Juvenile osteochondritis dissecans (JOCD) of the knee: current concepts review

Javier Masquijo; Alpesh Kothari

doi:10.1302/2058-5241.4.180079

Juvenile osteochondritis dissecans (JOCD) of the knee: current concepts review

EFORT Open Rev. 2019 May 17;4(5):201-212. doi: 10.1302/2058-5241.4.180079. eCollection 2019 May.

Authors

Javier Masquijo¹, Alpesh Kothari²

Affiliations

¹ Department of Pediatric Orthopaedics, Sanatorio Allende, Córdoba, Argentina.
² Department of Paediatric Orthopaedics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

Abstract

Juvenile osteochondritis dissecans (JOCD) is a joint disorder of the subchondral bone and articular cartilage that affects skeletally immature patients.The aetiology of JOCD is unknown and the natural history is poorly characterized in part due to inconsistent and largely retrospective literature.Most OCD in children and adolescents presents as a stable lesion amenable to non-operative treatment or minimally invasive drilling. However, unstable forms can require a more aggressive approach.This article reviews the most recent literature available and focuses on the pathophysiology, diagnosis and treatment of JOCD of the knee. Cite this article: EFORT Open Rev 2019;4:201-212. DOI: 10.1302/2058-5241.4.180079.

Keywords: juvenile osteochondritis dissecans; knee joint; paediatric.

Publication types

Review