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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 2, 232-235.
doi: 10.1302/0301-620X.90B2.19705  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Bicondylar osteochondritis dissecans in the knee

A REPORT OF TWO CASES

S. A. Hanna, MRCS, Clinical Research Fellow1; W. J. S. Aston, FRCS(Orth), Specialist Registrar1; P. D. Gikas, MRCS, Senior House Officer1; and T. W. R. Briggs, MCh(Orth), FRCS, Consultant Orthopaedic Surgeon1

1 Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP, UK.

Correspondence should be sent to Mr S. A. Hanna; e-mail: sammyhanna{at}hotmail.com

We describe two cases of osteochondritis dissecans (OCD) affecting both femoral condyles in the same knee. The patients presented with recurrent episodes of pain and swelling, but these were initially thought to be ‘growing pains’. Eventually, a delayed diagnosis of bicondylar OCD was established and both patients were referred for further management. After assessing the extent of the disease on MRI, matrix-induced autologous chondrocyte implantation was performed to treat the defects of the lateral condyle in each case, with a plan to address the medial defects at a later stage. Proposed theories on the aetiology of the condition and available methods of treatment are discussed. A diagnosis of OCD should be considered in young patients with persistent knee pain and effusions, and MRI is the investigation of choice for early detection.




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Bilateral bicondylar osteochondritis dissecans of the knee
Richard Cove, et al.
J Bone Joint Surg Br Online, 14 Mar 2008 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General