Tatum R
Academic Radiology, Palmer College of Chiropractic, Davenport, IA 52803, USA.
J Manipulative Physiol Ther. 2000 Jun;23(5):347-51.
To discuss the case of a patient with osteochondritis dissecans, a common disorder primarily affecting children and adolescent patients that involves the medial femoral condyle, and to examine its radiologic appearance.
A 25-year-old man with knee pain sought treatment at a chiropractic clinic. The patient had a 2-year history of left knee pain that was exacerbated by activity and relieved with rest. Plain film radiography of the knee revealed findings consistent with osteochondritis dessicans.
The patient was promptly referred for a concurrent orthopedic consultation with subsequent management. A trial basis of conservative care was initiated with the possibility of future surgical intervention if necessary.
Osteochondritis dissecans is a common disorder of unknown and perhaps controversial cause. The disease is characterized by a fragment of articular cartilage and subchondral bone (osteochondral fragment) that becomes separated from the underlying bone. Treatment is aimed primarily at the preservation of articular surface congruity.
探讨一例剥脱性骨软骨炎患者的病例，剥脱性骨软骨炎是一种主要影响儿童和青少年患者的常见疾病，累及股骨内侧髁，并研究其放射学表现。
一名25岁的男性因膝关节疼痛到一家整脊诊所就诊。该患者有2年的左膝疼痛病史，活动时疼痛加剧，休息后缓解。膝关节X线平片显示的结果与剥脱性骨软骨炎相符。
该患者被迅速转介至骨科进行会诊并接受后续治疗。开始进行保守治疗的试验性方案，如有必要，未来可能进行手术干预。
剥脱性骨软骨炎是一种病因不明且可能存在争议的常见疾病。该疾病的特征是关节软骨和软骨下骨的碎片（骨软骨碎片）与下方的骨质分离。治疗主要旨在保持关节面的一致性。
