Masquijo Javier, Kothari Alpesh
Department of Pediatric Orthopaedics, Sanatorio Allende, Córdoba, Argentina.
Department of Paediatric Orthopaedics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
EFORT Open Rev. 2019 May 17;4(5):201-212. doi: 10.1302/2058-5241.4.180079. eCollection 2019 May.
Juvenile osteochondritis dissecans (JOCD) is a joint disorder of the subchondral bone and articular cartilage that affects skeletally immature patients.The aetiology of JOCD is unknown and the natural history is poorly characterized in part due to inconsistent and largely retrospective literature.Most OCD in children and adolescents presents as a stable lesion amenable to non-operative treatment or minimally invasive drilling. However, unstable forms can require a more aggressive approach.This article reviews the most recent literature available and focuses on the pathophysiology, diagnosis and treatment of JOCD of the knee. Cite this article: 2019;4:201-212. DOI: 10.1302/2058-5241.4.180079.
青少年剥脱性骨软骨炎（JOCD）是一种影响骨骼未成熟患者的软骨下骨和关节软骨的关节疾病。JOCD的病因尚不清楚，其自然病史也缺乏明确的特征，部分原因是相关文献不一致且大多为回顾性研究。儿童和青少年的大多数骨软骨炎表现为稳定病变，适合非手术治疗或微创钻孔。然而，不稳定形式可能需要更积极的治疗方法。本文回顾了现有最新文献，并重点关注膝关节JOCD的病理生理学、诊断和治疗。引用本文：2019；4：201 - 212。DOI：10.1302/2058 - 5241.4.180079。
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