Document Detail


Osteochondritis dissecans of the medial femoral condyle associated with malformation of the menisci.
MedLine Citation:
PMID:  19292299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Osteochondritis dissecans is a form of osteochondrosis limited to the articular epiphysis and the relationship of osteochondritis dissecans and discoid lateral meniscus has been clearly identified. This article presents a 10-year-old boy with osteochondritis dissecans of the medial femoral condyle associated with hypoplastic medial and partial deficient lateral menisci. The patient presented with activity-related pain and intermittent swellings of his left knee for 2 months without any evidence of significant knee trauma. Magnetic resonance imaging revealed anomalous medial meniscus mimicking displaced bucket-handle tear and partially deficient lateral meniscus with osteochondritis dissecans at the lateral aspect of medial femoral condyle without any significant bone loss with a non-dislocated fragment. Arthroscopy of the knee revealed an incomplete separated osteochondral flap with partial discontinuity that was unstable on probing on the lateral aspect of the medial femoral condyle. The medial meniscus was hypoplastic without a body and only the meniscal rim could be seen. The lateral meniscus had an anomalous vertical insertion of the posterior horn, normal body, but an absent anterior horn. The anterior cruciate ligament was intact, but looked like a peacock's tail. Arthroscopic fixation of the chondral lesion was performed. At 30-months follow-up, the boy had no limitation in his daily and sports activity. The present case is the first description of congenital anomaly of the both menisci and osteochondritis dissecans together. Meniscal or ligamentous anomalies of the knee may be associated with osteochondritis dissecans.
Authors:
Tahsin Beyzadeoglu; Alper Gokce; Halil Bekler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Orthopedics     Volume:  31     ISSN:  0147-7447     ISO Abbreviation:  Orthopedics     Publication Date:  2008 May 
Date Detail:
Created Date:  2009-03-18     Completed Date:  2009-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  504     Citation Subset:  IM    
Affiliation:
Ethem Efendi Cad, Erenkoy Konutlari No:19/A-19 Erenkoy, Istanbul 34738, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Arthroplasty / methods*
Child
Femur / surgery*
Humans
Knee Joint / surgery*
Male
Menisci, Tibial / abnormalities*,  surgery*
Osteochondritis Dissecans / complications*,  surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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