Orava S, Weitz H, Holopainen O
Z Orthop Ihre Grenzgeb. 1979 Dec;117(6):906-10.
Five cases of osteochondritis dissecans patellae were seen and followed during years 1971--1978. Special interest was pointed to the site of the lesion, at which age the disease appeared, and to the physical activity of the patients. In one case only patellar subluxation could be confirmed. In two cases radioisotope (Tc99) szintigraphy was done with positive finding. The radiological finding was typical in all cases. The treatment was conservative in all cases but one. Loose body formed once in the series. Operative treatment should be directed only to the cases with persistent symptoms and/or loose bodies.
1971年至1978年期间共观察并随访了5例髌骨剥脱性骨软骨炎患者。特别关注病变部位、疾病出现的年龄以及患者的体力活动情况。仅1例确诊为髌骨半脱位。2例行放射性核素(Tc99)骨闪烁显像检查,结果呈阳性。所有病例的放射学表现均典型。除1例患者外,其余病例均采用保守治疗。该组病例中有1次出现游离体。手术治疗仅适用于症状持续和/或有游离体的病例。