Edmonds Eric W, Heyworth Benton E
Division of Orthopedic Surgery, Rady Children's Hospital and Health Center, 3030 Children's Way, Suite 410, San Diego, CA 92123, USA; Department of Orthopedic Surgery, University of California San Diego, 200 West Arbor Drive, San Diego, CA 92103, USA.
Division of Sports Medicine, Department of Orthopedic Surgery, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Clin Sports Med. 2014 Apr;33(2):285-94. doi: 10.1016/j.csm.2013.11.001. Epub 2014 Jan 28.
Shoulder and hip osteochondritis dissecans (OCD) are uncommon. Both glenoid and humeral head OCD are commonly associated with a traumatic etiology. Humeral head OCD can be treated with observation or drilling of the sclerotic margin for stable or unstable lesions. Glenoid OCD often presents with delamination of the articular cartilage and requires debridement and fixation of fragments. Hip OCD often involves the femoral head; yet, there are case reports of acetabular involvement. The etiology of femoral OCD is associated with other pathologies, and therefore may represent the sequelae of other disease processes. Hip lesions often require extensive surgical intervention.
肩和髋部剥脱性骨软骨炎（OCD）并不常见。肩胛盂和肱骨头的OCD通常与创伤性病因相关。肱骨头OCD对于稳定或不稳定病变可采用观察或钻孔硬化边缘的方法进行治疗。肩胛盂OCD常表现为关节软骨分层，需要进行清创和碎片固定。髋部OCD常累及股骨头；然而，也有髋臼受累的病例报告。股骨OCD的病因与其他病理状况相关，因此可能代表其他疾病过程的后遗症。髋部病变通常需要广泛的手术干预。
