Cruz Patrícia, Bettencourt Filipe, Arneiro Gonçalo
Physical Medicine and Rehabilitation Section, Orthophysiatry Departament, Centro Hospitalar Universitário do Porto, Porto, Portugal.
Sporting Clube de Portugal, Football Club, Lisbon, Portugal.
Sci Med Footb. 2021 Aug;5(3):250-253. doi: 10.1080/24733938.2020.1846770. Epub 2020 Dec 14.
Osteochondritis dissecans (OCD) lesions are a rare cause of joint pain. Most often they occur in the knee, but they can occur in elbow or ankle too. They have a predilection for the immature skeleton and are most commonly seen in male sex, athletically active young children and adolescents.Sport-specific risk factors by anatomic region include sports associated with high frequencies of knee or ankle injuries (e.g., football, basketball) and for the elbow, the overhead throwing athlete (e.g., baseball pitcher) or gymnast.In the knee, they are most commonly seen in the femoral condyles of the knee. OCD of the patella is a rare condition. There are a few reports of it.We present a case of 14-year-old-male patient, football player, with osteochondritis dissecans of the patella (OCP). The clinical presentation, radiographic and MRI findings, treatment and return to player are discussed.
剥脱性骨软骨炎(OCD)病变是关节疼痛的罕见原因。它们最常发生于膝关节,但也可发生于肘部或踝部。它们好发于未成熟骨骼,最常见于男性、从事体育活动的幼儿及青少年。按解剖部位划分,特定运动的风险因素包括与膝关节或踝关节高损伤频率相关的运动(如足球、篮球),对于肘部而言,包括过头投掷运动员(如棒球投手)或体操运动员。在膝关节,它们最常见于股骨髁。髌骨剥脱性骨软骨炎是一种罕见病症。关于它的报道较少。我们报告一例14岁男性足球运动员患有髌骨剥脱性骨软骨炎(OCP)的病例。并讨论了其临床表现、影像学及磁共振成像(MRI)表现、治疗及重返运动的情况。