This softening is caused by an interruption in the blood flow to that portion of the bone. Osteochondritis dissecans (OCD) is a common but poorly understood source of knee pain and dysfunction. Your doctor might also suggest wearing a splint, cast or brace to immobilize the joint for a few weeks. It’s most common in children and teens who are active in sports. Osteochondritis Dissecans of the knee is an obtained, reversible, idiopathic condition of the subchondral bone of our body and the leg. Osteochondritis dissecans of the knee is a disorder in which fragments of bone or cartilage come loose and float around in the knee joint. Osteochondritis dissecans usually develops in just one joint. One of the lesser understood reasons is a disorder called osteochondritis dissecans, or just osteochondritis. A large amount of research over the past two decades has produced many valuable insights into the condition, but further study and elucidation are still needed. 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. Although many techniques exist, we favor an open surgical approach to ensure that the bone is properly managed. As a result, the area of bone and its overlying cartilage can separate from the rest of the bone. The authors’ preferred treatment algorithm for osteochondritis dissecans (OCD) of the knee is based on skeletal maturity, OCD lesion stability, and OCD lesion salvageability. 2,14,71 Though JOCD oc - curs most often in the knee joint, pri-marily in the medial and lateral femoral condyles, a few cases have been reported in … Osteochondritis Dissecans Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. The joint, usually the knee or elbow becomes inflamed, sore and painful and will ‘give way’- it catches and locks during movement. For adults, Osteochondritis Dissecans forms after the physis or epiphyseal plate has closed, while for young people, it … Osteochondritis dissecans (OCD) is a disorder of the subchondral bone that most commonly affects the medial femoral condyle (MFC) of the knee. The fragments may also be referred to as a joint mouse or loose bodies. Abbreviation: OCD = osteochondritis dissecans. Osteochondritis Dissecans Sometimes, the separated fragment of bone stays in place; if it falls into the joint space, however, there will be pain and the joint may not work properly. As more and more children sign up for organized sports, knee injuries such as anterior cruciate ligament (ACL) or meniscus tears have continued to rise. Curr Rev Musculoskelet Med. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. Please instruct patients to bring films to specialist appointments at the RCH. Treatment of osteochondritis dissecans lesions of the knee with autologous chondrocyte transplantation produces an integrated repair tissue with a successful clinical result in >90% of patients. If the patient has stable osteochondritis dissecans on MRI, refer for semi urgent assessment and stop sporting activities, closed kinetic chain activities only and protected weight bear. In osteochondritis dissecans, fragments of cartilage or bone become loose within a joint, leading to pain and inflammation.These fragments are sometimes referred to as joint mice. 2013 Jun. Osteochondritis Dissecans (OCD) Fixation - Knee Osteochondritis is a condition in which the blood supply to an area of bone is disrupted. * 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. 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