Presentation
[…] in multiple joints Associations with OCD and Dwarfism Tibia vara Perthes disease General Treatment Principles Nonoperative Load reduction Restrict activity Complete healing in children may take 2 years Consider operative intervention if Loose bodies present [orthofracs.com]
The clinical presentation of this disorder can be quite variable: most patients present with activity-related elbow pain; however, in severe cases patients may also have mechanical symptoms. [aaos.org]
The present case is the first report of OCD on the medial aspect of the humeral head, but this kind of mechanism is bound to occur frequently. [internationalshoulderjournal.org]
Presentation Symptoms It usually presents in teenage years or the early 20s. It can affect younger children who are very active in sports. It may only become symptomatic in later life. [patient.info]
This incidence is most certainly rising and age at presentation is decreasing. [kneeocd.org]
Immune System
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Splenomegaly
Splenomegaly and hepatomegaly38 Splenomegaly children20 Steatohepatitis Stridor pediatric age4 Stroke36 Stroke pediatric age23 Stroke young adult causes1 St segment elevations nonischemic Sudden death pediatric age4 Sudden death young athlete Swollen [books.google.de]
Entire Body System
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Arm Pain
pain Neck mass28 Neck pain28 Necrotizing pneumonias1 Nephritic syndrome acute1 Nephrocalcinosis Neurogenic bladder29 Neurologic deficit focal26 Neurologic deficit multifocal26 Neuronopathies sensory ganglionopathies2 Neuropathic bladder Neuropathies [books.google.de]
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Sepsis
Pulmonary nodule Purpura palpable Reactive erythema pediatric patient ICD9CM Renal artery stenosis Renal disease ischemic management ICD9CM ICD9CM Respiratory distress Reticulocyte count elevated Rhinorrhea Schilling test Scoliosis screening Scrotal mass Sepsis [books.google.de]
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Lymphadenopathy
[…] axillary Lymphadenopathy epitrochlear Lymphadenopathy inguinal Malabsorption Malar eruption Meningitis diagnostic approach Mesothelioma Mononucleosis Multiple myeloma diagnostic approach Multiple myeloma treatment Murmur diastolic Murmur systolic Muscle [books.google.de]
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Developmental Delay
delay Diabetic autonomic neuropathy Diabetic ketoacidosishyperosmolar hyperglycemic state Diarrhea acute Diarrhea chronic Diarrhea chronic in patients with HIV infection Dilated pupil Disseminated intravascular coagulation laboratory testing Dyspepsia [books.google.de]
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Weight Gain
gain Wheezing Wheezing pediatric age4 Wrist and hand pain in different age groups8 Wrist pain Xerophthalmia28 Xerostomia28 Yellow urine Abuse child Abuse geriatric Acetaminophen poisoning Acidbase homeostasis Acidosis metabolic Acidosis respiratory acute [books.google.de]
Respiratoric
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Respiratory Distress
distress syndrome Adrenal incidentaloma Adrenal insufficiency Alcoholism screening Aldosteronism Alkaline phosphatase elevation Alkalosis metabolic Alkalosis respiratory treatment Alopecia female patient ALTAST elevation Amenorrhea primary Amenorrhea [books.google.de]
Gastrointestinal
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Pelvic Mass
mass Pericardial effusion malignant Perinuclear antineutrophil cytoplasmic antibodies Peripheral neuropathy Pheochromocytoma diagnostic approach Photosensitivity Pituitary tumor Pleural effusion malignant Pleural space fluid Poisoning acute Polycythemia [books.google.de]
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Acute Diarrhea
[…] vein thrombosis and pulmonary embolism during pregnancy Dehydration correction pediatric patient Delirium Dementia management Depression Developmental delay Diabetic autonomic neuropathy Diabetic ketoacidosishyperosmolar hyperglycemic state Diarrhea acute [books.google.de]
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Rectal Pain
[…] causes16a Pulmonary mass solitary mimics16a Pulseless electrical activity Pupillary dilatation poor response to darkness Purpura Purpura nonpalpable20 Purpura nonpurpuric disorders simulating purpura1 Qt interval prolongation22 Rectal mass palpable38 Rectal [books.google.de]
Cardiovascular
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Cyanosis
[…] disease Constipation ICD9CM Contraceptive use oral Convulsive disorder suspected pediatric age Corneal disorders ICD9CM Coronary artery disease unstable Cough chronic Creatine kinase elevation Cushings syndrome Cutaneous microvascular occlusion syndromes Cyanosis [books.google.de]
Skin
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Hyperkeratosis
[…] lesions calcified Orbital lesions cystic Orgasm dysfunction12 Orofacial pain Osteoporosis secondary causes Osteosclerosis diffuse16a Ovulatory dysfunction21 Pain midfoot Pain plantar aspect heel Pain posterior heel Palindromic rheumatism6 Palmoplantar hyperkeratosis [books.google.de]
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Eruptions
Joint effusion ICD9CM Knee dislocation treatment Knee pain anterior Leg ulcer Leukemia acute myelogenous diagnosis and classification ICD9CM ICD9CM ICD9CM Lymphadenopathy axillary Lymphadenopathy epitrochlear Lymphadenopathy inguinal Malabsorption Malar eruption [books.google.de]
Musculoskeletal
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Arthralgia
[…] newborn Anemia of chronic disease Anemia hemolytic Anemia macrocytic Anemia microcytic Anemia with reticulocytosis Anisocoria Anorexia Antinuclear antibody testing Aortic stenosis diagnostic approach Aortic stenosis management Aplastic anemia treatment Arthralgia [books.google.de]
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Bone Disorder
Any of a group of bone disorders involving one or more ossification centers. [orthopaedicweblinks.com]
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Muscle Cramp
cramps and aches Muscle weakness ICD9CM Myelodysplastic syndromes Myocardial ischemia suspected Myopathy statininduced Myositis Nail dystrophy Neck mass Neck pain ICD9CM Nephrolithiasis Neuropathic pain Neutropenia Nonhodgkins lymphoma management pediatric [books.google.de]
Urogenital
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Hematuria
Hematuria differential based on age and sex Hematuria in children2 Hemiparesishemiplegia Hemolysis and hemoglobinuria Hemolysis intravascular Hemolysis mechanical Hemoperitoneum Hepatic cysts36 Hepatitis acute25 Hepatitis chronic25 Hepatomegaly Hepatomegaly [books.google.de]
Neurologic
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Tremor
Taste and smell loss1 Telangiectasia Tendinopathy26 Testicular failure10 Testicular pain Testicular size variations10 Tetanus26 Thrombocytopenia Thrombocytopenia in pregnancy20 Thrombocytosis Thyromegaly Tickrelated infections Tics Torsades de pointes22 Tremor [books.google.de]
Workup
X-Ray
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Pericardial Effusion
effusion malignant Perinuclear antineutrophil cytoplasmic antibodies Peripheral neuropathy Pheochromocytoma diagnostic approach Photosensitivity Pituitary tumor Pleural effusion malignant Pleural space fluid Poisoning acute Polycythemia Preoperative [books.google.de]
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Mediastinal Mass
masses or widening on chest xray Mediastinitis acute25 Melanonychia Memory loss symptoms elderly patients Meningitis chronic26 Meningitis recurrent25 Mental status changes and coma2 Mesenteric arterial embolism associated factors2 Mesenteric ischemia [books.google.de]
Serum
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Hyperprolactinemia
HIVinfected patient acutely ill HIVinfected patient cardiac dysfunction Hyperammonemia pediatric patient Hypercalcemia Hyperkalemia diagnostic approach Hyperkalemia evaluation and treatment Hypermagnesemia Hypernatremia Hyperphosphatemia Hyperpigmentation Hyperprolactinemia [books.google.de]
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Hyponatremia
Hyperostosis cortical bone16a Hyperpigmentation5 Hypersplenism associated conditions Hypertension in children2 Hypertrichosis7 Hypertrophic osteoarthropathy Hyperventilation persistent36 Hypocapnia Hypoglycemia Hypogonadism Hypokalemia Hypomagnesemia Hyponatremia [books.google.de]
Treatment
Treatment Basic information Diagnosis Treatment Basic information Diagnosis Treatment Pearls considerations Basic information Diagnosis Treatment Pearls considerations Basic information Diagnosis Treatment Pearls considerations Basic information Diagnosis [books.google.de]
Elsevier Health Sciences, ٠٨/٠٤/٢٠١٤ - 224 من الصفحات This issue of Clinics in Sports Medicine will include the diagnosis and treatment of Osteochondritis Dissecans in athletes. [books.google.com]
Treatment of trochlear groove OCD is guided by the clinical and radiographic findings, but there is no standard treatment, and several kinds of treatments have been suggested. [journals.lww.com]
Prognosis
Prognosis Prognosis depends on the age of the patient, the affected joint and the stage of the lesion at presentation. [patient.info]
Prognosis for the disease relates to the "ABC of Perthes " A. Age of Onset 9 years: only 10-15% do well B. Bone Growth Physeal involvement increases the chance of a poor sphericity at maturity. C. [wikiradiography.net]
[…] demarcating fragment from bone usually indicates an unstable lesion however false positives can result from edema 6 low signal loose bodies, outlined by high signal fluid donor defect filled with high signal fluid high signal subchondral cysts Treatment and prognosis [radiopaedia.org]
Prognosis Because osteochondrosis is a self-limiting disorder, the outcome is usually good. – Get more stuff on Musculoskeltal Health Subscribe to our Newsletter and get latest publications on Musculoskeletal Health your email inbox. [boneandspine.com]
Etiology
M92.31 - Other juvenile osteochondrosis, right upper limb M92.32 - Other juvenile osteochondrosis, left upper limb Capitellar OCD ICD-9 732.3 (juvenile osteochondrosis of the upper extremity, includes capitellum of humerus and others) Capitellar OCD Etiology [eorif.com]
[…] of OCD’s are suspected and often the true etiology is unknown. [kneeocd.org]
While the exact etiology of humeral capitellum OCD is unknown, repetitive microtrauma from overuse and increased valgus load across the elbow joint are thought to be causative factors. [aaos.org]
Most sites of involvement have an eponym associated with avascular necrosis of that area, and these sites are discussed individually as each site has unique clinical, etiologic and prognostic features. [radiopaedia.org]
Etiology- trauma, infection, rickets, osteonecrosis & Weight Bearing. 69. [slideshare.net]
Epidemiology
Other juvenile osteochondrosis, right upper limb M92.32 - Other juvenile osteochondrosis, left upper limb Capitellar OCD ICD-9 732.3 (juvenile osteochondrosis of the upper extremity, includes capitellum of humerus and others) Capitellar OCD Etiology / Epidemiology [eorif.com]
Epidemiology: Most often seen in adolescents 12 to 16 years old who are overhead athletes, throwing athletes, or upper extremity weight bearing athletes. Baseball and gymnastics are common sports for patients with capitellar OCD lesions. [posna.org]
Acta of the humerus with special reference to capitulum; Osteochondritis dissecans: Definition, etiology, epidemiology crp-sante. lu 2 Definition capitulum humeri 50 anatomic OCD sites have been identified Costal Osteochondral Grafts for Osteochondritis [ojjo.yiqb.me]
Epidemiology Prevalence OCD most often affects the knee. [ 2 ] The exact prevalence of OCD is unknown but prevalence figures of between 15 and 29 per 100,000 have been reported. [patient.info]
Definition Localised injury or condition affecting an articular surface that involves separation of cartilage & subchondral bone Epidemiology Two distinct populations of patients involved Juvenile form Children & adolescents between 5-15 years with open [orthofracs.com]
Pathophysiology
[…] of the radius Schaefer disease Distal epiphysis of the ulna Burns disease Medial humeral condyle Froelich disease Lateral humeral condyle Froelich disease Capitellum of the humerus Panner disease Humeral head Hass disease Clavicle Friedrich disease Pathophysiology [boneandspine.com]
History, pathophysiology and current treatment concepts. Clin Orthop Relat Res. 1982 Jul. 167:50-64. [Medline]. Pappas AM. Osteochondrosis dissecans. Clin Orthop Relat Res. 1981 Jul-Aug. 158:59-69. [Medline]. Naguro S. [emedicine.medscape.com]
Prevention
To have strong bones when you are young, and to prevent bone loss when you are older, you need to get enough calcium, vitamin D, and exercise. You should also avoid smoking and drinking too much alcohol. Bone diseases can make bones easy to break. [icdlist.com]
Medical Treatment Rest to joint, ice application and analgesics to prevent further trauma Traction, immobilization by plaster or brace, assisted weight bearing and physiotherapy to prevent secondary deformity and to reduce mechanical stress across the [boneandspine.com]
C 20 – 22 Medial epicondyle apophysitis is best treated with prevention. Parents, coaches, and players should adhere to the guidelines set forth by the Little League Association of America to maintain the health of young, throwing athletes. [aafp.org]
This can give the bone time to heal and to prevent future fracture, crater formation, or chondral (cartilage) collapse. Rest and the use of crutches may help. If the patient has been involved in sports, they may need to stop for a while. [orthohyd.com]