OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. When only one lesion occurs in a single joint, the condition is known as sporadic osteochondritis dissecans. It is seen in athletes, including in the elbows of gymnasts and baseball players. The unsettled nature for the role of trauma in osteochondritis dissecans was reflected in … Long-term results after operative treatment of osteochondritis dissecans of the knee joint-30 year results. Any information you submit through this website is not protected by doctor-patient laws and regulations. When osteochondritis dissecans affects the ankle it typically occurs on the inner or medial portion of the ankle (talus). January 2021; DOI: 10.1007/978-3-030-52379-4_6. However, people of any age can develop the condition. OCD usually causes pain during and after sports. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. The condition mainly affects a single joint only, while a few children develop Osteochondritis Dissecans … Osteochondritis dissecans occurs most often in children and adolescents ages 10 through 20, especially in young athletes or those who are physically active. Left untreated, osteochondritis dissecans can lead to the development of osteoarthritis at an early age, resulting in progressive pain and disability. Pain, weakness and/or swelling in a joint, often after physical or athletic activity; Decreased range of motion (the distance a joint normally moves), including an inability to fully extend the arm or leg. does not endorse or recommend any of the participating advertisers. This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. Rarely, osteochondritis dissecans appears in more than one joint, and perhaps in more than one family member (familial osteochondritis dissecans). is not a licensed healthcare provider and therefore neither it, nor this website, offer medical advice. It involves cartilage in the joint and can cause long term symptoms, pain and disability if not diagnosed and treated properly. U.S. National Library of Medicine/Genetics Home Reference. Participating advertiser is responsible for this advertisement's content. National Center for Advancing Translational Sciences/Genetic and Rare Diseases Information Center (GARD). It most commonly affects the knee (75% of cases) but can also affect the elbow, ankle, shoulder, hand, wrist or hip. Because of the mutation, the protein cannot build cartilage like it should, so the cartilage is weak and disorganized. Vita Optimus, L.L.C. The condition can be mild, moderate, or severe. Following the injury or trauma, the bones in the area may be deprived of blood flow leading to necrosis and finally the bone fragment may break off. As per the OP, I was mis-diagnosed for the first year of the pain - I had broken the ankle when I was 28 and the trauma caused the OCD, but it wasn't picked up until I kept complaining and went to another Doctor. In some cases, you or your doctor will be able to feel a loose fragment inside your joint. Historically, it is … The condition can also occur in other joints, including the shoulder and hip. Surgery usually involves removing the loose fragment of cartilage and bone from the ankle joint and drilling small holes in the injured bone. Your child has been diagnosed with osteochondritis dissecans (OCD). Arthroscopic surgery is a procedure that is frequently used as a treatment to remove the loose cartilage and bone tissue from the joint. 32(2):217-21. As per the OP, I was mis-diagnosed for the first year of the pain - I had broken the ankle when I was 28 and the trauma caused the OCD, but it wasn't picked up until I kept complaining and went to another Doctor. One possible explanation is that repeated trauma or stress to a joint over time – by playing sports, for example – can lead to the condition. Int Orthop. However, in some cases, Osteochondritis Dissecans takes place in almost every joint. Symptoms include joint pain, stiffness, and even locking of the joint. This article discusses the anatomy, path … Osteochondritis dissecans in the ankle occurred in 6 men and 5 women. The name means bone and cartilage breaking away from the underlying bone. The causes of sporadic osteochondritis dissecans are mostly unknown. Orthop J Sports Med. Osteochondritis dissecans of the knee is identified with increasing frequency in the young adult patient. the knee, ankle and elbow. Conservative treatment was satisfactory for about one-half of the patients. OCD may heal on its own, but may sometimes require surgery. Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. Hi, I had the same problem with Osteochondritis dissecans in the right ankle. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. osteochondritis dissecans surgery Surgery for osteochondritis dissecans is usually performed arthroscopically, but the specifics of the procedure depend on the extent of the damage. As a result, the small piece of bone and the cartilage covering it … Get useful, helpful and relevant health + wellness information. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. Scar tissue will eventually form in the area and helps the ankle move more easily than if the bone chip remained detached or healed at an odd angle. Osteochondritis dissecans (OCD) is a pathological process affecting the subchondral bone (most often in the knee joint) of children and adolescents with open growth plates (juvenile OCD) and young adults with closed growth plates (adult OCD). Your doctor will also check other structures around the joint, such as the ligaments.Your doctor will also ask you to move your joint in different directions to see whether the joint can move smoothly through its normal range of motion. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.Osteochondritis dissecans occurs most often in children and adolescents. Osteochondritis dissecans treatment can involve non-operative as well as surgical interventions. The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. Elbow, ankle, and knee are the common joints affected due to Osteochondritis Dissecans. Over time, if left untreated, this can lead to damage to the overlying cartilage of the joint. This is not a referral service. Males are typically affected twice as often as females, with a higher incidence occurring in young athletes. Advertising on our site helps support our mission. The condition leaves a lesion where the bone and cartilage separate. The condition can also occur in other joints, including the shoulder and hip. When OCD is too severe and non-surgical treatment does not work, we may recommend surgery. Osteochondrosis (OC) is a developmental condition that arises due to a disturbance in the normal differentiation of cartilage cells into bone as a puppy grows. If there is no improvement in the X-rays or symptoms, surgery is a good backup treatment. Please click here to learn more about OCD of the Talus (Ankle) Top Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. “Juvenile OCD” occurs in kids who are still growing. or “giving out.” Osteochondritis dissecans (OCD) most often affects the knee, ankle and elbow. Historically, it is more common in boys than in girls but this may be changing as more girls are playing sports. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. 17,38,40 While conservative (nonoperative) treatment is often utilized for early stage or stable lesions, lesions that fail to heal, appear unstable by magnetic resonance imaging (MRI), or coincide with the presence of loose bodies may require surgical … The knee, ankle and elbow are the most commonly affected joints. Surgery usually involves removing the loose fragment of cartilage and bone from the ankle joint and drilling small holes in … During the surgery, loose fragments of cartilage and bone are removed from the ankle joint and, in some cases, small drill holes are made in the defect to stimulate new … 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. Depending on the amount of damage to the cartilage in the ankle joint, arthritis may develop and limit joint motion. If the separated bone and cartilage stay close to the larger bone, there may not be any symptoms. Osteochondritis dissecans can be seen at any age but it is most common in kids and teenagers (10-15 years old). Surgery. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. If surgery is required, osteochondritis dissecans will often be addressed with ankle arthroscopy, a procedure involving the insertion into the ankle of a small flexible tube with a light, camera, and surgical instruments attached to it. Loose pieces of bone and cartilage can even break off into joint. Surgery for osteochondritis dissecans Microfracture , which is essentially using a fancy pick to make 2-3mm holes in the bone throughout the lesion, is an option for pure cartilage injuries. What is Osteochondritis Dissecans? Do not rely on this website to diagnose or treat any medical condition. Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. Osteochondritis dissecans can be seen at any age but it is most common in kids and teenagers (10-15 years old). This guide will help you understand. Int Orthop. The top of the talus is dome-shaped and is completely covered with cartilage (connective tissue that allows the ankle to move smoothly). Treatment of osteochondritis dissecans may include nonoperative or operative intervention. Copyright © 2020 Vita Optimus, L.L.C.. All Rights Reserved. Which joints are most commonly affected by OCD? Causes. If the lesions are relatively minor, your surgeon will drill into the subchondral bone to encourage the formation of of a cartilage-like scab, which will protect the bone from additional damage. Osteochondritis Dissecans is a condition where loose fragments of bone and cartilage break off the end of a bone when the blood supply to the bone is reduced. Diagnosis and treatment are discussed. “Juvenile OCD” occurs in kids who are still growing. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. 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