{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T18:54:12Z","timestamp":1773600852589,"version":"3.50.1"},"reference-count":13,"publisher":"SLACK, Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:p>Osteochondritis dessicans of the femoral head is an uncommon problem. Limited literature reports the incidence of osteochondritis dessicans and its treatment. The surgical technique used and outcomes for a 40-year-old man with symptomatic femoral head osteochonditis dissecans who was treated 11 years previously with retrograde drilling and hip arthroscopy are discussed.<\/jats:p>\n          <jats:p>Despite temporary symptomatic improvement without subchondral collapse after his index procedure, increasing pain a decade later was thought to be caused by a large apical osteochondritic fragment and chondrolabral dysfunction from femoroacetabular impingement. Acetabuloplasty of acetabular overcoverage permitted arthroscopic internal fixation of the bone fragment by improving screw trajectory. Labral refixation and femoroplasty were subsequently performed. At 18-month follow-up, his nonarthritic hip score improved from 53 to 76 and his osteochondritic lesion had healed radiographically.<\/jats:p>\n          <jats:p>Although clinical improvement with radiographic union has been reported following open screw fixation of femoral head osteochondritis dissecans, to the authors\u2019 knowledge this is the first published case with a similar outcome using arthroscopic techniques. Clinical improvement and union of even long-standing osteochondritis dissecans of the femoral head may occur with arthroscopic fragment fixation. Hip arthroscopy may play significant therapeutic and diagnostic roles in the treatment of this condition while offering a less invasive alternative to open osteosynthesis.<\/jats:p>","DOI":"10.3928\/01477447-20130426-37","type":"journal-article","created":{"date-parts":[[2013,5,14]],"date-time":"2013-05-14T19:10:58Z","timestamp":1368558658000},"source":"Crossref","is-referenced-by-count":11,"title":["Arthroscopic Internal Fixation of Osteochondritis Dissecans of the Femoral Head"],"prefix":"10.3928","volume":"36","author":[{"given":"Dean K.","family":"Matsuda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc R.","family":"Safran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"issue":"148","key":"e_1_3_1_2_2","first-page":"245","article-title":"Osteochondritis dissecans of elbow, ankle and hip: a comparison survey","author":"Lindholm TS","year":"1980","unstructured":"Lindholm TS, Osterman K, Vankka E. Osteochondritis dissecans of elbow, ankle and hip: a comparison survey. Clin Orthop Relat Res. 1980; (148):245\u2013253.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.39B2.268"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199505000-00010"},{"issue":"158","key":"e_1_3_1_5_2","first-page":"59","article-title":"Osteochondrosis dissecans","author":"Pappas AM","year":"1981","unstructured":"Pappas AM. Osteochondrosis dissecans. Clin Orthop Relat Res. 1981; (158):59\u201369.","journal-title":"Clin Orthop Relat Res"},{"issue":"167","key":"e_1_3_1_6_2","first-page":"50","article-title":"Osteochondritis dissecans: history, pathophysiology and current treatment concepts","author":"Clanton TO","year":"1982","unstructured":"Clanton TO, DeLee JC. Osteochondritis dissecans: history, pathophysiology and current treatment concepts. Clin Orthop Relat Res. 1982; (167):50\u201364.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.10.025"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0997-1"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/112070001002000412"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200505000-00002"},{"issue":"4","key":"e_1_3_1_11_2","first-page":"254","article-title":"Hip arthroscopy in staging avascular necrosis of the femoral head","volume":"9","author":"Sekiya JK","year":"2000","unstructured":"Sekiya JK, Ruch DS, Hunter DM, et al. Hip arthroscopy in staging avascular necrosis of the femoral head. J South Orthop Assoc. 2000; 9(4):254\u2013261.","journal-title":"J South Orthop Assoc"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200301000-00011"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.01.011"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2011.12.002"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20130426-37","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T00:40:32Z","timestamp":1683074432000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20130426-37"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,5]]}},"alternative-id":["10.3928\/01477447-20130426-37"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20130426-37","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5]]}}}