Matthew E. Sailors is Assistant Professor of Physical Therapy at University of South Dakota, Vermillion, SD 57069.
J Athl Train. 1994 Dec;29(4):302-6.
Osteochondritis dissecans (OD) of the femoral condyles is a vague and often confusing diagnostic entity encountered by many clinicians. Unfortunately, there are several factors that add to this confusion. Chief among these is the proper recognition and understanding of the disease process, which is not well-documented. In addition, OD is often generically grouped together with other femoral condylar lesions that require differing diagnostic and treatment methods for proper care. OD is commonly divided into two categories, juvenile and adult forms. Each requires different methods of correction and rehabilitation. This paper describes the disease process of OD, explains the differences between the juvenile and adult forms (including common symptoms and diagnostic techniques), describes several of the pathologies that OD is mistakenly grouped with, and gives a brief review of the common arthroscopic and surgical techniques used to treat this pathology. In addition, rehabilitation guidelines and suggestions are offered to aid the athlete's return to functional activities.
股骨髁剥脱性骨软骨炎（OD）是许多临床医生遇到的一种模糊且常常令人困惑的诊断实体。不幸的是，有几个因素增加了这种混淆。其中最重要的是正确认识和理解疾病过程，而这一过程并没有得到很好的记录。此外，OD 通常与其他需要不同诊断和治疗方法的股骨髁病变笼统地归为一类。OD 通常分为青少年和成人两种类型。每种类型都需要不同的矫正和康复方法。本文描述了 OD 的疾病过程，解释了青少年和成人形式之间的区别（包括常见症状和诊断技术），描述了 OD 被错误归类的几种病理，并简要回顾了用于治疗这种病理的常见关节镜和手术技术。此外，还提供了康复指南和建议，以帮助运动员恢复功能活动。
