Knee: A Population-Based Study in Olmsted County. Osteoarthritis Cartilage. 2017; 25(10): 1663–71
Karadsheh M. Osteochondritis Dissecans [Internet]. USA: Orthobullets; 2019 [Disitasi pada 19 Juni 2019]. Tersedia pada situs: www.orthobullets.com
Matthew JS, Jan S. Osteochondral Lesions of the Talus [Internet]. USA: Orthobullets; 2019 [Disitasi pada 19 Juni 2019]. Tersedia pada situs: www.orthobullets.com
Yuranga W, Frank G. Osteochondritis dissecans [Internet]. USA: Radiopedia; 2019 [Disitasi pada 20 Juni 2019]. Tersedia pada situs: https://radiopaedia.org
Ashley WB, Michael RW, editor. Apley and Solomon’s System of Orthopaedics and Trauma. Edisi ke-10. USA: CRC Press. 2018 11.Zaremski JL, Herman DC, Vincent, Kevin R. Clinical Utility of Wilson Test for Osteochondral Lesions at the Knee.Current Sports Medicine Reports. 2015; 14(6): 430
Richard Y, Bryan L. Osteochondritis Dissecans of Elbow Talus [Internet]. USA: Orthobullets; 2019 [Disitasi pada 19 Juni 2019]. Tersedia di: www.orthobullets.com
Sharon S, Tamantha A, Saima A, Sarah C, Andrea S. Osteochondritis Dissecans [Internet]. Texas: UTMB Health Pediatric; 2019 [isitasi pada 19 Juni 2019]. Tersedia di: www.utmb.edu
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