Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. A joint surface damaged by OCD doesn’t heal naturally. Knee & Sports ⎪Osteochondritis Dissecans Orthobullets Team Knee & Sports - Osteochondritis Dissecans; Listen Now 23:49 min. When Your Child Has Osteochondritis Dissecans. Osteochondritis dissecans, often called OCD for short, is a condition that causes loosening of cartilage and its supporting bone. Mechanical … As a result, it is possible for portions of cartilage to become lodged within the joint, leading to limitation in motion. The most common location for OCD is at the knee, but… 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. The condition can also occur in other joints, including the shoulder and hip. 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 cause of OCD is much debated. 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. This condition is common in adolescents and males. 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 happens most often in the knee, elbow, or ankle. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. Most patients are athletes, and risk of OCD is higher in boys than girls. What is osteochondritis dissecans (OCD)? 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. [2] That process can lead to pain, loose body formation and joint effusion.[1]  Let me simplify it. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. 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. 2/24/2020. Curr Rev Musculoskelet Med. The loose piece can break away completely from the end of the bone. The papers noted above reflect a long line of research. Osteochondritis dissecans of the knee. * 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. For adults, Osteochondritis Dissecans forms after the physis or epiphyseal plate has closed, while for young people, it can occur while still growing. Treatment by replacement and fixation with readily removed pins. Osteochondritis Dissecans of the Knee: Long-Term Results of Excision of the Fragment. 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. Due to the disease process, this bony projection gets necrosis and becomes soft and detached. You might need to use crutches for a time, especially if pain causes you to limp. Surgery might be required in … The osteochondritis dissecans has more severe implications for growing children and adolescents. [1] This may result in separation and instability of a segment of cartilage and free movement of these osteochondral fragments within the joint space. Osteochondritis dissecans causes irregularity and fragility of affected cartilage. Osteochondral defect. Note: These x-rays show osteochondritis dissecans of the knee in a skeletally mature adolescent. Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. When present, OCD lesions usually become symptomatic during a child’s development. On the inner side of the knee, there is a bony projection, medial condyle. 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. Osteochondritis dissecans can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. 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 knee. (Right) The lesion has detached from the femur and is floating within the knee joint. The OCD lesion can remain in contact with the adjacent bone, maybe partially separated or completely separated. The lesion, which has multiple causes, has a loss of blood supply to a small portion of the bone. 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. Healing predictors of stable juvenile osteochondritis dissecans knee lesions after 6 and 12 months of nonoperative treatment. Osteochondritis dissecans is a joint condition whereby a variable amount of bone and its adjacent cartilage loses its blood supply. 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 lesions are prone to differentiate inside the joint from the underlying bone and cartilage, and might even detach and float. Osteochondritis Dissecans Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. Osteochondritis dissecans of the knee with loose fragments. The condition’s cause differs depending on your age. This softening is caused by an interruption in the blood flow to that portion of the bone. Pegs, Plugs, and Drills – Is there a surgical role for Osteochondritis dissecans of the knee? Osteochondritis dissecans (O.d.) of the knee is a common disease, but the aetiological factors are still controversial. Figure 1. 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 (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). Osteochondritis dissecans knee. Even with surgery, OCD usually leads to future joint problems, including degenerative arthritis and osteoarthritis. 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. Figure 2. 0.0 (0) See More See Less. The diagnosis is usually made during adolescence. For the purposes of this article, the abbreviation OCD will be used only for osteochondritis dissecans. Osteochondritis dissecans is a rare condition caused when a fragment of bone becomes loose in the joint. A long-term study. Unless the lesion repairs spontaneously or it … 231 plays. Osteochondritis dissecans is an idiopathic disease which affects the subchondral bone and its overlying articular cartilage due to loss of blood flow. 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 is localised avascular necrosis of articular surface of the medial femoral condyle. 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. The name osteochondritis dissecans (OCD) is a misnomer. What is osteochondritis dissecans? Knee Osteochondritis Dissecans (OCD) An unusual cause of knee pain is that of osteochondritis dissecans (OCD). OCD most often occurs in the knee joint, although it can also occur in other joints including the ankle and the elbow. Osteochondritis dissecans (OCD) is a joint condition that causes knee pain and limited ability to extend and bend the knee. 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. 6(2):102-14. . Despite much speculation, the cause of both juvenile and adult osteochondritis dissecans remains unclear. Surgical management of osteochondritis dissecans of the knee. 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. 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. (Left) An osteochondritis dissecans lesion at the end of the femur. 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. A … Krause M, Hapfelmeier A, Möller M, Amling M, Bohndorf K, Meenen NM. In clinical practice, the abbreviation OCD is often used for both osteochondral defect and osteochondritis dissecans, which causes confusion. A lesion of the cartilage and bone due to necrosis and loss of continuity of the underlying bone. In suspected cases of osteochondritis dissecans, order X-rays of both knees. 2013 Jun. Osteochondritis Dissecans of the knee is an obtained, reversible, idiopathic condition of the subchondral bone of our body and the leg. It typically affects children and adolescents. The condition can also occur in other joints, including the shoulder and hip. The diagnosis is usually made during adolescence. Osteochondritis dissecans usually develops in just one joint. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. Your child has been diagnosed with osteochondritis dissecans (OCD). The articular cartilage surface may be intact or may be breached allowing communication of the joint fluid with the bone. 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. 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