The most common location for OCD is at the knee, but… Your child has been diagnosed with osteochondritis dissecans (OCD). Osteochondritis dissecans knee. You might need to use crutches for a time, especially if pain causes you to limp. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. The condition can also occur in other joints, including the shoulder and hip. * This results in a spectrum of pathology beginning with a lesion to the bone only, followed by eventual cartilage separation, bone separation, and loose body formation. Krause M, Hapfelmeier A, Möller M, Amling M, Bohndorf K, Meenen NM. (Left) An osteochondritis dissecans lesion at the end of the femur. While the exact cause is unknown, the condition may occur due to a loss of blood flow to the area underneath the cartilage in the knee, causing part of the bone to die. OCD most often occurs in the knee joint, although it can also occur in other joints including the ankle and the elbow. Treatment by replacement and fixation with readily removed pins. A lesion of the cartilage and bone due to necrosis and loss of continuity of the underlying bone. A joint surface damaged by OCD doesn’t heal naturally. OCD (osteochondritis dissecans), on the other hand, is considered a chronic process that can go on for months to years before any symptoms are felt. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. Pegs, Plugs, and Drills – Is there a surgical role for Osteochondritis dissecans of the knee? Osteochondral defect. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. Figure 2. 231 plays. A long-term study. 2013 Jun. Osteochondritis dissecans (OCD) is a joint condition that causes knee pain and limited ability to extend and bend the knee. In clinical practice, the abbreviation OCD is often used for both osteochondral defect and osteochondritis dissecans, which causes confusion. What is osteochondritis dissecans? Despite much speculation, the cause of both juvenile and adult osteochondritis dissecans remains unclear. Osteochondritis Dissecans of the Knee: Long-Term Results of Excision of the Fragment. The lesion, which has multiple causes, has a loss of blood supply to a small portion of the bone. Osteochondritis dissecans 1 is a joint disorder where there is disruption in the blood supply to the bone and its adjacent cartilage.. Osteochondritis dissecans can affect any joint such as knee, elbow, and ankle joints. Osteochondritis dissecans is a problem that affects mainly young athletes, but occasionally the residual effects of an osteochondritis dissecans lesion can be seen in an adult. It typically affects children and adolescents. Osteochondritis dissecans knee. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur).A joint surface damaged by OCD doesn’t heal naturally. Osteochondritis Dissecans of the knee is an obtained, reversible, idiopathic condition of the subchondral bone of our body and the leg. Figure 1. Healing predictors of stable juvenile osteochondritis dissecans knee lesions after 6 and 12 months of nonoperative treatment. The knee, ankle and elbow are the most commonly affected joints. An OCD lesion involves the bone under the articular cartilage in part of the knee (almost always the lateral aspect of the medial femoral condyle) starting to die. The loose piece can break away completely from the end of the bone. The papers noted above reflect a long line of research. may demonstrate the osteochondral lesion or a loose body in the knee joint (3) specific views such as weight bearing anteroposterior and posteroanterior tunnel views, lateral and tunnel views might be necessary (1). Osteochondritis Dissecans is a condition that affects synovial joints , resulting in localised abnormalities of the articular cartilage, such that the cartilage softens and can eventually dislodge and become a floating loose body within the knee. Osteochondritis dissecans (OCD) is a focal abnormality of subchondral bone that can lead to detachment of a bone fragment and overlying cartilage (See Figure). Osteochondritis dissecans happens most often in the knee, elbow, or ankle. Osteochondritis dissecans usually develops in just one joint. Due to the disease process, this bony projection gets necrosis and becomes soft and detached. Osteochondritis dissecans is an idiopathic disease which affects the subchondral bone and its overlying articular cartilage due to loss of blood flow. Even with surgery, OCD usually leads to future joint problems, including degenerative arthritis and osteoarthritis. When Your Child Has Osteochondritis Dissecans. Unless the lesion repairs spontaneously or it … Curr Rev Musculoskelet Med. Surgery might be required in … Osteochondritis dissecans is a joint condition whereby a variable amount of bone and its adjacent cartilage loses its blood supply. Osteochondritis dissecans (oss-tee-oh-kon-DRITE-iss DISS-ih-kanz) is when a piece of bone and the attached cartilage break down and become loose. The cause of OCD is much debated. When present, OCD lesions usually become symptomatic during a child’s development. The articular cartilage surface may be intact or may be breached allowing communication of the joint fluid with the bone. For the purposes of this article, the abbreviation OCD will be used only for osteochondritis dissecans. Treatment of osteochondritis dissecans is intended to restore the normal functioning of the affected joint and relieve pain, ... Avoid activities that stress your joint, such as jumping and running if your knee is affected. Most patients are athletes, and risk of OCD is higher in boys than girls. The condition can also occur in other joints, including the shoulder and hip. A … The OCD lesion can remain in contact with the adjacent bone, maybe partially separated or completely separated. of the knee is a common disease, but the aetiological factors are still controversial. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). Knee & Sports ⎪Osteochondritis Dissecans Orthobullets Team Knee & Sports - Osteochondritis Dissecans; Listen Now 23:49 min. The name osteochondritis dissecans (OCD) is a misnomer. For adults, Osteochondritis Dissecans forms after the physis or epiphyseal plate has closed, while for young people, it can occur while still growing. The cause of Osteochondritis Dissecans is currently not known to the medical world but if not cured in time OCD can cause damage to the overlying cartilage of the knees. 2/24/2020. Osteochondritis dissecans (OCD) of the knee is an idiopathic, focal, subchondral-bone abnormality that can cause instability or detachment of a bone fragment and overlying articular cartilage, with subsequent progression to osteoarthritis. 6(2):102-14. . Osteochondritis dissecans of the knee is being seen with increased frequency in pediatric and young adult athletes and is thought to be, in part, owing to earlier and increasingly competitive sports participation. With a follow-up examination of 97 surgically treated patients (109 lesions) we looked for the influence of preoperative sports activities as a possible aetiological factor. Osteochondritis dissecans of the knee. This softening is caused by an interruption in the blood flow to that portion of the bone. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. Note: These x-rays show osteochondritis dissecans of the knee in a skeletally mature adolescent. Osteochondritis dissecans causes irregularity and fragility of affected cartilage. Osteochondritis Dissecans Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. Let me simplify it. What is osteochondritis dissecans (OCD)? Osteochondritis dissecans can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. Surgical management of osteochondritis dissecans of the knee. The diagnosis is usually made during adolescence. In 1888, Konig coined the term when he sought to describe the pathologic process that led to atraumatic loose bodies of femoral origin in the knee and hip joints. Knee Osteochondritis Dissecans (OCD) An unusual cause of knee pain is that of osteochondritis dissecans (OCD). Osteochondritis dissecans usually develops in just one joint. Which joints are most commonly affected by OCD? Osteochondritis dissecans (O.d.) (Right) The lesion has detached from the femur and is floating within the knee joint. Osteochondritis dissecans (OCD) of the knee is an idiopathic, focal, subchondral-bone abnormality that can cause instability or detachment of a bone fragment and overlying articular cartilage, with subsequent progression to osteoarthritis. osteochondritis dissecans is localised avascular necrosis of articular surface of the medial femoral condyle. Juvenile osteochondritis dissecans (JOCD) is a condition in which a portion of subchondral bone and its overlying cartilage become damaged; it usually affects the knee. The diagnosis is usually made during adolescence. On the inner side of the knee, there is a bony projection, medial condyle. Osteochondritis dissecans lesions are prone to differentiate inside the joint from the underlying bone and cartilage, and might even detach and float. Osteochondritis dissecans (OCD) is the end result of the aseptic separation of an osteochondral fragment with the gradual fragmentation of the articular surface and results in an osteochondral defect.It is often associated with intraarticular loose bodies. Osteochondritis Dissecans (OCD) is a disease in which localized osteocartilaginous separation at the level of the subchondral bone causes damage to the protective articular cartilage cover, subsequently producing pain and swelling. Osteochondritis dissecans of the knee with loose fragments. Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. Osteochondritis dissecans is a joint condition that occurs when a piece of cartilage and the thin layer of bone beneath it, separates from the end of the bone.If the piece of cartilage and bone remain close to where they detached, they may not cause any symptoms. [2] That process can lead to pain, loose body formation and joint effusion.[1]  The condition’s cause differs depending on your age. As a result, it is possible for portions of cartilage to become lodged within the joint, leading to limitation in motion. This condition is common in adolescents and males. The osteochondritis dissecans has more severe implications for growing children and adolescents. In suspected cases of osteochondritis dissecans, order X-rays of both knees. Osteochondritis dissecans is a rare condition caused when a fragment of bone becomes loose in the joint. 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