mosaicplasty
Osteochondral defects
Definition
Defect of cartilage +/bone
Typically on talus
Options
Mosaicplasty
Harvest site
Option 1
- lateral and medial aspect femoral trochlea
Option 2
- intercondylar notch
Option 3
- allograft
- can take larger grafts without donor site risk
Size
Capitellar OCD
Epidemiology
Adolescents & young adults
Usually between 12 - 21 years
Throwing athletes / gymnasts
Little Leaguer's Elbow
- combination of capitellar OCD and MCL injury
- a repetitive throwing injury / seen in pitchers
Aetiology
1. Trauma & Overuse
Common throwing sports / gymnastics