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Management of bilateral osteochondritis dissecans of the trochlea in a skeletally immature patient
  1. Elizabeth A Eichman1,
  2. Benjamin T Harris2 and
  3. M Tyrrell Burrus3
  1. 1School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  2. 2College of Osteopathic Medicine, University of New England College of Osteopathic Medicine, Biddeford, Maine, USA
  3. 3Orthopedic Surgery, Orthopedic Associates of Central Texas, Austin, Texas, USA
  1. Correspondence to Benjamin T Harris; bharris12{at}une.edu

Abstract

Osteochondritis dissecans (OCD) lesions are injuries that occur more commonly in the skeletally immature population. In most cases, the aetiology is not well understood, but fortunately, many OCD lesions may heal on their own over time, particularly in skeletally immature patients with open physes. Conversely, if the lesion is considered unstable, surgical intervention may be required. This case demonstrates an especially rare presentation of bilateral OCD lesions within the lateral femoral trochlear facet. The lesions became symptomatic approximately 1 year apart without a specific injury. Non-operative treatment was not recommended in either case due to the size and instability of each lesion. The surgical treatment used an augmented microfracture technique. At 12 and 23 months after surgery, both knees remain asymptomatic and the patient has returned to their desired activities.

  • orthopaedic and trauma surgery
  • knee injuries

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Footnotes

  • Contributors MTB MD provided patient data and intraoperative imaging as well as critical revision of the manuscript. EAE drafted the manuscript. BTH contributed to critical revision of the manuscript. All authors discussed the material and contributed to the final version manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.