![]() While osteochondral fractures are common in the shoulder (known as Hill Sachs lesions) and have also been reported in the distal humerus, distal radius and wrist, the progression to arthritis may not be as common, rapid or disabling as in lower extremity joints. This may be a greater issue in weight bearing joints. Despite much debate surrounding the term, “osteochondritis dissecans” now is used to describe an area of necrosis of the subchondral bone which may or may not have associated separation of the overlying cartilage and will not be the focus of this review.Īttention to osteochondral/chondral fractures is important because these lesions may cause the joint to degenerate into osteoarthritis because articular cartilage has limited potential for self-repair. Alternatively, lesser degrees of trauma can contuse the bone and cause an area of necrosis that allows the joint surface to separate, or, in cases of no trauma, spontaneously necrose. Konig concluded that the etiology of these lesions could be severe trauma with enough force to fracture the joint surface. Osteochondritis dissecans is a term that was coined by Konig in 1887 to describe the loose bodies that he found in the knee joint. This review will focus on osteochondral lesions (OCLs) that are diagnosed acutely. Most of the literature to date focuses on chronic lesions and potential strategies to stimulate repair or regeneration of cartilage. However, they are often initially missed, being misdiagnosed as a pure soft tissue injury, and present as chronic lesions. Osteochondral/chondral fractures are related to trauma and may present acutely. Alternatively, a chondral fracture involves only the cartilage without penetration through the subchondral bone. An osteochondral fracture is considered an injury that damages the cartilage and underlying subchondral bone. Your doctor can give you a more specific timeline based on your injury and overall health.Injuries on the articular surface of a joint are commonly called chondral or osteochondral fractures but may also be known as transchondral fractures. You might also feel lingering stiffness for up to two years. Keep in mind that full recovery can take a year or more, especially for more severe wrist injuries. You can start working your way back up to your previous activity level within about three to six months, depending on your injury. Once the cast is off, it’ll be about one or two months before you can return to low-impact physical activities, such as swimming. Depending on the extent of the fracture, you might need to keep the cast on for a few weeks or a couple of months. Your doctor will likely follow up with regular X-rays every few weeks to get an idea of how things are healing. You may need a new cast if it starts to feel loose after the swelling subsides.įor more severe fractures requiring surgery, you’ll go straight into a cast after the procedure. If you need a cast, it’ll stay on for a few weeks while the swelling continues to go down and the bone heals. You may need to wear a splint to prevent your wrist from moving too much during this time. Generally, you’ll have swelling in your outer wrist for a few days. ![]() The healing time associated with an ulnar styloid fracture depends on how severe the fracture is and whether any other bones were fractured.
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