Osteochondritis dissecans of the lateral femoral condyle in the adult
In osteochondritis dissecans, 15% of the lesions occur in the lateral condyle. In order to understand the significance of these lesions, 27 were studied prospectively from 1983 to 1990 and compared with 20 consecutive cases of lesions of the medial femoral condyle. Lesions of the lateral femoral con...
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| Veröffentlicht in: | Arthroscopy 1992, Vol.8 (4), p.474-481 |
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| creator | Garrett, John C. Kress, Kenneth J. Mudano, Mark |
| description | In osteochondritis dissecans, 15% of the lesions occur in the lateral condyle. In order to understand the significance of these lesions, 27 were studied prospectively from 1983 to 1990 and compared with 20 consecutive cases of lesions of the medial femoral condyle. Lesions of the lateral femoral condyle were larger, and often comprised the entire width of a condyle and resulted in deformation of a significant segment of the femoral condyle. They lay further posteriorly and commonly were associated with mechanical symptoms including buckling or locking. A discernible clunk was unique to these lesions. In addition, lateral lesions were more fragile, often having multiple bony islands that were prone to fragmentation, making replacement difficult if not impossible. Lateral lesions occurred directly within the main force-bearing areas of the condyle, disrupting normal contact areas and possibly leading to more rapid joint deterioration once segments are lost. This has prompted concern for reinsertion of articular fragments or reconstruction with osteochondral allografts. |
| doi_str_mv | 10.1016/0749-8063(92)90011-Y |
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In order to understand the significance of these lesions, 27 were studied prospectively from 1983 to 1990 and compared with 20 consecutive cases of lesions of the medial femoral condyle. Lesions of the lateral femoral condyle were larger, and often comprised the entire width of a condyle and resulted in deformation of a significant segment of the femoral condyle. They lay further posteriorly and commonly were associated with mechanical symptoms including buckling or locking. A discernible clunk was unique to these lesions. In addition, lateral lesions were more fragile, often having multiple bony islands that were prone to fragmentation, making replacement difficult if not impossible. Lateral lesions occurred directly within the main force-bearing areas of the condyle, disrupting normal contact areas and possibly leading to more rapid joint deterioration once segments are lost. 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In order to understand the significance of these lesions, 27 were studied prospectively from 1983 to 1990 and compared with 20 consecutive cases of lesions of the medial femoral condyle. Lesions of the lateral femoral condyle were larger, and often comprised the entire width of a condyle and resulted in deformation of a significant segment of the femoral condyle. They lay further posteriorly and commonly were associated with mechanical symptoms including buckling or locking. A discernible clunk was unique to these lesions. In addition, lateral lesions were more fragile, often having multiple bony islands that were prone to fragmentation, making replacement difficult if not impossible. Lateral lesions occurred directly within the main force-bearing areas of the condyle, disrupting normal contact areas and possibly leading to more rapid joint deterioration once segments are lost. This has prompted concern for reinsertion of articular fragments or reconstruction with osteochondral allografts.</description><subject>Abrasion arthroplasty</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Arthritis</subject><subject>Arthroscopy</subject><subject>Avascular necrosis</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Bone Transplantation</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Femur - diagnostic imaging</subject><subject>Femur - pathology</subject><subject>Humans</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - pathology</subject><subject>Loose body</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Osteochondral allograft</subject><subject>Osteochondritis dissecans</subject><subject>Osteochondritis Dissecans - diagnostic imaging</subject><subject>Osteochondritis Dissecans - pathology</subject><subject>Osteochondritis Dissecans - surgery</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Vascular bone diseases</subject><issn>0749-8063</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9LwzAUx4Moc07_A4UeRPRQTZo0bS6CjPkDBrvoYaeQJq8s0jaatML-e9t1zJund_h-vo_3PghdEnxPMOEPOGMizjGntyK5ExgTEq-P0JSkCY9pQskxmh6QU3QWwifGmNKcTtCEMM4znE_RYhVacHrjGuNta0NkbAigVRMiV0btBqJKteBVFZVQu2HqHt1WENlmFyvTVe05OilVFeBiP2fo43nxPn-Nl6uXt_nTMtY0521sGBFY5HnBCiNKzhLgCpggTFGis1RjUtAi14ylRpW8xAUIrhiHTEGhE2XoDN2Me7-8--4gtLK2QUNVqQZcF2RGKeufTHuQjaD2LgQPpfzytlZ-KwmWgz05qJGDGikSubMn133tar-_K2owf6VRV59f73MVtKpKrxptwwFjjIosFz32OGLQu_ix4GXQFhoNxnrQrTTO_n_HLzqbi9g</recordid><startdate>1992</startdate><enddate>1992</enddate><creator>Garrett, John C.</creator><creator>Kress, Kenneth J.</creator><creator>Mudano, Mark</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1992</creationdate><title>Osteochondritis dissecans of the lateral femoral condyle in the adult</title><author>Garrett, John C. ; Kress, Kenneth J. ; Mudano, Mark</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-d4190988b4bd9f642e6ae4914a31c75c01b3b8c445daf6f0be96a46e7aebc2ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Abrasion arthroplasty</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Arthritis</topic><topic>Arthroscopy</topic><topic>Avascular necrosis</topic><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Bone Transplantation</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Femur - diagnostic imaging</topic><topic>Femur - pathology</topic><topic>Humans</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - pathology</topic><topic>Loose body</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Osteochondral allograft</topic><topic>Osteochondritis dissecans</topic><topic>Osteochondritis Dissecans - diagnostic imaging</topic><topic>Osteochondritis Dissecans - pathology</topic><topic>Osteochondritis Dissecans - surgery</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Vascular bone diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garrett, John C.</creatorcontrib><creatorcontrib>Kress, Kenneth J.</creatorcontrib><creatorcontrib>Mudano, Mark</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garrett, John C.</au><au>Kress, Kenneth J.</au><au>Mudano, Mark</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Osteochondritis dissecans of the lateral femoral condyle in the adult</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>1992</date><risdate>1992</risdate><volume>8</volume><issue>4</issue><spage>474</spage><epage>481</epage><pages>474-481</pages><issn>0749-8063</issn><eissn>1526-3231</eissn><coden>ARTHE3</coden><abstract>In osteochondritis dissecans, 15% of the lesions occur in the lateral condyle. In order to understand the significance of these lesions, 27 were studied prospectively from 1983 to 1990 and compared with 20 consecutive cases of lesions of the medial femoral condyle. Lesions of the lateral femoral condyle were larger, and often comprised the entire width of a condyle and resulted in deformation of a significant segment of the femoral condyle. They lay further posteriorly and commonly were associated with mechanical symptoms including buckling or locking. A discernible clunk was unique to these lesions. In addition, lateral lesions were more fragile, often having multiple bony islands that were prone to fragmentation, making replacement difficult if not impossible. Lateral lesions occurred directly within the main force-bearing areas of the condyle, disrupting normal contact areas and possibly leading to more rapid joint deterioration once segments are lost. This has prompted concern for reinsertion of articular fragments or reconstruction with osteochondral allografts.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>1466708</pmid><doi>10.1016/0749-8063(92)90011-Y</doi><tpages>8</tpages></addata></record> |
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| ispartof | Arthroscopy, 1992, Vol.8 (4), p.474-481 |
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| language | eng |
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| subjects | Abrasion arthroplasty Adolescent Adult Arthritis Arthroscopy Avascular necrosis Biological and medical sciences Biomechanical Phenomena Bone Transplantation Diseases of the osteoarticular system Female Femur - diagnostic imaging Femur - pathology Humans Knee Joint - diagnostic imaging Knee Joint - pathology Loose body Male Medical sciences Middle Aged Osteochondral allograft Osteochondritis dissecans Osteochondritis Dissecans - diagnostic imaging Osteochondritis Dissecans - pathology Osteochondritis Dissecans - surgery Prospective Studies Radiography Vascular bone diseases |
| title | Osteochondritis dissecans of the lateral femoral condyle in the adult |
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