Sales de Gauzy J, Mansat C, Darodes P H, Cahuzac J P
Department of Pediatric Orthopaedic Surgery, Centre Hospitalier Universitaire de Toulouse, France.
J Pediatr Orthop B. 1999 Jan;8(1):26-8.
Results are reported from an absence of physiotherapic, orthopaedic, or surgical treatment in 31 cases of osteochondritis dissecans in 24 children. The mean age at diagnosis was 11 years and 4 months, and all the children were suffering from pain for an average of 3 months. None of these children were treated, except for instructions to discontinue involvement in sports activities until their pain had disappeared. In all cases pain disappeared, and these children have all returned to their former activities. According to x-ray findings, 30 lesions disappeared totally, although there was one case of a loose body. As a result, absence of treatment is recommended for osteochondritis dissecans in children.
报告了24名儿童31例剥脱性骨软骨炎未接受物理治疗、骨科治疗或手术治疗的结果。诊断时的平均年龄为11岁4个月，所有儿童平均疼痛3个月。这些儿童均未接受治疗，仅被告知在疼痛消失前停止参与体育活动。所有病例疼痛均消失，这些儿童均已恢复以往活动。根据X线检查结果，30处病变完全消失，不过有1例出现游离体。因此，建议对儿童剥脱性骨软骨炎采取不治疗的方法。
