{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:12:32Z","timestamp":1780733552249,"version":"3.54.1"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,2,14]]},"abstract":"<jats:p>Osteochondral defects (OCD) are rare conditions that usually present in young adolescents. The causes include trauma, inflammation, ischaemia, genetics and changes at secondary ossification centres. The case report presents a 27-year-old man with chronic intermittent left knee pain for about 3 years. He typically develops the symptom after prolonged standing or when rising from a prolonged seated position. An initial MRI scan in 2014 did not identify and report an OCD that was present in his left lateral tibial plateau. It was only after an accidental tibial fracture injury this year that the defect was incidentally detected on a scan. OCD can be staged based on MRI and\/or arthroscopic findings. The treatment can be either non-operative or operative, but this largely depends on the age of the patient, the severity of symptoms and the staging of the defect.<\/jats:p>","DOI":"10.1136\/bcr-2017-224065","type":"journal-article","created":{"date-parts":[[2018,3,7]],"date-time":"2018-03-07T14:30:19Z","timestamp":1520433019000},"page":"bcr-2017-224065","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["An uncommon chronic osteochondral defect in the lateral tibial plateau detected after a separate injury"],"prefix":"10.1136","volume":"2018","author":[{"given":"Raymond","family":"Leung","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panos","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,3,7]]},"reference":[{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2013.11.006"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.2","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.cuor.2006.11.006","article-title":"Osteochondritis dissecans of the knee","volume":"21","author":"Schindler","year":"2007","journal-title":"Curr Orthop"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.3","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1007\/s12178-015-9304-9","article-title":"Surgical treatment for osteochondritis dessicans of the knee","volume":"8","author":"Winthrop","year":"2015","journal-title":"Curr Rev Musculoskelet Med"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.4","doi-asserted-by":"crossref","first-page":"138","DOI":"10.5152\/eurasianjmed.2015.50","article-title":"Osteochondral lesions of major joints","volume":"47","author":"Durur-Subasi","year":"2015","journal-title":"Eurasian J Med"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13256-016-1164-4","article-title":"Osteochondritis dissecans located on the medial tibial plateau: a case report","volume":"11","author":"Zhang","year":"2017","journal-title":"J Med Case Rep"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.6","first-page":"231","article-title":"Osteochondritis dissecans: a multicenter study of the European Pediatric Orthopedic Society","volume":"8","author":"Hefti","year":"1999","journal-title":"J Pediatr Orthop B"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.7","unstructured":"Ne SW , Insall JN . Chapter 21: Articular cartilage injury and adult OCD - treatment options and decision making. Insall & Scott surgery of the knee. 5th edition. Philadelphia: Churchill Livingstone, 2011:21.1\u20139."},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.8","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00275"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.9","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1177\/107110079902001206","article-title":"Osteochondral lesions of the talus: a revised classification","volume":"20","author":"Hepple","year":"1999","journal-title":"Foot Ankle Int"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.10","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2482071234"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.11","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506290127"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.12","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00748"},{"key":"2025042703005641000_2018.mar05_2.bcr-2017-224065.13","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01695"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-224065","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:01:06Z","timestamp":1745748066000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-224065"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,7]]},"references-count":13,"alternative-id":["10.1136\/bcr-2017-224065"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-224065","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,7]]}}}