Osteochondral defects
Definition
Defect of cartilage +/bone
Typically on talus
Options
Defect of cartilage +/bone
Typically on talus
Inflammation and degeneration of the achilles tendon in the midsubstance 2 - 6 cm from insertion
Chronic lateral trochanteric pain
- abductor tendon tendonitis
- trochanteric bursitis
Women 40 - 60 years old
? repetitive friction of iliotibial tract over GT
Pain over upper lateral thigh with activity
- often related to hip flexion
Usually after 50-60 years of age
Primary 90% of cases
Secondary
- AVN
- trauma
- instability
Lateral : Medial 9:1
4th & 5th decades
- M = F
- 75% dominant arm
50% of regular tennis players
- especially > 2 hrs / week
Insertion pathology / Enthesopathy
Over-extension of the elbow with supination / pronation
Lateral epicondyle
- anconeus from posterior face
- ECRB and EDC from anterior face (CEO)