{"id":"https://openalex.org/W1978609765","doi":"https://doi.org/10.1097/bpo.0000000000000121","title":"Multifocal Juvenile Osteochondritis Dissecans of the Knee","display_name":"Multifocal Juvenile Osteochondritis Dissecans of the Knee","publication_year":2013,"publication_date":"2013-11-22","ids":{"openalex":"https://openalex.org/W1978609765","doi":"https://doi.org/10.1097/bpo.0000000000000121","mag":"1978609765","pmid":"https://pubmed.ncbi.nlm.nih.gov/24248591"},"language":"de","primary_location":{"id":"doi:10.1097/bpo.0000000000000121","doi":"https://doi.org/10.1097/bpo.0000000000000121","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bpo.0000000000000121","pdf_url":null,"source":{"id":"https://openalex.org/S44433048","display_name":"Journal of Pediatric Orthopaedics","issn_l":"0271-6798","issn":["0271-6798","1539-2570"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Orthopaedics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5067465125","display_name":"Jeffrey R. Backes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]},{"id":"https://openalex.org/I1343573832","display_name":"Mount Carmel Health","ror":"https://ror.org/03wzyp716","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343573832"]},{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jeffrey R. Backes","raw_affiliation_strings":["*Mount Carmel Medical Center \u2020Nationwide Children's Hospital \u2021Department of Orthopaedics, The Ohio State University, Columbus, OH","Mount Carmel Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"*Mount Carmel Medical Center \u2020Nationwide Children's Hospital \u2021Department of Orthopaedics, The Ohio State University, Columbus, OH","institution_ids":["https://openalex.org/I1314135232","https://openalex.org/I1343573832","https://openalex.org/I52357470"]},{"raw_affiliation_string":"Mount Carmel Medical Center","institution_ids":["https://openalex.org/I1343573832"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063314639","display_name":"Thomas C. Durbin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1343573832","display_name":"Mount Carmel Health","ror":"https://ror.org/03wzyp716","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343573832"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Thomas C. Durbin","raw_affiliation_strings":["Mount Carmel Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mount Carmel Medical Center","institution_ids":["https://openalex.org/I1343573832"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040112655","display_name":"Jared C. Bentley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1343573832","display_name":"Mount Carmel Health","ror":"https://ror.org/03wzyp716","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343573832"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jared C. Bentley","raw_affiliation_strings":["Mount Carmel Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mount Carmel Medical Center","institution_ids":["https://openalex.org/I1343573832"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063724895","display_name":"Kevin E. Klingele","orcid":"https://orcid.org/0000-0002-1685-8007","observed_orcids":["https://orcid.org/0000-0002-1685-8007","https://orcid.org/0000-0002-6784-6743"]},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]},{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kevin E. Klingele","raw_affiliation_strings":["Department of Orthopaedics, The Ohio State University, Columbus, OH","Nationwide Children\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, The Ohio State University, Columbus, OH","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Nationwide Children\u2019s Hospital","institution_ids":["https://openalex.org/I1314135232"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5040112655","https://openalex.org/A5063314639","https://openalex.org/A5067465125"],"corresponding_institution_ids":["https://openalex.org/I1314135232","https://openalex.org/I1343573832","https://openalex.org/I52357470"],"apc_list":null,"apc_paid":null,"fwci":1.9121,"has_fulltext":false,"cited_by_count":20,"citation_normalized_percentile":{"value":0.84263667,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"34","issue":"4","first_page":"453","last_page":"458"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.36469998955726624,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.36469998955726624,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12209","display_name":"Bone and Joint Diseases","score":0.30149999260902405,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11018","display_name":"Lower Extremity Biomechanics and Pathologies","score":0.07810000330209732,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/knee-joint","display_name":"knee joint","score":0.777999997138977},{"id":"https://openalex.org/keywords/medial-femoral-condyle","display_name":"medial femoral condyle","score":0.9229999780654907},{"id":"https://openalex.org/keywords/lateral-femoral-condyle","display_name":"lateral femoral condyle","score":0.9829999804496765},{"id":"https://openalex.org/keywords/lesion-localization","display_name":"lesion localization","score":0.7260000109672546},{"id":"https://openalex.org/keywords/lesion-stability","display_name":"lesion stability","score":0.7910000085830688},{"id":"https://openalex.org/keywords/surgical-outcomes","display_name":"surgical outcomes","score":0.6520000100135803},{"id":"https://openalex.org/keywords/healing-rate","display_name":"healing rate","score":0.578000009059906},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.6869999766349792},{"id":"https://openalex.org/keywords/pediatric-knee","display_name":"pediatric knee","score":0.5929999947547913}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.979090690612793},{"id":"https://openalex.org/C2779293907","wikidata":"https://www.wikidata.org/wiki/Q127556","display_name":"Osteochondritis dissecans","level":2,"score":0.8550475835800171},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.6589577794075012},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6535465717315674},{"id":"https://openalex.org/C2780368125","wikidata":"https://www.wikidata.org/wiki/Q229081","display_name":"Patella","level":2,"score":0.5923041701316833},{"id":"https://openalex.org/C96646087","wikidata":"https://www.wikidata.org/wiki/Q978198","display_name":"Condyle","level":2,"score":0.4751979112625122},{"id":"https://openalex.org/C2908736133","wikidata":"https://www.wikidata.org/wiki/Q37425","display_name":"Knee Joint","level":2,"score":0.4670844078063965},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.45870861411094666},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.42953240871429443},{"id":"https://openalex.org/C146357865","wikidata":"https://www.wikidata.org/wiki/Q1123245","display_name":"Stage (stratigraphy)","level":2,"score":0.4216269552707672},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004838","descriptor_name":"Epiphyses","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007593","descriptor_name":"Joint Instability","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007719","descriptor_name":"Knee Joint","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D007719","descriptor_name":"Knee Joint","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D007719","descriptor_name":"Knee Joint","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010008","descriptor_name":"Osteochondritis Dissecans","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D010008","descriptor_name":"Osteochondritis Dissecans","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D010008","descriptor_name":"Osteochondritis Dissecans","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D010008","descriptor_name":"Osteochondritis Dissecans","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D010329","descriptor_name":"Patella","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011859","descriptor_name":"Radiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013977","descriptor_name":"Tibia","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017677","descriptor_name":"Age Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017678","descriptor_name":"Sex Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D051346","descriptor_name":"Mobility Limitation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D054544","descriptor_name":"Arthroplasty, Subchondral","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057832","descriptor_name":"Watchful Waiting","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/bpo.0000000000000121","doi":"https://doi.org/10.1097/bpo.0000000000000121","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bpo.0000000000000121","pdf_url":null,"source":{"id":"https://openalex.org/S44433048","display_name":"Journal of Pediatric Orthopaedics","issn_l":"0271-6798","issn":["0271-6798","1539-2570"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pediatric Orthopaedics","raw_type":"journal-article"},{"id":"pmid:24248591","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/24248591","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of pediatric orthopedics","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9922999739646912,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":34,"referenced_works":["https://openalex.org/W104176905","https://openalex.org/W1550998176","https://openalex.org/W1964636080","https://openalex.org/W1970521378","https://openalex.org/W1980930827","https://openalex.org/W1981148118","https://openalex.org/W1984156683","https://openalex.org/W2005867367","https://openalex.org/W2007697680","https://openalex.org/W2016414756","https://openalex.org/W2020581901","https://openalex.org/W2023259281","https://openalex.org/W2024346602","https://openalex.org/W2034934294","https://openalex.org/W2040912314","https://openalex.org/W2045683608","https://openalex.org/W2052675056","https://openalex.org/W2069167707","https://openalex.org/W2085228201","https://openalex.org/W2087760949","https://openalex.org/W2089422301","https://openalex.org/W2119035253","https://openalex.org/W2127105911","https://openalex.org/W2171595487","https://openalex.org/W2185064261","https://openalex.org/W2185194212","https://openalex.org/W2194652651","https://openalex.org/W2217301978","https://openalex.org/W2269489268","https://openalex.org/W2316161098","https://openalex.org/W2323243982","https://openalex.org/W2408827127","https://openalex.org/W4229952197","https://openalex.org/W4294232730"],"related_works":["https://openalex.org/W2503486440","https://openalex.org/W2804174987","https://openalex.org/W2021309393","https://openalex.org/W7223555291","https://openalex.org/W2007573009","https://openalex.org/W2076058954","https://openalex.org/W4205647310","https://openalex.org/W2483802213","https://openalex.org/W3043403095","https://openalex.org/W2313474273"],"abstract_inverted_index":{"BACKGROUND:":[0],"This":[1],"retrospective":[2],"case":[3],"series":[4],"reports":[5],"on":[6,112,120,127,132,138,181,269,294],"a":[7,41,185,206,274],"group":[8],"of":[9,17,32,37,66,189,202,208,223,225,233,243,252,261],"patients":[10,33,80,209,235],"with":[11,35,160,171,193,210,239,247],"multifocal":[12],"juvenile":[13],"osteochondritis":[14],"dissecans":[15],"(MJOCD)":[16],"the":[18,38,83,113,121,128,133,139,150,176,182,203,216,219,226,270,283],"knee":[19,39,204,227],"and":[20,27,49,58,68,91,135,287],"discusses":[21],"demographic":[22],"data,":[23],"lesion":[24,213],"location,":[25],"stage,":[26],"treatment":[28,62,70],"results.":[29],"METHODS:":[30],"Records":[31],"identified":[34,77,167,212],"MJOCD":[36,201,224],"at":[40,273],"single":[42],"institution":[43],"were":[44,52,55,63,71,76,87,111,168],"retrospectively":[45],"reviewed.":[46],"Demographic,":[47],"radiographic,":[48],"surgical":[50,61,237,265],"results":[51],"recorded.":[53,72],"Lesions":[54,179,267],"descriptively":[56],"classified":[57],"lesions":[59,75,110,145,153,166,197,245,254,263],"undergoing":[60,264],"staged.":[64],"Results":[65],"operative":[67,147,161],"nonoperative":[69],"RESULTS:":[73],"Fifty-nine":[74],"in":[78,215],"28":[79],"who":[81],"met":[82],"inclusion":[84],"criteria.":[85],"There":[86],"22":[88],"males":[89],"(78%)":[90,157],"6":[92,101],"females":[93],"(21%).":[94],"Average":[95],"age":[96],"was":[97,257],"11.8":[98],"years":[99],"(males,":[100],"to":[102,106],"17;":[103],"females,":[104],"10":[105],"14).":[107],"Thirty-six":[108],"(61%)":[109],"medial":[114],"femoral":[115,123,195],"condyle":[116,196],"(MFC),":[117],"19":[118],"(32%)":[119],"lateral":[122,194],"condyle,":[124],"2":[125],"(3%)":[126],"trochlea,":[129],"1":[130,136],"(2%)":[131,137],"patella,":[134],"anteromedial":[140],"tibial":[141],"plateau.":[142],"Forty-four":[143],"(74%)":[144],"required":[146],"treatment.":[148,162,249],"Of":[149],"32":[151],"stable":[152,244,253],"managed":[154,169],"surgically,":[155],"25":[156],"achieved":[158],"healing":[159,190,246,295],"All":[163],"12":[164],"unstable":[165,262],"surgically":[170],"5":[172],"(41%)":[173],"healed":[174,272],"after":[175,255],"initial":[177],"operation.":[178],"located":[180,268],"MFC":[183,271],"had":[184,291],"significantly":[186],"higher":[187],"rate":[188,278],"(89%)":[191],"compared":[192],"(37%)":[198],"(P<0.0001).":[199],"CONCLUSIONS:":[200],"defines":[205],"subset":[207],">1":[211],"occurring":[214],"same":[217],"or":[218],"contralateral":[220],"knee.":[221,284],"Prevalence":[222],"is":[228],"unknown.":[229],"A":[230],"high":[231],"percentage":[232],"these":[234],"require":[236],"intervention":[238],"only":[240],"one":[241],"quarter":[242],"conservative":[248],"Healing":[250],"rates":[251],"surgery":[256],"nearly":[258],"twice":[259],"that":[260],"intervention.":[266],"statistically":[275],"significant":[276],"greater":[277],"than":[279],"other":[280],"locations":[281],"within":[282],"Sex,":[285],"age,":[286],"associated":[288],"discoid":[289],"menisci":[290],"no":[292],"effect":[293],"prognosis.":[296],"LEVEL":[297],"OF":[298],"EVIDENCE:":[299],"Level":[300],"IV-case":[301],"series.":[302]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}