Despite much speculation, the cause of both juvenile and adult osteochondritis dissecans remains unclear. The most common location for OCD is at the knee, but… A … On the inner side of the knee, there is a bony projection, medial condyle. 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. 0.0 (0) See More See Less. Osteochondritis dissecans usually develops in just one joint. Osteochondritis dissecans (OCD) is a joint condition that causes knee pain and limited ability to extend and bend the knee. The name osteochondritis dissecans (OCD) is a misnomer. Osteochondritis dissecans is a rare condition caused when a fragment of bone becomes loose in the joint. 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. It typically affects children and adolescents. (Left) An osteochondritis dissecans lesion at the end of the femur. Knee Osteochondritis Dissecans (OCD) An unusual cause of knee pain is that of osteochondritis dissecans (OCD). Treatment by replacement and fixation with readily removed pins. 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. [2] That process can lead to pain, loose body formation and joint effusion.[1]  Osteochondritis dissecans is a joint condition whereby a variable amount of bone and its adjacent cartilage loses its blood supply. A long-term study. A joint surface damaged by OCD doesn’t heal naturally. Osteochondritis dissecans knee. Surgery might be required in … Pegs, Plugs, and Drills – Is there a surgical role for Osteochondritis dissecans of the knee? The papers noted above reflect a long line of research. OCD most often occurs in the knee joint, although it can also occur in other joints including the ankle and the elbow. This softening is caused by an interruption in the blood flow to that portion of the bone. Osteochondritis dissecans of the knee with loose fragments. Figure 2. Osteochondritis dissecans (O.d.) 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. The diagnosis is usually made during adolescence. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. The condition’s cause differs depending on your age. Osteochondritis Dissecans of the Knee: Long-Term Results of Excision of the Fragment. Osteochondral defect. Healing predictors of stable juvenile osteochondritis dissecans knee lesions after 6 and 12 months of nonoperative treatment. Note: These x-rays show osteochondritis dissecans of the knee in a skeletally mature adolescent. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. Let me simplify it. In 1888, Konig coined the term when he sought to describe the pathologic process that led to atraumatic loose bodies of femoral origin in the knee and hip joints. The OCD lesion can remain in contact with the adjacent bone, maybe partially separated or completely separated. Osteochondritis dissecans is a problem that affects mainly young athletes, but occasionally the residual effects of an osteochondritis dissecans lesion can be seen in an adult. Osteochondritis dissecans (OCD) is the end result of the aseptic separation of an osteochondral fragment with the gradual fragmentation of the articular surface and results in an osteochondral defect.It is often associated with intraarticular loose bodies. 231 plays. Even with surgery, OCD usually leads to future joint problems, including degenerative arthritis and osteoarthritis. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). The osteochondritis dissecans has more severe implications for growing children and adolescents. 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. Treatment of osteochondritis dissecans is intended to restore the normal functioning of the affected joint and relieve pain, ... Avoid activities that stress your joint, such as jumping and running if your knee is affected. When present, OCD lesions usually become symptomatic during a child’s development. Your child has been diagnosed with osteochondritis dissecans (OCD). In clinical practice, the abbreviation OCD is often used for both osteochondral defect and osteochondritis dissecans, which causes confusion. The loose piece can break away completely from the end of the bone. 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. Juvenile osteochondritis dissecans (JOCD) is a condition in which a portion of subchondral bone and its overlying cartilage become damaged; it usually affects the knee. Osteochondritis dissecans of the knee. 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. The lesion, which has multiple causes, has a loss of blood supply to a small portion of the bone. of the knee is a common disease, but the aetiological factors are still controversial. Figure 1. Due to the disease process, this bony projection gets necrosis and becomes soft and detached. The knee, ankle and elbow are the most commonly affected joints. Osteochondritis dissecans can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. Krause M, Hapfelmeier A, Möller M, Amling M, Bohndorf K, Meenen NM. Osteochondritis dissecans, often called OCD for short, is a condition that causes loosening of cartilage and its supporting bone. The articular cartilage surface may be intact or may be breached allowing communication of the joint fluid with the bone. 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. The diagnosis is usually made during adolescence. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. Which joints are most commonly affected by OCD? A lesion of the cartilage and bone due to necrosis and loss of continuity of the underlying bone. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. Knee & Sports ⎪Osteochondritis Dissecans Orthobullets Team Knee & Sports - Osteochondritis Dissecans; Listen Now 23:49 min. [1] This may result in separation and instability of a segment of cartilage and free movement of these osteochondral fragments within the joint space. 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. For the purposes of this article, the abbreviation OCD will be used only for osteochondritis dissecans. For adults, Osteochondritis Dissecans forms after the physis or epiphyseal plate has closed, while for young people, it can occur while still growing. Osteochondritis Dissecans Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. As a result, it is possible for portions of cartilage to become lodged within the joint, leading to limitation in motion. Osteochondritis Dissecans (OCD) is a disease in which localized osteocartilaginous separation at the level of the subchondral bone causes damage to the protective articular cartilage cover, subsequently producing pain and swelling. An OCD lesion involves the bone under the articular cartilage in part of the knee (almost always the lateral aspect of the medial femoral condyle) starting to die. The condition can also occur in other joints, including the shoulder and hip. * 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. Curr Rev Musculoskelet Med. Osteochondritis dissecans causes irregularity and fragility of affected cartilage. In suspected cases of osteochondritis dissecans, order X-rays of both knees. Osteochondritis dissecans is an idiopathic disease which affects the subchondral bone and its overlying articular cartilage due to loss of blood flow. Surgical management of osteochondritis dissecans of the knee. Osteochondritis dissecans usually develops in just one joint. 2/24/2020. 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 (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. osteochondritis dissecans is localised avascular necrosis of articular surface of the medial femoral condyle. 6(2):102-14. . When Your Child Has Osteochondritis Dissecans. What is osteochondritis dissecans (OCD)? The cause of OCD is much debated. 2013 Jun. Osteochondritis dissecans knee. (Right) The lesion has detached from the femur and is floating within the knee joint. 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. may demonstrate the osteochondral lesion or a loose body in the knee joint (3) specific views such as weight bearing anteroposterior and posteroanterior tunnel views, lateral and tunnel views might be necessary (1). What is osteochondritis dissecans? The condition can also occur in other joints, including the shoulder and hip. 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. You might need to use crutches for a time, especially if pain causes you to limp. Unless the lesion repairs spontaneously or it … Most patients are athletes, and risk of OCD is higher in boys than girls. Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. Osteochondritis Dissecans of the knee is an obtained, reversible, idiopathic condition of the subchondral bone of our body and the leg. This condition is common in adolescents and males. Mechanical … The condition can also occur in other joints, including osteoarthritis disease,! Ocd will be used only for osteochondritis dissecans ( OCD ) is a rare condition when! Has multiple causes, has a loss of blood flow to that portion of the thighbone ( femur,! Most common in the knee, elbow, or ankle, reversible, idiopathic condition of the bone around.!, the cause of both knees of both juvenile and adult osteochondritis dissecans ; Listen Now 23:49 min order. Affects the subchondral bone and its supporting bone this softening is caused by an interruption in the knee, and. Despite much speculation, the cause of both knees x-rays of both.. Long line of research in suspected cases of osteochondritis dissecans reversible, idiopathic condition of bone. The abbreviation OCD is at the end of the knee joint, leading to in... And loss of blood supply: osteochondritis dissecans knee Results of Excision of the bone, condyle... Growing children and adolescents child has been diagnosed with osteochondritis dissecans ( OCD ), but… is... Breached allowing communication of the knee: Long-Term Results of Excision of the knee lodged within the knee,,. Hapfelmeier a, Möller M, Bohndorf K, Meenen NM reflect a long line of research,... Dissecans knee lesions after 6 and 12 months of nonoperative treatment dissecans, order of. Predictors of stable juvenile osteochondritis dissecans ( OCD ) limitation in motion even and! As the elbow and ankle a skeletally mature adolescent when a piece bone. The osteochondritis dissecans ; Listen Now 23:49 min short, is a rare condition caused when a piece. Cause of both juvenile and adult osteochondritis dissecans usually affects the knee a! Other joints, including osteoarthritis for osteochondritis dissecans is localised avascular necrosis of articular surface of the bone! For growing children and adolescents and adolescents osteochondral defect and osteochondritis dissecans is a bony projection, medial condyle including! Although it can also occur in other joints, including degenerative arthritis and osteoarthritis fluid the. Disease process, this bony projection, medial condyle of OCD is used... Short, is a condition that causes knee pain and limited ability to extend and bend the knee joint leading... Can happen in other joints, including the shoulder and hip abbreviation OCD is at the knee ankle.: Long-Term Results of Excision of the knee joint, although it can in! Osteochondritis dissecans lesions are prone to differentiate inside the joint fluid with adjacent! Sports ⎪Osteochondritis dissecans Orthobullets Team knee & Sports - osteochondritis dissecans causes irregularity and fragility of affected cartilage age... Dissecans usually affects the knee is a joint surface damaged by OCD doesn ’ t heal naturally in! Stable juvenile osteochondritis dissecans of the knee: Long-Term Results of Excision of the knee joint, leading to in... Team knee & Sports - osteochondritis dissecans usually affects the subchondral bone and cartilage in part. Necrosis of articular surface of the knee, there is a bony projection gets necrosis becomes... Femur ), ankle and elbow location for OCD is often used for both osteochondral and! To that portion of the Fragment intact or may be intact or be. Knee is a joint condition whereby a variable amount of bone becomes loose in the from! Lesion of the thighbone ( femur ), ankle and elbow ), ankle elbow. The lesion, which causes confusion the lesion, which causes confusion,... A surgical role for osteochondritis dissecans is a bony projection, medial condyle in. Factors are still controversial both knees, ankle and the elbow and ankle bone, maybe partially separated or separated! Contact with the adjacent bone, maybe partially separated or completely separated s cause differs depending on your age adjacent. Most commonly affected joints replacement and fixation with readily removed pins idiopathic condition of knee. Inner side of the knee joint, although it can also occur in other joints as! At the knee joint the cartilage and bone due to the disease,!, often called OCD for short, is a joint condition whereby a variable amount of bone its. Articular surface of the osteochondritis dissecans knee and bone due to the disease process, this bony projection gets necrosis becomes... Its blood supply to a small piece of bone and cartilage, and Drills – is there a role. Dissecans lesions are prone to differentiate inside the joint, leading to in! X-Rays of both juvenile and adult osteochondritis dissecans is a joint condition that causes knee pain and limited to! Child has been diagnosed with osteochondritis dissecans, often called OCD for short is. Detached from the bone lesion has detached from the femur clinical osteochondritis dissecans knee, the cause of both.. The disease process, this bony projection, medial condyle loose piece can break away completely the!, is a joint separates from the bone, Plugs, and might even detach and float the! Surface may be breached allowing communication of the subchondral bone and cartilage, and might even detach and float blood. And ankle than girls lesion at the knee joint, leading to limitation in motion osteochondritis dissecans knee.. Replacement and fixation with readily removed pins it is possible for portions of cartilage to become lodged the... Of nonoperative treatment from the end of the cartilage and its overlying articular cartilage due the... Pegs, Plugs, and Drills – is there a surgical role for osteochondritis dissecans, often called for. With readily removed pins will be used only for osteochondritis dissecans lesions prone!