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. If the athlete was treated surgically, he or she may return to play when the OCD lesion has healed and any obstructive retained hardware has been removed. 2009 Feb. 25(2):145-52. Kids with osteochondritis dissecans usually need at least a few months off from sports. Surgical management of osteochondritis dissecans of the knee. 392396-overview Osteochondritis dissecans is a joint condition whereby a variable amount of bone and its adjacent cartilage loses its blood supply. "Osteochondritis dissecans" means that thin pieces of inflamed, cartilage-covered bone are peeling away from the end of a long bone within a joint [1]. In this Ask Dr. Geier video, I discuss this injury and surgery for an OCD lesion of the knee. ... 2 years post knee surgery now. Adachi N, Deie M, Nakamae A, Ishikawa M, Motoyama M, Ochi M. Functional and radiographic outcome of stable juvenile osteochondritis dissecans of the knee treated with retroarticular drilling without bone grafting. Osteochondritis dissecans can cause symptoms either after an injury to a joint or after several months of activity, especially high-impact activity such as jumping and running, that affects the joint. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODk3MTgtZm9sbG93dXA=. Factors that may affect this decision include the joint affected, the degree of secondary arthritis, or if a flap of cartilage is not present. Long-term results after operative treatment of osteochondritis dissecans … Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. After surgery, he came back … Ask doctors free. Julie A Jacobs, PA-C Department of Emergency Medicine, EPMG at Lakeland Hospital, Julie A Jacobs, PA-C is a member of the following medical societies: American Academy of Physician Assistants. If the athlete was treated … Lateral radiograph of osteochondritis dissecans. J Pediatr Orthop. Return to play is allowed once the OCD lesion has healed and quadriceps strength has returned to within normal limits. Return to play is allowed once the OCD lesion has healed and quadriceps strength has returned to within normal limits. Diseases & Conditions, 2002 Also read: Usually, only a small portion of the affected cartilage is involved. 2013 Oct. 41(10):2384-91. When OCD is too severe and non-surgical treatment does not work, we may recommend surgery. While the exact cause is unknown, the condition may occur due to a loss of blood … Brian A Jacobs, MD, FACSM Consulting Staff, Private Practice, Family Medicine of South Bend; Team Physician, Marian High School Early in the disease process, you might experience dull pain or soreness and swelling. Instr Course Lect. A nonunion of the OCD fragment may occur and progress to dissociation, leading to intra-articular loose body symptoms. Kids with osteochondritis dissecans usually need at least a few months off from sports. Surgery or arthroscopy will often be the treatment of choice for osteochondritis dissecans. Int Orthop. This, in turn, may lead to a type of reconstructive procedure such as OATS or ACI (see Surgical Intervention in Acute Phase). Skeletal Trauma: Fractures, Dislocations, Ligamentous Injuries. Please note that as an Amazon Associate I earn from qualifying purchases. Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. [Medline]. The forceful and repeated actions of these sports can strain the immature surface of the outer part of the elbow joint. Please confirm that you would like to log out of Medscape. Arthroscopic view of medial femoral condyle osteochondritis dissecans, hinged medially. Michael JW, Wurth A, Eysel P, König DP. Erickson BJ, Chalmers PN, Yanke AB, Cole BJ. Share cases and questions with Physicians on Medscape consult. The goal of treatment for OCD is to heal the joint. I have this rare condition in my knees called Osteochondritis Dissecans (OCD) … Treating Osteochondritis Dissecans of the Ankle in Milwaukee Understanding OCD Ankle Lesions & How to Heal. Choice for osteochondritis dissecans Nothing to disclose kids with osteochondritis dissecans of the disorder there will be required enter... 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