DOS 2020

DOS Kongressen 2020 · 231 Surgical treatment of osteochondritis dissecans in the adolescent athlete Kevin Zolfaghari Moghaddam, Jakob Klitt, Jonas Vestergård Background: Osteochondritis dissecans (OCD) is a rare but debilitating con- dition with uncertainty about both incidence, epidemiology and pathogenesis. Surgical treatment for the unstable lesion does not guarantee a good outcome. For the adolescent athlete, this can be the end of a possible future career in sports. Furthermore, the challenge despite operative treatment may be sec- ondary development of osteoarthritis (OA). This challenge physicians when di- agnosing and especially treating the disease. This study illustrates juvenile os- teochondritis dissecans (JOCD) and the surgical treatment of osteochondritis dissecans in young athletes. Purpose / Aim of Study: This study presents a case of juvenile osteochondri- tis dissecans (JOCD) in a professional soccer player along with a concise report of the literature regarding surgical treatment of osteochondritis dissecans in young athletes. Materials and Methods: A systematic search in PubMed was performed. Furthermore, a case of JOCD in the medial femoral condyle of a young profes- sional soccer player is presented. The following MeSH terms were chosen and combined: OCD knee, pathology, etiology, adolescence, surgery. The 39 publi- cations were dissected and publications relevant regarding the research ques- tion were selected. Studies were included if they met the inclusion criteria Findings / Results: Stable lesions are treated conservatively in 70% of pa- tients. Unstable lesions and those who failed conservative treatment are treated surgically. A variety of surgical techniques are innovated and utilized when the lesion is unstable. Different validated outcome questionnaires are used to access the functional outcomes of patients and the effectiveness of treatment. ICRS and Lysholm score is widely used. The functional outcome may regress over time and therefore long term follow up is important Conclusions: JOCD is a multifactorial disorder were repetitive microtrauma and genetic predisposition are believed to be a major factor. Based on the level of evidence the challenges lie in accurate MRI, advanced surgical techniques and management. There are numerous publications on all aspects regarding JOCD in different joints but there is a lack of scientifically reliable prospective random- ized studies. 210.