There is usually no need to restrict activities, as long as the child can tolerate the pain. No long term disability is expected, although there have been reports of cases where the tibial tubercle stays prominent and even tender long after maturation. Osteochondritis dissecans of the knee occurs usually on the lateral part of the medial femoral condyle, usually in the early teenage years. The etiology is probably due to repeated trauma and vascular impairment to the area of the bone. The patient presents with pain in the knee, and diagnosed on X-rays.
Treatment consists of casting and rest.
If the involved bone starts to separate out, surgical pinning may be needed. Osteochondritis dissecans of the elbow occurs in the capitellum as well as the medial condyle and epicondyle. Unlike Panner s disease, it may form loose bodies and cause long-term disability. It occurs in an older age group than in Panner s disease, occurring usually in the early teens. Treatment consists of strictly enforced rest for the elbow to prevent long-term problems.