Osteochondritis dissecans is an acquired, potentially reversible idiopathic lesion of subchondral bone resulting in delamination and sequestration with or without articular cartilage involvement and instability. In this Ask Dr. Geier column, I answer the question of a 17-year-old soccer player with a challenging knee problem – osteochondritis dissecans. Osteochondritis dissecans of the knee is often the result of sports that involve high-impact landings, such as football, soccer, and gymnastics. 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. Sports Injury. Osteochondritis dissecans (OCD) of the knee is a frequent cause of pain and functional limitation among skeletally immature and young athletes. How Is Osteochondritis Dissecans Evaluated? Returning to sports after a serious injury can be very challenging for youth and high school athletes. Swelling and tenderness. Chronic overuse of the lower extremity in young soccer players can cause OCD at the knee and ankle joints; furthermore, with increased competitiveness of amateur sports, more injuries may cause OCD. Osteochondritis dissecans causes. The forces needed to cause OCD are produced primarily in athletes participating in baseball and gymnastics. Yes, it was not Andrew Bynum 's doctor. 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. Bone breakdown occurs in osteochondritis dissecans because something is interfering with its blood supply, causing parts of it to die (necrosis). THIS POST IS PART OF THE ULTIMATE GUIDE TO SPORTS MEDICINE Dr. Corey Kendall, OrthoIndy sports medicine surgeon, answers questions about osteochondritis dissecans.. Q. Osteochondritis dissecans (OCD) is an acquired defect in the articular cartilage and subchondral bone. Osteochondritis dissecans is the most common cause of a loose body in the joint space in adolescent patients. Because clinical findings are often subtle, diagnosis requires a high index of suspicion. This most common symptom of osteochondritis dissecans might be triggered by physical activity — walking up stairs, climbing a hill or playing sports. Clinical Bottom Line Osteochondritis Dissecans is, in adolescent athletes, an increasingly common cause of elbow dysfunction and elbow pain. The skin around your joint might be swollen and tender. Williamson LR, Albright JP. Osteochondritis dissecans occurs when a fragment of bone in a joint separates from the rest of the bone because its blood supply is faulty, and there is not enough blood to maintain it. Osteochondritis dissecans of the elbow can result from sports with repeated overhead throwing, such as baseball, and … In the case-control comparison, the correlation between playing either basketball or soccer and the presence of a trochlear JOCD lesion was statistically significant (P=0.017). [Epub ahead of print] Osteochondritis Dissecans of the Knee: Short-Term Outcomes of a Hybrid Technique to Restore a Partially Salvageable Progeny Fragment. Kids who had surgery will need more time to heal. Complications of Osteochondritis Dissecans It is important to get any ankle injury looked at by a doctor as soon as possible, as a long enough delay in obtaining treatment can potentially lead to long-term disability. Swelling and tenderness. Osteochondritis dissecans (OCD) can affect both adults and children, however the imaging characteristics and significance of imaging findings can differ in the juvenile subset with open physes. What Are the Signs & Symptoms of Osteochondritis Dissecans? What causes osteochondritis dissecans? Pain associated with osteochondritis dissecans is typically triggered by physical activity such as climbing stairs or playing sports. Br J Sports Med 1991; 25:142. Radiography and magnetic resonance imaging (MRI) are the primary modalities used to … 2018 Aug 24:1947603518796132. doi: 10.1177/1947603518796132. 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. This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. And yes, he or she has not seen Bynum's MRI. Joint popping or locking: joint might pop or stick in one position if a loose fragment gets caught between bones during movement. What causes osteochondritis dissecans? Osteochondritis dissecans (O.d.) Bilateral osteochondritis dissecans of the knee and elbow. Bednarz PA, Paletta GA Jr, Stanitski CL. It usually takes 3 months or longer to heal completely. Depending on the joint that’s affected, signs and symptoms of osteochondritis dissecans might include: Pain. Sports associated with elbow injuries include baseball and gymnastics. It is classified into juvenile and adult forms, depending on growth plate status. Osteochondritis Dissecans is a relatively common childhood problem in the knee. We don’t know for sure what causes this to happen. The causes of sporadic osteochondritis dissecans are mostly unknown. Osteochondritis dissecans tend to occur when playing sports that use joints hard such as baseball and soccer and tend to be children in their teens and 20s who are active in sports like club activities and club activities every day. 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. Symptoms of osteochondritis dissecans will vary depending on the affected joint, but the most common symptom is pain. To find out which sports may put you at greatest risk of osteochondritis dissecans, read our article about dangerous sports for your feet and ankles. It occurs when a small segment of bone begins to crack and separate from its surrounding region due to a lack of blood supply. J Fam Pract 1996; 43:489. 1. Osteochondritis Dissecans: Clinical manifestation and diagnosis. Osteochondritis dissecans is a painful joint problem. One possible explanation is that repeated trauma or stress to a joint over time – by playing sports, for example – can lead to the condition. Young people have the best chance of returning to their usual activity levels. Living with osteochondritis dissecans Can osteochondritis dissecans be cured? It’s most common in children and teens who are active in sports. The skin around your joint might be swollen and tender. This most common symptom of osteochondritis dissecans might be triggered by physical activity — walking up stairs, climbing a hill or playing sports. Osteochondritis dissecans of the elbow can result from sports with repeated overhead throwing, such as baseball, and … Kids with osteochondritis dissecans usually need at least a few months off from sports. This most common symptom of osteochondritis dissecans might be triggered by physical activity — walking up stairs, climbing a hill, or playing sports. It’s a far cry from where he thought he would be four years ago when he had surgery for osteochondritis dissecans (OCD) in … Osteochondritis Dissecans I am an athletic, 6'3', 19 year old male, and have played sports all my life. 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. A. Brian Burke, a rising senior at Curry College, has been playing baseball for as long as he can remember. But they might not be able to keep playing sports with repetitive motions, such as pitching in … Swelling and tenderness. http://www.SinewTherapeutics.com Osteochondritis Dissecans symptoms and treatment proven for fast pain relief and quick recovery. Osteochondritis dissecans: history, pathophysiology and current treatment concepts. of the knee is a common disease, but the aetiological factors are still controversial. He loves his sport and hopes to have a shot at the pros after graduation. Osteochondritis Dissecans of the knee is an obtained, reversible, idiopathic condition of the subchondral bone of our body and the leg. Cartilage. Returning to sports too … The name means bone and cartilage breaking away from the underlying bone. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. This interference is most likely due to a combination of hereditary traits and one or more additional factors. It can eventually lead to osteoarthritis and other elbow pathologies if not treated. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. It often affects the femoral condyles (most common: posterolateral portion of medial condyle), talar dome, and humeral capitellum but can occur in all large joints. To diagnose osteochondritis dissecans, your orthopaedic specialist may request X-rays and an MRI of the joint. I was diagnosed with OCD in my left knee on the medial side at the age of 15, but I can remember having pain that would come and go since I was 11. It involves cartilage in the joint and can cause long term symptoms, pain and disability if … Clanton TO, DeLee JC. If it heals completely, kids who have it usually don't have any long-lasting problems. Hello my name is Dr. Drew Warnick, and I am the surgical director of AllSports Medicine at All Children's Hospital. Osteochondritis dissecans of the knee is often the result of sports that involve high-impact landings, such as football, soccer, and gymnastics. Bilateral osteochondritis dissecans of the elbow in a female pitcher. 2 SPORTS MEDICINE UPDATE November/December 2012 Osteochondritis dissecans(OCD) of the elbow is a condition that occurs in children and adolescents who participate in sports that place a large amount of stress on the elbow joint. Osteochondritis Dissecans. Kalle Kawarea writes: I am diagnosed with osteochondritis dissecans. Osteochondritis dissecans (OCD) ... Sports that are more likely to be associated with high frequency of knee injuries (OCD included) include soccer, football, and basketball. Inoue G. Bilateral osteochondritis dissecans of the elbow treated by Herbert screw fixation. 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