cartilage defect Panner's disease
Conditions
Interventions
None listed
Sponsors
Onze Lieve Vrouwe Gasthuis
Eligibility
Age
12 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Gymnast - Osteochondritis dissecans - Arthroscopic surgery
Exclusion criteria
Exclusion criteria: - No informed consent - Age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Short term follow up Return to sport, we defined return to sports for our patients as returning to same pre injury type and level of sports. Pre injury and short term post injury type of sports and level of the gymnasts will evaluated with a simple patient survey. Furthermore, return to sport will be scored with the *return to sport*- subscale of the MAESS. In addition, patient medical files will be retrieved to get any additional information. • Long term follow up MRI is the best technique available for assessment of articular cartilage. Imaging of regions of cartilage damage has the potential to provide morphologic information about the region, such as fissuring, and presence of partial or full thickness cartilage defects. Therefore MRI will be used to evaluate development of OA. Development of osteoarthritis (OA), will be scored as absent (grade 0) or present (grade I-III). OA will be evaluated on MRI by the following characteristics: - Grade 0 lesions, defined as cartilage with a normal intrinsic signal and a normal surface contour - Grade I lesions, defined as having areas of inhomogeneous signal intensity. - Grade IIa lesions, as cartilage defects that involve less than half of the articular cartilage thickness. - Grade IIb lesions, as cartilage defects involving more than half of the cartilage but less than full thickness. - Grade III lesions, as cartilage defects exposing the bone. | — |
Secondary
| Measure | Time frame |
|---|---|
| • Pain: will be scored as present or absent - pre-operative (Yes / No) - retrieved from medical charts - between 3 and 6 months after surgery - retrieved from medical charts - > 3 years pain will be scored as present or absent. If pain is present, the Visual Analoque Scale (VAS) will be used to determine the degree of pain. • ROM: flexion/extension, pro and supination - pre-operative - retrieved from medical charts - between 3 and 6 months after surgery - retrieved from medical charts - > 3 years after surgery - during physical examination • Function of the elbow Modified Andrews elbow scoring system and Mayo elbow performance score, pre-operative - retrieved from medical charts - between 3 and 6 months after surgery - retrieved from medical charts - > 3 years after surgery - during physical examination | — |
Countries
Netherlands
Outcome results
None listed