Djebbara Ilies, Moghaddam Kevin Zolfaghari, Klit Jakob, Iversen Jonas Vestergård
Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
Hvidovre Hospital, Hvidovre, Capital Region of Denmark, Denmark.
BMJ Case Rep. 2025 May 12;18(5):e264508. doi: 10.1136/bcr-2024-264508.
Osteochondritis dissecans (OCD) is a rare joint disorder primarily affecting adolescent athletes, potentially requiring surgical intervention, particularly in cases of bilateral lesions. This report presents an adolescent professional football player with ICRS IV OCD lesions in both knees, treated surgically with debridement, microfracture and fixation. 3 years after the initial surgery on the right knee, a similar lesion developed in the left knee, requiring identical treatment. The patient achieved a complete recovery, attaining a perfect Lysholm score of 100 and successfully returning to elite-level football. This case highlights the challenges of diagnosing and treating bilateral OCD in athletes. It underlines the possible gain of early bilateral imaging in high-risk individuals and the effectiveness of surgical intervention for unstable lesions. Further research is needed to establish optimised treatment protocols for bilateral OCD, particularly in athletic populations at risk for recurrent lesions and joint deterioration.
剥脱性骨软骨炎（OCD）是一种罕见的关节疾病，主要影响青少年运动员，可能需要手术干预，尤其是在双侧病变的情况下。本报告介绍了一名青少年职业足球运动员，双膝均有国际软骨修复协会（ICRS）IV级OCD损伤，接受了清创、微骨折和固定手术治疗。右膝初次手术后3年，左膝出现类似损伤，需要相同的治疗。患者完全康复，Lysholm评分为满分100，并成功重返精英级足球运动。该病例突出了运动员双侧OCD诊断和治疗的挑战。强调了对高危个体进行早期双侧影像学检查的潜在益处以及手术干预对不稳定病变的有效性。需要进一步研究以建立双侧OCD的优化治疗方案，特别是针对有复发性病变和关节退变风险的运动员群体。
