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Osteochondral Loose Body

Loose Body Joint


Presentation

  • Clinical Presentation of Loose Bodies in Joint Loose bodies in the joint can hinder the joint moment as they get caught in movements. by getting caught in flexion and extension movements..[boneandspine.com]
  • Evaluation of patients presenting with knee pain: Part II. Differential diagnosis. Am Fam Physician. 2003;68(5):917-22 Links: osteochondritis[gpnotebook.co.uk]
  • Loose bodies Free loose bodies- single or multiple  Fixed loose bodies  Presentation-Intermittent catching & Pain -Recurrent effusion -Limitation of motion -Feeling of instability  3.[slideshare.net]
  • The patient, JD, was a 23-year-old male college student who presented for evaluation of his right knee.[ucsfhealth.org]
  • A patient with a symptomatic loose body in the hip and documented degenerative changes presents a treatment dilemma.[arthritisresearch.us]
Asymptomatic
  • In case of the mobile loose body, wait and watch could be applied to wait for the loose body to move out of joint and become asymptomatic. Intra-articular fractures need to fix anatomically.[boneandspine.com]
  • Patients may be entirely asymptomatic or complain of pain, clicking and locking, depending on the location and mobility of the fragment as well as any associated secondary degenerative disease, and symptoms from the underlying cause.[radiopaedia.org]
  • It has been theorised that the adult onset of OCD may simply be a delayed onset of previously asymptomatic juvenile OCD that has failed to heal and presented later with loosening and joint degeneration.[thekneedoc.co.uk]
  • In asymptomatic hips, no treatment was indicated. In symptomatic patients, arthroscopic surgery of the hip was employed to remove the loose osteocartilaginous fragments.[arthritisresearch.us]
Surgical Procedure
  • Ankle arthroscopy is a minimally invasive surgical procedure that orthopaedic surgeons use to treat problems in the ankle joint.[ctfootandanklesurgery.com]
  • Arthrotomy is a surgical procedure that employs an open technique in which incisions are made into the joint and the loose body is removed.[shouldersandknees.com]
  • Therefore, the surgical procedure is only one part of the recovery process, with rehabilitation the other, and both stages are equally important.[cartilage.org]
Hunting
  • Author information 1 Department of Spinal Disorders, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, England, UK. [email protected] 2 Department of Spinal Disorders, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, England,[ncbi.nlm.nih.gov]
Fracture
  • For practical purposes, the differential diagnosis usually rests between osteoarthritis loose bodies, synovial chondromata and loose bodies associated with osteochondritis dissecans or osteochondral fracture .[boneandspine.com]
  • Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty[mdedge.com]
  • In osteochondral fractures, information on the posttraumatic damage to other intra-articular structures, such as ligaments or menisci, cannot be obtained by US.[ncbi.nlm.nih.gov]
  • CT scan: This is rarely used but can give details about the loose body when fracture or bone fragments are expected.[stoneclinic.com]
  • See how to proceed better than ever before with 45 surgical videos demonstrating hip revision, patellar tendon allograft preparation, open reduction internal fixation clavicle fracture, total shoulder arthroplasty, total elbow arthroplasty, and more -[books.google.com]
Osteophyte
  • […] meniscus Osteocartilaginous loose bodies Osteochondral fractures of femoral condyles and patella Pathological Detachment of portion of articular surface from osteochondritis dessicans Synovial chondromatosis Pigmented vilonodular synovitis A detachment of osteophytes[boneandspine.com]
  • Arthroscopically, the borders of the osteophyte are exposed with a 3.5mm soft tissue resector, then the bony spurs themselves are removed with burrs.[ankle-arthroscopy.co.uk]
  • Anterior osteophytes form over the anterior lip of the distal tibia and corresponding area of articulation on the dorsum of the neck of the talus. These osteophytes or spurs occur because of repetitive and forceful dorsiflexion.[ctfootandanklesurgery.com]
  • Osteoarthritis can be a cause of loose bodies – presumably osteophytes (bony spurs around the margins of the joint) break off and can become loose inside the hip.[roberthowells.com.au]
  • Loose Bodies Causes-Degenerative chondral/osteophytes -Osteochondral fragmenttraumatic -Meniscal fragment -Fibrosed synovial villi -Broken implants/instruments -Bone cement residue Diagnosis - Clinical - X-rays if calcified or metal - MRI 4.[slideshare.net]
Knee Pain
  • The most awesome images on the Internet Knee Pain- good for me to know! Struggling with knee pain from running for over 5 months now and my doctor just keeps sending me back to physio.[pinterest.fr]
  • Chronic knee pain can occur any time an excessive amount of pressure is placed on the knee.[drburkeortho.com]
  • Despite what a patient’s MRI will say, MRIs cannot always reveal the cause of the patient’s Knee Pain .[caringmedical.com]
  • Review for the generalist: evaluation of anterior knee pain. Pediatr Rheumatol Online J. 2007;5:8. (3) Calmbach WL, Hutchens M. Evaluation of patients presenting with knee pain: Part II. Differential diagnosis.[gpnotebook.co.uk]
  • pain for 2 months.[orthobullets.com]
Osteochondral Loose Body
  • On review of the literature this is only the second case of osteochondral loose body as a cause for lumbar spinal stenosis and thus remains a rare phenomenon. KEYWORDS: Lumbar spinal stenosis; Osteochondral loose body; Spinal claudication[ncbi.nlm.nih.gov]
  • loose body of the knee joint.[journals.lww.com]
  • loose body Cartilaginous tissue enclosed by synovial tissue Differential diagnosis Cartilaginous loose bodies: more common but associated with arthritis Chondrosarcoma : not within a joint, no characteristic clustering pattern, marked myxoid change,[pathologyoutlines.com]
  • Diagnosis Right knee osteochondral defect with possible osteochondral loose body in the interchondylar notch.[ucsfhealth.org]
  • Discussion Synovial chondromatosis is characterized by formation of multiple osteochondral loose bodies. It is a process whereby the synovium undergoes metaplasia and ultimately forms cartilage loose bodies. These loose bodies may go on to ossify.[ispub.com]
Ankle Pain
  • Unexplained Ankle Symptoms In some cases, the reason for a patient to experience ankle pain isn’t entirely clear, despite appropriate testing.[scrubbing.in]
  • This subsequently leads to patients presenting with an ill-defined ankle pain that can be challenging to diagnose.[podiatrytoday.com]
  • The goals of surgery are to reduce ankle pain and improve overall function.[ctfootandanklesurgery.com]
  • The patient was apparently alright 6 years back when he developed insidious onset pain in left ankle. Pain was dull aching in nature localized to ankle and used to get aggravated with long walk or climbing stairs.[ispub.com]

Treatment

  • The reader learns of pediatric orthopedic deformity in relation to normal and abnormal developmental biology, the worsening of untreated disease with growth, and the diagnostic and treatment interventions required based on the stage of progression. *[books.google.com]
  • Make informed clinical choices for each patient , from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout.[books.google.com]
  • Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty[mdedge.com]
  • The causative disease like tuberculosis would require medical treatment. Physical therapy and anti-inflammatory drugs can be used to help with the symptoms and to keep the joint flexible.[boneandspine.com]
  • All of the subject areas tested on the boards are represented, including basic science and general procedures; health promotion and preventive aspects; emergency assessment and care; and diagnosis, management, and treatment of the full range of sports-related[books.google.com]

Prognosis

  • […] are not likely to heal; - bad prognosis if frag detaches, leaving defect in wt bearing region; - classification: (from Clanton and DeLee (1982)) - I : depressed osteochondral fracture; - II : osteochondral fragment attached by an osseous bridge; - III[wheelessonline.com]
  • Natural History & Prognosis The literature on this condition contains no randomised controlled clinical trials for either surgical or non-surgical interventions for OCD of the knee.[thekneedoc.co.uk]
  • The overall prognosis is usually dependent upon the extent of underlying degeneration rather than the presence or absence of a loose body.[arthritisresearch.us]
  • Therefore, the size, width and depth, of the cartilage fissure is an important thing to assess because it can ultimately determine the prognosis of being able to return back to normal activities or if one would need to adapt their activities going forward[drrobertlaprademd.com]

Etiology

  • Etiology A wide range of conditions can lead to the development of intra-articular loose bodies: osteochondral fractures osteochondritis dissecans pigmented villonodular synovitis (PVNS) osteoarthritis or severe degenerative disease intra-articular fracture[radiopaedia.org]
  • Definition / general Also called synovial chondrometaplasia, synovial osteochondromatosis Mean age 41 years, range 17 - 64 years, 2/3 male ( Hum Pathol 1998;29:683 ) Primary disease is uncommon, unknown etiology, aggressive ( Hum Pathol 1979;10:439 )[pathologyoutlines.com]
  • In osteochondritis dissecans (OCD) a small segment of articular cartilage and subjacent bone may separate - dissect - as an avascular segment. in majority the cause is idiopathic, other proposed etiological factors include trauma (either macrotrauma or[gpnotebook.co.uk]
  • […] condyle; - is usually unilateral (74%) - relatively common source of loss bodies in the knee or even an incongruous joint if the separated fragment is large; - twice as common in males; - classically occurs below the age of 18 (range: 6 to 53 years) - etiology[wheelessonline.com]
  • Indications Arthroscopy is indicated for diagnosis of certain soft tissue disorders when the exact etiology of ankle symptoms remains unclear, as well as for treatment of a variety of ankle disorders, usually after conservative measures have failed.[ctfootandanklesurgery.com]

Epidemiology

  • Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty[mdedge.com]
  • Most OCD lesions of the elbow involve the capitellum, typically the central or lateral portion, but also the radial head, the olecranon of the ulna and the trochlea humeri. [2] Epidemiology / Aetiology Ostechondritis of the humeral capitellum is secondary[physio-pedia.com]
Sex distribution
Age distribution

Pathophysiology

  • History, pathophysiology and current treatment concepts. - Clinical Manifestations and Exam: - vague complaints: poorly localized pain, pain w/ exercise & effussion; - loose bodies may cause locking; - on exam, forcible compression of affected side of[wheelessonline.com]

Prevention

  • All of the subject areas tested on the boards are represented, including basic science and general procedures; health promotion and preventive aspects; emergency assessment and care; and diagnosis, management, and treatment of the full range of sports-related[books.google.com]
  • Prevent any tears and breaks of the knee with: Exercise that strengthens muscles around the knee A well-balanced diet to strengthen bones Protective knee pads and gear for athletes[drburkeortho.com]
  • How can I help prevent bone chips in the knee? Bone chips are usually caused by injuries to the knee that are not easily prevented. Developed by RelayHealth. Published by RelayHealth.[summitmedicalgroup.com]
  • It is important to seek treatment for synovial chondromatosis as early as possible to help relieve painful symptoms and prevent the progression of osteoarthritis in the joint.[orthoinfo.aaos.org]
  • Prevent Yoga Injury: 3 Things You Must Do to Keep Your Knees Safe in Yoga Knee Anatomy---my new obsession to study well, a meniscus tear puts a cramp in my running style[pinterest.fr]

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