Osteochondritis dissecans (OCD) is a focal abnormality of subchondral bone that can lead to detachment of a bone fragment and overlying cartilage (See Figure). Any information you submit through this website is not protected by doctor-patient laws and regulations. Participating advertiser is responsible for this advertisement's content. Loose pieces of bone and cartilage can even break off into joint. The Incidence of Surgery in Osteochondritis Dissecans in Children and Adolescents. When osteochondritis dissecans affects the ankle it typically occurs on the inner or medial portion of the ankle (talus). We do not endorse non-Cleveland Clinic products or services. Your child has been diagnosed with osteochondritis dissecans (OCD). Long-term results after operative treatment of osteochondritis dissecans of the knee joint-30 year results. Osteochondritis dissecans in the ankle occurred in 6 men and 5 women. Surgery usually involves removing the loose fragment of cartilage and bone from the ankle joint and drilling small holes in … is not a licensed healthcare provider and therefore neither it, nor this website, offer medical advice. It is seen in athletes, including in the elbows of gymnasts and baseball players. Surgery might be required in … What is osteochondritis dissecans? Osteochondritis Dissecans is a condition where loose fragments of bone and cartilage break off the end of a bone when the blood supply to the bone is reduced. osteochondritis dissecans. Left untreated, osteochondritis dissecans can lead to the development of osteoarthritis at an early age, resulting in progressive pain and disability. The cause of osteochondritis dissecans is often unknown. Symptoms include pain, swelling and stiffness. Osteochondritis dissecans (OCD) can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. There are several types of surgery that can help. However, people of any age can develop the condition. It typically affects children and adolescents. Osteochondritis dissecans (OCD) is a condition where a small portion of bone loses blood supply, then loosens and separates from the tissues that surround it. Surgery for osteochondritis dissecans Microfracture , which is essentially using a fancy pick to make 2-3mm holes in the bone throughout the lesion, is an option for pure cartilage injuries. Your doctor will also check other structures around the joint, such as the ligaments.Your doctor will also ask you to move your joint in different directions to see whether the joint can move smoothly through its normal range of motion. We do not endorse non-Cleveland Clinic products or services. It can occur in all age groups. Osteochondritis dissecans is a localized injury or condition affecting a surface of the joint that involves a separation of a segment of cartilage and the underlying bone. Treatment for this may be different then in the early stages of the OCD lesion. Pain, weakness and/or swelling in a joint, often after physical or athletic activity; Decreased range of motion (the distance a joint normally moves), including an inability to fully extend the arm or leg. Osteochondral lesions of the talus can be associated with injury to the ankle. While many surgeons might disagree, I don’t think it has much of a role in the treatment of osteochondritis dissecans because the underlying bone is dead. . Vita Optimus, L.L.C. Most patients are athletes, and risk of OCD is higher in boys than girls. Osteochondritis dissecans (OCD) of the ankle is the end result of the aseptic separation of an osteochondral fragment of the talar dome with the gradual fragmentation of the articular surface.See the main osteochondritis dissecans article for a general discussion on … The type of surgery needed will depend on the stage and size of the injury. Osteochondritis dissecans affects joints, most frequently the knee, in children and adolescents. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. The first symptoms were pain and restriction of joint movement. The loose bone and cartilage might remain in place, or they can move into the joint area, which causes the joint to become unsteady. This results in a small piece of the bone dying and separating from the larger bone. It is less common in girls, but the upper age cutoff for might be lower. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. This bone piece, along with cartilage that covers and protects the bone, can then crack and break loose. Which joints are most commonly affected by OCD? Surgery. 17,38,40 While conservative (nonoperative) treatment is often utilized for early stage or stable lesions, lesions that fail to heal, appear unstable by magnetic resonance imaging (MRI), or coincide with the presence of loose bodies may require surgical … Surgical intervention for osteochondritis dissecans (OCD) has long been recognized as an important aspect of the treatment algorithm. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. Osteochondritis dissecans occurs in approximately 15 to 29 per 100,000 patients. 2008 Apr. If the fractured bone has completely detached, it can get caught between joints, causing pain. It most commonly heals by itself, but in adults, or adolescents over the age of 14, it seems more likely to break off than to heal. It most commonly affects the knee (75% of cases) but can also affect the elbow, ankle, shoulder, hand, wrist or hip. Osteochondritis Dissecans is a relatively common childhood problem in the knee. It is most commonly seen in the knee, but can also be found in the ankle and elbow. “Juvenile OCD” occurs in kids who are still growing. The osteochondritis dissecans has more severe implications for growing children and adolescents. FULLY READ AND AGREE TO ACCEPT EACH OF THE TERMS OF USE SET FORTH HEREIN. CORONAVIRUS: DELAYS FOR ROUTINE SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING. 9500 Euclid Avenue, Cleveland, Ohio 44195 |. 17,38,40 While conservative (nonoperative) treatment is often utilized for early stage or stable lesions, lesions that fail to heal, appear unstable by magnetic resonance imaging (MRI), or coincide with the presence of loose bodies may require surgical intervention. Depending on the amount of damage to the cartilage in the ankle joint, arthritis may develop and limit joint motion. Osteochondritis dissecans can be seen at any age but it is most common in kids and teenagers (10-15 years old). In 36 patients treated for osteochondritis dissecans (OCD) of the elbow, ankle and hip during a period of 20 years in the same hospital, trauma seems to have been the main etiologic factor in about half of the patients. When OCD is too severe and non-surgical treatment does not work, we may recommend surgery. When only one lesion occurs in a single joint, the condition is known as sporadic osteochondritis dissecans. Symptoms include joint pain, stiffness, and even locking of the joint. the knee, ankle and elbow. The cause of osteochondritis dissecans is often unknown. Long-term results after operative treatment of osteochondritis dissecans of the knee joint-30 year results. Michael JW, Wurth A, Eysel P, König DP. Osteochondritis dissecans (OCD) of the talus (ankle bone) happens when repetitive trauma results in a blood supply injury to the talus and the bone either fails to develop from the cartilage your kid was born with, or the maturing bone dies and therefore softens and collapses. It’s most common in children and teens who are active in sports. Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. Over time, if left untreated, this can lead to damage to the overlying cartilage of the joint. Although it can occur from childhood through adult life, the majority of patients are 10 to 20 years of age. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. Osteochondritis dissecans in the hip appeared in 5 men and one woman. Most cases of osteochondritis dissecans of the talus occur around the time of skeletal maturity (10-14 years of age for girls and 12-16 years of age for boys). Males are typically affected twice as often as females, with a higher incidence occurring in young athletes. Although it can occur from childhood through adult life, the majority of patients are 10 to 20 years of age. This is a failure of endochondral ossification which is an essential process during foetal development and development of juvenile dogs in bone formation from the cartilage precursor. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. Surgical care is suggested primarily by taking into account the stabilization of the lesions, clinical symptoms, and physical closure. However, it’s uncertain how the weak and disorganized cartilage results in bone separation and lesions. In some cases, you or your doctor will be able to feel a loose fragment inside your joint. This softening is caused by an interruption in the blood flow to that portion of the bone. U.S. National Library of Medicine/Genetics Home Reference. . Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. Osteochondritis dissecans occurs most often in children and adolescents ages 10 through 20, especially in young athletes or those who are physically active. People who have this type of osteochondritis dissecans usually have a short stature and a tendency to develop osteoarthritis – a breakdown of bone and joint cartilage – early in life. Osteochondritis dissecans occurs most often in children and adolescents. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. The unsettled nature for the role of trauma in osteochondritis dissecans was reflected in … Osteochondritis dissecans usually develops in just one joint. Familial osteochondritis dissecans is caused by inherited mutations (changes) to the ACAN gene, which is the source of a cartilage-building protein called aggrecan. Males are typically affected twice as often as females, with a higher incidence occurring in young athletes. 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