Introduction. Osteochondritis Dissecans Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. 22 However, other causes, including acute trauma, ischemia, ossification abnormalities, and genetic factors, have also been proposed. Osteochondritis Dissecans or more commonly known as OCD is an acquired and idiopathic lesion. 6(2):102-14. . The Diagnosis and Treatment of Osteochondritis Dissecans Summary of Recommendations. You could struggle with osteochondritis dissecans anywhere there’s a joint in your body. Osteochondritis dissecans of the knee GIACOMO ZANON , 1 GIOVANNI DI VICO , 2 and MATTEO MARULLO 1 1 Department of Orthopaedics and Traumatology, University of Pavia, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy Medicine. OCD is a type of osteochondrosis in which a lesion has formed within the cartilage layer itself, giving rise to secondary inflammation. ... Osteochondritis Dissecans. It commonly occurs in the ankles, knees or hips. This softening is caused by an interruption in the blood flow to that portion of the bone. For adults, Osteochondritis Dissecans forms after the physis or epiphyseal plate has closed, while for young people, it … Repetitive microtrauma is thought to be its pathogenesis. There are several possible sources for pain in the ribs. In unstable lesions, the underlying bone can be significantly abnormal and necessitate treatment. OCD most commonly affects the end of the leg bone at the knee, but can also affect the knee cap (patella). Signs and symptoms. 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. 6,8 Although the pathogenesis of this condition is not completely understood, histologic studies suggest that vascular disruption of subchondral bone results in focal necrosis with subsequent destabilization of the overlying articular cartilage. But less well known is osteochondritis dissecans, or OCD – an injury that can have a devastating effect on the knee joint if … It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you. Please instruct patients to bring films to specialist appointments at the RCH. 23 Most cases of osteochondritis dissecans are sporadic, with a prevalence of knee osteochondritis of 15–29 per 100 000. Osteochondritis dissecans (OCD) is a disorder of the subchondral bone that most commonly affects the medial femoral condyle (MFC) of the knee. These flakes of bone may come off completely or only partially. "Osteochondritis dissecans" means that thin pieces of inflamed, cartilage-covered bone are peeling away from the end of a long bone within a joint. Treatment of osteochondritis dissecans is intended to restore the normal functioning of the affected joint and relieve pain, ... such as jumping and running if your knee is affected. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. Other terms for this condition are chondral fracture and osteochondral fracture. Osteochondritis dissecans (OCD) of the knee is a disease of the subchondral bone with secondary injury to the overlying articular cartilage. 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. 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. 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. Surgical management of osteochondritis dissecans of the knee. The following is a summary of the recommendations in the AAOS’ clinical practice guideline, The Diagnosis and Treatment of Osteochondritis Dissecans (OCD) of the Knee. 2013 Jun. Juvenile osteochondritis dissecans lesions are a unique articular joint pathology, initially involving the subchondral bone below the articular cartilage rather than the joint surface. * 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. This piece of bone and cartilage can become loose and even break off into the joint. One of the lesser understood reasons is a disorder called osteochondritis dissecans, or just osteochondritis. We recommend the wider use of autologous chondrocyte transplantation for this condition. The effect of autologous adipose derived mesenchymal stem cell therapy in the treatment of a large osteochondral defect of the knee following unsuccessful surgical intervention of osteochondritis dissecans – a case study. Cartilage is the tough, smooth covering on the ends of bones at a joint. Osteochondritis dissecans, often called OCD for short, is a condition that causes loosening of cartilage and its supporting bone. mised bony support.127 The presence of open growth plates distinguishes JOCD from the adult form of osteochondritis dissecans (OCD). Osteochondritis dissecans nearly always occurs in the knee, especially at the far end of the thigh bone (femur). 2/24/2020. Krause M, Hapfelmeier A, Möller M, Amling M, Bohndorf K, Meenen NM. 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