Medication Summary
Treat with pain medication and nonsteroidal anti-inflammatory drugs (NSAIDs) of choice, as indicated, to control pain, inflammation, and swelling.
Analgesics
Class Summary
Pain control is essential to quality patient care. Analgesics ensure patient comfort and have sedating properties, which are beneficial for patients who experience pain.
Acetaminophen and Codeine (Tylenol #3)
Indicated for the treatment of mild to moderate pain. Use for postoperative pain control.
Hydrocodone and acetaminophen (Vicodin, Lorcet-HD, Norcet)
Drug combination indicated for moderate to severe pain.
Nonsteroidal anti-inflammatory drug (NSAID)
Class Summary
Have analgesic, anti-inflammatory, and antipyretic activities. Their mechanism of action is not known, but they may inhibit cyclooxygenase activity and prostaglandin synthesis. Other mechanisms also may exist, such as inhibition of leukotriene synthesis, lysosomal enzyme release, lipoxygenase activity, neutrophil aggregation, and various cell membrane functions.
Ibuprofen (Motrin, Ibuprin)
DOC for patients with mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis.
Naproxen (Naprosyn, Anaprox, Naprelan, Aleve)
For relief of mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing activity of cyclooxygenase, which results in a decrease of prostaglandin synthesis.
Ketoprofen (Oruvail, Actron, Orudis)
For relief of mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing activity of cyclooxygenase, which results in a decrease of prostaglandin synthesis.
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Anteroposterior and lateral radiographs of medial femoral condyle osteochondritis dissecans.
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Anteroposterior MRI of medial femoral condyle osteochondritis dissecans.
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Lateral MRI of osteochondritis dissecans.
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Herbert screw stabilization of medial femoral condyle osteochondritis dissecans.
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Anteroposterior radiograph of medial femoral condyle osteochondritis dissecans.
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Lateral radiograph of osteochondritis dissecans.
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Arthroscopic view of medial femoral condyle osteochondritis dissecans, hinged medially. Note the large size and thickness of the fragment.
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Anteroposterior MRI of medial femoral condyle osteochondritis dissecans, hinged medially.
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Arthroscopic view of osteochondritis dissecans of the medial femoral condyle. The osteochondral fragment has been elevated from the crater. Note the sclerotic crater with an interposed fibrocartilaginous layer. This lesion has been previously treated with drilling; an old drill hole can be seen faintly at the upper aspect of the crater.
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Arthroscopic debridement of the osteochondritis dissecans bed to bleeding bone.
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Replacement of the fragment and temporary Kirschner wire stabilization.
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Completed osteochondritis dissecans stabilization with 2 Herbert screws. On initial examination, the most lateral defect was comminuted and removed; the larger weight-bearing surface was maintained and stabilized.
