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KMID : 0359420050230010083
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Korean Journal of Sports Medicine
2005 Volume.23 No. 1 p.83 ~ p.88
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Osteochondritis Dissecans in Knee Joint and Elbow Joint - A Case Report -
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Kim Weon-Yoo
Ji Jong-Hun
Kim Jin-Young
Park Il-Seok
Choi Woo-Sung
Mohamed Shafi M.S
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Abstract
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Osteochondritis dissecans occurs most commonly in knee joint and often in elbow, ankle, shoulder, and hip joint. In osteochondiritis dissecans(OCD), an area of subchondral bone undergoes avascular necrosis and degenerative change ususlly occurs in cartilage overlying it. During the course of disease, unless interrupted by treatment or spontaneou-s healing, the necrotic bone and cartilage separates from adjacent bone and cartilage and together becomes loose body. To promote healing, the proper treatment is necessary before degenerative change developes. It is important to evaluate the stage of the lesion carefully so that the treatment most appropriate to the stage can be chosen. In our case, the 17 year old tennis player complained of progressing right elbow and left knee pain. LOM and tenderness was noted on physical examination. Simultaneous occuring of OCD in knee and elbow was diagnosed under arthroscopic examination and MRI. Arthroscopic irrigation, chondroplasty and multiple drilling for right elbow joint, and arthroscopic fixation with cannulated screw for left knee joint were done. 1 year later, he didn’t complain of any symptom. Follow-up X-ray shows good healing in both elbow & knee joint.
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KEYWORD
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Osteochondritis dissecans, Elbow, Knee
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