{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:08:39Z","timestamp":1786118919349,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T00:00:00Z","timestamp":1742601600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Osteochondritis dissecans (OCD) is a rare joint disorder that affects the subchondral bone and surrounding articular cartilage, resulting in localized necrosis and possible detachment of both bone and cartilage pieces. It primarily manifests in the knee joints of juvenile and teenage patients, and is frequently associated with recurring joint stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>An 8-year-old child presented with a three-month history of left knee pain, exacerbated by movement, which resulted in a limp. Clinical examination revealed knee edema, limited range of motion, and 30-degree extension limitation. Imaging revealed a chondral defect in the medial condyle accompanied by a detached cartilage flap. Arthroscopic surgery was performed using a wrist arthroscope for debridement and microfractures, followed by fibrin glue application. Postoperatively, the patient showed considerable improvement, achieving complete restoration of knee mobility, and a Lysholm knee score of 93.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Addressing OCD in pediatric patients presents distinct problems owing to their reduced joint size and open growth plates. Wrist arthroscopes enhance precision in pediatric patients and reduce harm to adjacent cartilage and soft tissues. Conservative therapy may be sufficient for stable lesions; however, surgical intervention is required in unstable cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case illustrates the effective use of wrist arthroscope for the management of pediatric knee diseases. The small equipment facilitated accurate and efficient intervention, improved outcomes, and emphasized the importance of properly sized tools in pediatric orthopedic treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111196","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T02:42:08Z","timestamp":1742870528000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Successful treatment of pediatric osteochondritis dissecans of the knee using a wrist arthroscope: A case report with long term follow-up"],"prefix":"10.1097","volume":"129","author":[{"given":"Stefanus Hengkie","family":"Marseno","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tri Wahyu","family":"Martanto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hizbillah","family":"Yazid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arif","family":"Zulkarnain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kukuh Dwiputra","family":"Hernugrahanto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian Benedict","family":"Swannjo","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"2","key":"R1-90-20260423","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.csm.2013.11.006","article-title":"Osteochondritis Dissecans of the knee","volume":"33","author":"Grimm,","year":"2014","journal-title":"Clin. Sports Med."},{"issue":"12","key":"R2-90-20260423","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.2106\/JBJS.20.01399","article-title":"Osteochondritis Dissecans: current understanding of epidemiology, etiology, management, and outcomes","volume":"103","author":"Chau,","year":"2021","journal-title":"J. Bone Joint Surg. Am."},{"issue":"4","key":"R3-90-20260423","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1097\/00132585-200311040-00003","article-title":"Update on the treatment of osteochondral fractures and osteochondritis dissecans of the knee","volume":"11","author":"Sgaglione,","year":"2003","journal-title":"Sports Med. Arthrosc. Rev."},{"issue":"5","key":"R4-90-20260423","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"issue":"5","key":"R5-90-20260423","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1590\/S0102-36162012000500003","article-title":"Osteochondritis dissecans of the knee: diagnosis and treatment","volume":"47","author":"Mestriner,","year":"2015","journal-title":"Rev. Bras. Ortop."},{"issue":"4","key":"R6-90-20260423","doi-asserted-by":"crossref","DOI":"10.1016\/j.asmr.2024.100952","article-title":"Pediatric patients who underwent elbow arthroscopy had an 86% return-to-sport rate, a 12% reoperation rate, and a 3.7% complication rate","volume":"6","author":"Hilgersom,","year":"2024","journal-title":"Arthrosc. Sports Med. Rehabil."},{"issue":"2","key":"R8-90-20260423","doi-asserted-by":"crossref","DOI":"10.1016\/j.eats.2024.103225","article-title":"Arthroscopic single-layer hyaluronate-based scaffold for osteochondritis dissecans of the glenoid","volume":"14","author":"Bonfatti,","year":"2024","journal-title":"Arthrosc. 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Orthop."},{"issue":"13","key":"R11-90-20260423","doi-asserted-by":"crossref","first-page":"3232","DOI":"10.1177\/03635465241282671","article-title":"Effectiveness and safety of matrix-associated autologous chondrocyte implantation for the treatment of articular cartilage defects: a real-world data analysis in Japan","volume":"52","author":"Uchio,","year":"2024","journal-title":"Am. J. Sports Med."},{"issue":"6","key":"R12-90-20260423","doi-asserted-by":"crossref","first-page":"1726","DOI":"10.1007\/s00167-018-5316-5","article-title":"Treatment of unstable knee osteochondritis dissecans in the young adult: results and limitations of surgical strategies\u2014the advantages of allografts to address an osteochondral challenge","volume":"27","author":"Filardo,","year":"2019","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"issue":"12","key":"R13-90-20260423","doi-asserted-by":"crossref","first-page":"2655","DOI":"10.2106\/JBJS.G.01103","article-title":"The healing potential of stable juvenile osteochondritis dissecans knee lesions","volume":"90","author":"Wall,","year":"2008","journal-title":"J. Bone Joint Surg. Am."},{"issue":"2","key":"R14-90-20260423","first-page":"544","article-title":"Cell-free biomimetic osteochondral scaffold for OCD","volume":"33","author":"De Marziani,","year":"2024","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"issue":"3","key":"R15-90-20260423","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.fas.2023.12.005","article-title":"Arthroscopic microfracture and associated techniques in the treatment of osteochondral lesions of the talus: a systematic review and metanalysis","volume":"30","author":"Basciani,","year":"2024","journal-title":"Foot Ankle Surg."},{"issue":"18","key":"R16-90-20260423","doi-asserted-by":"crossref","first-page":"5395","DOI":"10.3390\/jcm11185395","article-title":"Evaluation of osteochondritis dissecans treatment with bioabsorbable implants in children and adolescents","volume":"11","author":"Wiktor,","year":"2022","journal-title":"J. Clin. 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