This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. 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. Your child has been diagnosed with osteochondritis dissecans (OCD). 2013 Jun. Osteochondritis dissecans is a rare condition caused when a fragment of bone becomes loose in the joint. Healing predictors of stable juvenile osteochondritis dissecans knee lesions after 6 and 12 months of nonoperative treatment. Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. 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 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. Let me simplify it. Osteochondritis dissecans is a joint condition whereby a variable amount of bone and its adjacent cartilage loses its blood supply. [2] That process can lead to pain, loose body formation and joint effusion.[1]  Treatment by replacement and fixation with readily removed pins. The condition can also occur in other joints, including the shoulder and hip. of the knee is a common disease, but the aetiological factors are still controversial. The loose piece can break away completely from the end of the bone. Despite much speculation, the cause of both juvenile and adult osteochondritis dissecans remains unclear. 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. Figure 1. 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. (Right) The lesion has detached from the femur and is floating within the knee joint. 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. Figure 2. Osteochondritis dissecans usually develops in just one joint. Osteochondritis Dissecans of the Knee: Long-Term Results of Excision of the Fragment. Knee Osteochondritis Dissecans (OCD) An unusual cause of knee pain is that of osteochondritis dissecans (OCD). Osteochondritis dissecans, often called OCD for short, is a condition that causes loosening of cartilage and its supporting bone. Pegs, Plugs, and Drills – Is there a surgical role for Osteochondritis dissecans of the knee? Osteochondritis dissecans (OCD) is a joint condition that causes knee pain and limited ability to extend and bend the knee. 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. 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. Even with surgery, OCD usually leads to future joint problems, including degenerative arthritis and osteoarthritis. What is osteochondritis dissecans (OCD)? A long-term study. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. 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 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. On the inner side of the knee, there is a bony projection, medial condyle. The most common location for OCD is at the knee, but… Osteochondritis dissecans usually develops in just one joint. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. Surgery might be required in … The diagnosis is usually made during adolescence. This condition is common in adolescents and males. In clinical practice, the abbreviation OCD is often used for both osteochondral defect and osteochondritis dissecans, which causes confusion. Osteochondritis dissecans lesions are prone to differentiate inside the joint from the underlying bone and cartilage, and might even detach and float. 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. Osteochondritis dissecans of the knee with loose fragments. Mechanical … Osteochondritis Dissecans Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. The diagnosis is usually made during adolescence. Unless the lesion repairs spontaneously or it … The name osteochondritis dissecans (OCD) is a misnomer. Osteochondritis dissecans is an idiopathic disease which affects the subchondral bone and its overlying articular cartilage due to loss of blood flow. Osteochondritis dissecans causes irregularity and fragility of affected cartilage. The papers noted above reflect a long line of research. It typically affects children and adolescents. 2/24/2020. When present, OCD lesions usually become symptomatic during a child’s development. As a result, it is possible for portions of cartilage to become lodged within the joint, leading to limitation in motion. Knee & Sports ⎪Osteochondritis Dissecans Orthobullets Team Knee & Sports - Osteochondritis Dissecans; Listen Now 23:49 min. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. 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. 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