Osteochondritis dissecans occurring in the patella and medial femoral condyle in the same knee

Alper Kaya; Berk Guclu; Dogac Karaguven; Ismet Benli; Omur Ataoglu

Research Article

Osteochondritis dissecans occurring in the patella and medial femoral condyle in the same knee

Year 2009, Volume: 43 Issue: 1, 72 - 76, 16.03.2009

Alper Kaya Berk Guclu Dogac Karaguven Ismet Benli Omur Ataoglu

Abstract

Osteochondritis dissecans (OCD) is a condition in which a portion of articular cartilage separates from the bone together with the underlying subchondral bone. Its classical localization is the medial femoral condyle. We presented a 14-year-old boy who had OCD lesions in both the medial femoral condyle and patella in the same knee joint. He presented with complaints of pain, swelling, and locking following sports activities. Magnetic resonance imaging showed completely detached loose bodies causing instability. Arthroscopic treatment was performed including in situ fixation of the condylar lesion and debridement of patellar lesions. At six-month follow-up, he had full range of motion of the knee joint, with some pain in the patellar grind test.

Keywords

Arthroscopy, debridement, knee joint/surgery, osteochondritis dissecans/surgery, patella/surgery

Aynı dizde patella ve medial femoral kondilde görülen osteokondritis dissekans

Year 2009, Volume: 43 Issue: 1, 72 - 76, 16.03.2009

Alper Kaya Berk Guclu Dogac Karaguven Ismet Benli Omur Ataoglu

Abstract

Osteokondritis dissekans (OKD) eklem kıkırdağının, altındaki subkondral kemikle birlikte kemikten ayrıldığı bir durumdur. Klasik yerleşimi medial femoral kondildir. Bu yazıda, aynı dizde hem medial femoral kondilde hem de patellada OKD tanısı konan 14 yaşında bir erkek hasta sunuldu. Hasta, spor yaptıktan sonra sol dizinde ortaya çıkan ağrı, şişlik ve takılma şikayetleriyle başvurdu. Manyetik rezonans görüntülemede patelladaki lezyonun parçalı olduğu ve tam ayrıldığı, instabiliteye neden olduğu görülerek artroskopik cerrahi tedavi planlandı. Kondiler lezyona in situ tespit, patelladaki lezyona ise debridman uygulandı. Altıncı ay kontrolünde hastanın eklem hareket açıklığı tam idi, patellar öğütme testi ile bir miktar ağrı olduğu görüldü.

Keywords

Artroskopi; debridman; diz eklemi/cerrahi; osteokondritis dissekans/cerrahi; patella/cerrahi.

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Details

Primary Language	English
Subjects	Health Care Administration
Journal Section	Case Report
Authors	Alper Kaya This is me Berk Guclu This is me Dogac Karaguven This is me Ismet Benli This is me Omur Ataoglu This is me
Publication Date	March 16, 2009
Published in Issue	Year 2009 Volume: 43 Issue: 1

Cite

APA	Kaya, A., Guclu, B., Karaguven, D., Benli, I., et al. (2009). Osteochondritis dissecans occurring in the patella and medial femoral condyle in the same knee. Acta Orthopaedica Et Traumatologica Turcica, 43(1), 72-76.
AMA	Kaya A, Guclu B, Karaguven D, Benli I, Ataoglu O. Osteochondritis dissecans occurring in the patella and medial femoral condyle in the same knee. Acta Orthopaedica et Traumatologica Turcica. March 2009;43(1):72-76.
Chicago	Kaya, Alper, Berk Guclu, Dogac Karaguven, Ismet Benli, and Omur Ataoglu. “Osteochondritis Dissecans Occurring in the Patella and Medial Femoral Condyle in the Same Knee”. Acta Orthopaedica Et Traumatologica Turcica 43, no. 1 (March 2009): 72-76.
EndNote	Kaya A, Guclu B, Karaguven D, Benli I, Ataoglu O (March 1, 2009) Osteochondritis dissecans occurring in the patella and medial femoral condyle in the same knee. Acta Orthopaedica et Traumatologica Turcica 43 1 72–76.
IEEE	A. Kaya, B. Guclu, D. Karaguven, I. Benli, and O. Ataoglu, “Osteochondritis dissecans occurring in the patella and medial femoral condyle in the same knee”, Acta Orthopaedica et Traumatologica Turcica, vol. 43, no. 1, pp. 72–76, 2009.
ISNAD	Kaya, Alper et al. “Osteochondritis Dissecans Occurring in the Patella and Medial Femoral Condyle in the Same Knee”. Acta Orthopaedica et Traumatologica Turcica 43/1 (March 2009), 72-76.
JAMA	Kaya A, Guclu B, Karaguven D, Benli I, Ataoglu O. Osteochondritis dissecans occurring in the patella and medial femoral condyle in the same knee. Acta Orthopaedica et Traumatologica Turcica. 2009;43:72–76.
MLA	Kaya, Alper et al. “Osteochondritis Dissecans Occurring in the Patella and Medial Femoral Condyle in the Same Knee”. Acta Orthopaedica Et Traumatologica Turcica, vol. 43, no. 1, 2009, pp. 72-76.
Vancouver	Kaya A, Guclu B, Karaguven D, Benli I, Ataoglu O. Osteochondritis dissecans occurring in the patella and medial femoral condyle in the same knee. Acta Orthopaedica et Traumatologica Turcica. 2009;43(1):72-6.