König's syndrome
Editor-In-Chief: Prab R Tumpati, MD
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| König's syndrome | |
|---|---|
| Synonyms | Osteochondritis dissecans |
| Pronounce | N/A |
| Specialty | Orthopedic surgery |
| Symptoms | Joint pain, swelling, locking of the joint |
| Complications | Osteoarthritis |
| Onset | Typically in adolescence or young adulthood |
| Duration | Chronic |
| Types | N/A |
| Causes | Repetitive trauma, genetic factors |
| Risks | High-impact sports, family history |
| Diagnosis | X-ray, MRI |
| Differential diagnosis | Avascular necrosis, Meniscus tear |
| Prevention | Avoidance of repetitive joint stress |
| Treatment | Rest, physical therapy, surgery |
| Medication | NSAIDs |
| Prognosis | Variable; may lead to chronic joint issues |
| Frequency | Rare |
| Deaths | N/A |
A rare medical condition involving joint pain and swelling
König's syndrome is a rare medical condition characterized by joint pain and swelling, often associated with osteochondritis dissecans. It was first described by the German surgeon Franz König in the late 19th century.
History
König's syndrome was first identified by Franz König, who was a prominent figure in the field of orthopedic surgery. His work laid the foundation for understanding various joint disorders, including the condition that now bears his name.
Pathophysiology
The syndrome is believed to result from the separation of a segment of cartilage and subchondral bone, leading to joint pain and swelling. This can occur due to trauma or ischemia, resulting in the formation of loose bodies within the joint.
Clinical Presentation
Patients with König's syndrome typically present with joint pain, swelling, and sometimes locking or catching of the joint. The knee is the most commonly affected joint, but other joints such as the elbow and ankle can also be involved.
Diagnosis
Diagnosis of König's syndrome is primarily clinical, supported by imaging studies such as X-ray and MRI. These imaging modalities help in identifying loose bodies and assessing the extent of cartilage damage.
Treatment
Treatment options for König's syndrome include conservative management with rest and physical therapy, as well as surgical intervention to remove loose bodies and repair damaged cartilage. The choice of treatment depends on the severity of the symptoms and the extent of joint involvement.
Prognosis
The prognosis for patients with König's syndrome varies. Early diagnosis and appropriate management can lead to good outcomes, but delayed treatment may result in chronic pain and joint dysfunction.
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Contributors: Prab R. Tumpati, MD