Cartilage Disorders
A 13-year-old male soccer player presents with 6 months of anterior knee pain, occasional swelling, and intermittent mechanical symptoms. MRI shows a 15mm osteochondral lesion on the lateral aspect of the medial femoral condyle with high signal at the bone-cartilage interface. His physes are open on radiograph. Regarding osteochondritis dissecans (OCD):
Mark each as TRUE or FALSE
OCD most commonly affects the knee (75%), followed by elbow and ankle; the classic location is the l...
The presentation includes activity-related pain, swelling, mechanical symptoms (catching, locking) i...
All OCD lesions require immediate surgical intervention; physis status has no prognostic significanc...
Nonoperative treatment is first-line for stable juvenile OCD: activity modification, protected weigh...
Surgical options depend on lesion characteristics: drilling (transarticular or retroarticular) for s...
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Click T (True) or F (False) for each option