Chondral Pathology

Chapter

Abstract

Cartilage damage is one of the most difficult preoperative diagnoses to make in knee arthroscopy and it has the potential to progress to osteoarthritis over time. Currently there is no concrete evidence to show that articular cartilage repair can prevent the progression of a defect to osteoarthritis (OA). Also the methods of treating chondral defects are limited in effectiveness or technically difficult and expensive with rather questionable long time effects, as mentioned above. This makes arthroscopic cartilage surgery a challenging field with plenty of room for improvement and innovation.

Keywords

Immobilization Drilling Osteoarthritis Cavitation Triad 

References

  1. 1.
    Cameron ML, Briggs KK, Steadman JR. Reproducibility and reliability of the outerbridge classification for grading chondral lesions of the knee arthroscopically. Am J Sports Med. 2003;31(1):83–6.PubMedGoogle Scholar
  2. 2.
    Richette P, Bardin T, Doherty M. An update on the epidemiology of calcium pyrophosphate dihydrate crystal deposition disease. Rheumatology (Oxford). 2009;48(7):711–5.CrossRefGoogle Scholar
  3. 3.
    Ferrone C, Andracco R, Cimmino MA. Calcium pyrophosphate deposition disease: clinical manifestations. Reumatismo. 2011;63(4):246–52.Google Scholar
  4. 4.
    Zhang W, Doherty M, Bardin T, et al European League Against Rheumatism recommendations for calcium pyrophosphate deposition. Part I: terminology and diagnosis. Ann Rheum Dis. 2011;70(4):563–70.Google Scholar
  5. 5.
    Cahill B. Osteochondritis dissecans of the knee: treatment of juvenile and adult forms. J Am Acad Orthop Surg. 1995;3(4):237–47.PubMedGoogle Scholar
  6. 6.
    Polousky JD. Juvenile osteochondritis dissecans. Sports Med Arthrosc. 2011;19(1):56–63.PubMedCrossRefGoogle Scholar
  7. 7.
    Kocher MS, Tucker R, Ganley TJ, Flynn JM. Management of osteochondritis dissecans of the knee: current concepts review. Am J Sports Med. 2006;34(7):1181–91.PubMedCrossRefGoogle Scholar
  8. 8.
    Wall E, Stein Von D. Juvenile osteochondritis dissecans. Orthop Clin North Am. 2003;34(3):341–53.PubMedCrossRefGoogle Scholar
  9. 9.
    Cahill BR, Ahten SM. The three critical components in the conservative treatment of juvenile osteochondritis dissecans (JOCD). Physician, parent, and child. Clin Sports Med. 2001;20(2):287–98, vi.PubMedCrossRefGoogle Scholar
  10. 10.
    Cahill BR, Phillips MR, Navarro R. The results of conservative management of juvenile osteochondritis dissecans using joint scintigraphy. A prospective study. Am J Sports Med. 1989;17(5):601–5; discussion 605–6.PubMedCrossRefGoogle Scholar
  11. 11.
    Kijowski R, Blankenbaker DG, Shinki K, Fine JP, Graf BK, De Smet AA. Juvenile versus adult osteochondritis dissecans of the knee: appropriate MR imaging criteria for instability. Radiology. 2008;248(2):571–8.PubMedCrossRefGoogle Scholar
  12. 12.
    Shea KG, Jacobs JC, Grimm NL, Pfeiffer RP. Osteochondritis dissecans development after bone contusion of the knee in the skeletally immature: a case series. Knee Surg Sports Traumatol Arthrosc. 2013;21(2):403–7.PubMedCrossRefGoogle Scholar
  13. 13.
    Samora WP, Chevillet J, Adler B, Young GS, Klingele KE. Juvenile osteochondritis dissecans of the knee: predictors of lesion stability. J Pediatr Orthop. 2012;32(1):1–4.PubMedCrossRefGoogle Scholar
  14. 14.
    Pascual-Garrido C, Mcnickle AG, Cole BJ. Surgical treatment options for osteochondritis dissecans of the knee. Sports Health. 2009;1(4):326–34.PubMedCentralPubMedCrossRefGoogle Scholar
  15. 15.
    Wachowski MM, Floerkemeier T, Balcarek P, Walde TA, Schüttrumpf JP, Frosch S, et al. Mid-term clinical and MRI results after refixation of osteochondral fractures with resorbable implants. Z Orthop Unfall. 2011;149(1):61–7.PubMedGoogle Scholar
  16. 16.
    Trinh TQ, Harris JD, Flanigan DC. Surgical management of juvenile osteochondritis dissecans of the knee. Knee Surg Sports Traumatol Arthrosc. 2012;20(12):2419–29.PubMedCrossRefGoogle Scholar
  17. 17.
    Lintz F, Pujol N, Pandeirada C, Boisrenoult P, Beaufils P. Hybrid fixation: evaluation of a novel technique in adult osteochondritis dissecans of the knee. Knee Surg Sports Traumatol Arthrosc. 2011;19(4):568–71.PubMedCrossRefGoogle Scholar
  18. 18.
    Sasaki K, Matsumoto T, Matsushita T, Kubo S, Ishida K, Tei K, et al. Osteochondral autograft transplantation for juvenile osteochondritis dissecans of the knee: a series of twelve cases. Int Orthop. 2012;36(11):2243–8.PubMedCentralPubMedCrossRefGoogle Scholar
  19. 19.
    Cahill B. Treatment of juvenile osteochondritis dissecans and osteochondritis dissecans of the knee. Clin Sports Med. 1985;4(2):367–84.PubMedGoogle Scholar

Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  1. 1.Department of Orthopedics and TraumaUniversity of Medicine and Pharmacy ‘Victor Babes’ TimisoaraTimisoaraRomania
  2. 2.I-st Clinic of Orthopedics and TraumaEmergency Clinical County Hospital TimisoaraTimisoaraRomania

Personalised recommendations