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The Journal of Bone and Joint Surgery 78:439-56 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

Current Concept Review - Osteochondritis Dissecans*

ROBERT C. SCHENCK, JR., M.D.{dagger} and JON MARC GOODNIGHT, M.D.{dagger}, SAN ANTONIO, TEXAS

*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Osteochondritis dissecans is a localized injury or condition affecting an articular surface that involves separation of a segment of cartilage and subchondral bone. It is found primarily in the ankle, knee, and elbow joints. Although relatively infrequent, osteochondritis dissecans has been reported extensively in the orthopaedic literature. Various theories about its etiology have been proposed, but none has been accepted universally or has adequately explained its occurrence; however, the lesion is probably caused by factors that vary depending on the specific joint involved and on the specific site within that joint. The treatment of osteochondritis dissecans has evolved from the removal of loose bodies, first reported more than 150 years ago108, to the resurfacing of defects with an osteochondral autogenous graft158. The results of current treatment are still not uniformly successful.

Osteochondritis dissecans has been confused with other abnormalities of the joint surface, and therefore the orthopaedic literature . . . [Full Text of this Article]


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