Bilateral osteochondritis dissecans of the lateral femoral condyle following bilateral total removal of lateral discoid meniscus: a case report

被引：21

作者：

Hashimoto, Yusuke ^{[1
]}

Yoshida, Gen ^{[2
]}

Tomihara, Tomohiro ^{[2
]}

Matsuura, Takeshi ^{[2
]}

Satake, Shinji ^{[2
]}

Kaneda, Kunikazu ^{[2
]}

Shimada, Nagakazu ^{[2
]}

机构：

[1] Osaka City Univ, Grad Sch Med, Dept Orthopaed Surg, Abeno Ku, Osaka 5458585, Japan

[2] Shimada Mem Hosp, Div Orthopaed Surg, Habikino, Japan

来源：

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2008年 / 128卷 / 11期

关键词：

Bilateral osteochondritis dissecans; Bilateral lateral discoid meniscus; Total meniscectomy; Drilling;

D O I：

10.1007/s00402-007-0499-0

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Osteochondritis dissecans (OCD) of the lateral femoral condyle sometimes occurs with a discoid lateral meniscus. Recently, it was reported that OCD of the lateral femoral condyle Occurred after total removal of the lateral meniscus. We report the case of a 12-year-old boy with bilateral OCD of the lateral femoral condyle following bilateral total removal for discoid lateral meniscus. Valgus deviation of the knee after total removal and increased sporting activity might have concentrated excessive stress oil the lateral condyles in the standing position. As a result, bilateral OCD might have occurred. Drilling of the areas of OCD on the bilateral lateral femoral condyles was done and the patient wore inner wedge arch supports postoperatively. After 2 years, neither knee pain nor arthrosis has occurred so far, but long-term follow-up of this patient is considered to be necessary.

引用

页码：1265 / 1268

页数：4

共 11 条

[1]

AICHROTH P, 1971, Journal of Bone and Joint Surgery British Volume, V53, P440

[2] OSTEOCHONDROSIS DISSECANS - RESULTS OF OPERATIVE TREATMENT IN JUVENILES [J].