Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Meniscoplasty for stable osteochondritis dissecans of the lateral femoral condyle combined with a discoid lateral meniscus: a case report | Lim and Bae Journal of Medical Case Reports 2011 5 434 http content 5 1 434 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Meniscoplasty for stable osteochondritis dissecans of the lateral femoral condyle combined with a discoid lateral meniscus a case report Hong-Chul Lim1 and Ji-Hoon Bae2 Abstract Introduction Osteochondritis dissecans of the lateral femoral condyle is relatively rare and it is reported to often be combined with a discoid lateral meniscus. Given the potential for healing conservative management is indicated for stable osteochondritis dissecans in patients who are skeletally immature. However patients with osteochondritis dissecans of the lateral femoral condyle combined with a discoid lateral meniscus often have persistent symptoms despite conservative management. Case presentation We present the case of a seven-year-old Korean girl who had osteochondritis dissecans of the lateral femoral condyle combined with a discoid lateral meniscus which healed after meniscoplasty for the symptomatic lateral discoid meniscus without surgical intervention for the osteochondritis dissecans. In addition healing of the osteochondritis dissecans lesion was confirmed by an MRI scan five months after the operation. Conclusions Meniscoplasty can be recommended for symptomatic stable juvenile osteochondritis dissecans of the lateral femoral condyle combined with a discoid lateral meniscus when conservative treatment fails. Introduction Osteochondritis dissecans OCD is a condition of the joints that appears to primarily affect subchondral bone with secondary effects on articular cartilage. Initially softening of the overlying articular cartilage is noted with an intact articular surface this can progress to early articular cartilage separation partial detachment of an articular lesion and eventually osteochondral separation with a loose body. Etiologic theories of traumatic ischemic accessory ossification center persistence and .
