Arthroscopy

Indications

1. Removal Loose body

2. Excison of osteophytes

- coronoid

- olecranon

- aiming to improve ROM / prevent impingement

Non Operative Management

Options / ELM POPI

Education

Lifestyle Management

- weight loss

- reduce sport

Physiotherapy

Orthotics

- walking stick

- braces

Pharmaceuticals

- NSAIDS

- acetominophen

- glucosamine

Injections

- cortisone

- hyaluronic acid

Definition

Osteochondritis Dissecans

- separation of avascular fragment of bone & cartilage

Epidemiology

M : F = 2:1

Mean age 18 years

- can present as young as 9

4:1000

Anatomy

Developmental Anatomy

Knee joint first appears as a mesenchymal cleft at 8 weeks gestation

- ACL and PCL separate entities by week 10