Osteochondritis dissecans occurs most often in children and adolescents ages 10 through 20, especially in young athletes or those who are physically active. Advertising on our site helps support our mission. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. Symptoms include joint pain, stiffness, and even locking of the joint. The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. Vita Optimus, L.L.C. The cause of osteochondritis dissecans is often unknown. Most cases of osteochondritis dissecans of the talus occur around the time of skeletal maturity (10-14 years of age for girls and 12-16 years of age for boys). Get useful, helpful and relevant health + wellness information. Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone. is not a licensed healthcare provider and therefore neither it, nor this website, offer medical advice. does not endorse or recommend any of the participating advertisers. Vita Optimus, L.L.C. Int Orthop. Males are typically affected twice as often as females, with a higher incidence occurring in young athletes. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. If you have a medical emergency, call your doctor or go to a hospital immediately. 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. Osteochondritis dissecans (OCD) of the ankle is the end result of the aseptic separation of an osteochondral fragment of the talar dome with the gradual fragmentation of the articular surface.See the main osteochondritis dissecans article for a general discussion on … Osteochondritis dissecans in the hip appeared in 5 men and one woman. 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. Over time, if left untreated, this can lead to damage to the overlying cartilage of the joint. Surgery for osteochondritis dissecans involves removing the bone chip and drilling small holes in the injured bone. The Incidence of Surgery in Osteochondritis Dissecans in Children and Adolescents. Historically, it is … It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. how OCD develops; how the condition causes problems 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. The condition leaves a lesion where the bone and cartilage separate. There are several types of surgery that can help. 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 … Osteochondritis dissecans occurs most often in children and adolescents. Osteochondritis dissecans (OCD) of the ankle is the end result of the aseptic separation of an osteochondral fragment of the talar dome with the gradual fragmentation of the articular surface.See the main osteochondritis dissecans article for a general discussion on … Osteochondritis Dissecans is a relatively common childhood problem in the knee. This bone piece, along with cartilage that covers and protects the bone, can then crack and break loose. osteochondritis dissecans surgery Surgery for osteochondritis dissecans is usually performed arthroscopically, but the specifics of the procedure depend on the extent of the damage. 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. Common Signs and Symptoms. 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. Your child has been diagnosed with osteochondritis dissecans (OCD). Surgery for osteochondritis dissecans is usually performed arthroscopically, but the specifics of the procedure depend on the extent of the damage. 4 (3):2325967116635515. . OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. Long-term results after operative treatment of osteochondritis dissecans of the knee joint-30 year results. Left untreated, osteochondritis dissecans can lead to the development of osteoarthritis at an early age, resulting in progressive pain and disability. This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. National Center for Advancing Translational Sciences/Genetic and Rare Diseases Information Center (GARD). Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. It most commonly affects the knee (75% of cases) but can also affect the elbow, ankle, shoulder, hand, wrist or hip. If a large part of the joint is affected, or if pieces of bone and cartilage have already come loose, surgery should be performed. 4 (3):2325967116635515. . It can occur in all age groups. 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. This guide will help you understand. the knee, ankle and elbow. Policy. Welcome to Rocky Mountain Therapy Services patient resource about Osteochondritis Dissecans of the Talus. Treatment for OCD is available in Pittsburgh, PA. This website is a paid advertisement for participating healthcare providers and medical organizations. It can occur in all age groups. Osteochondritis dissecans can often be a progressive pathologic process: evolving to joint deformity and occasionally bone and cartilage fragmentation to intra-articular cartilage instability. Osteochondritis dissecans may be caused by restricted blood supply to the end of the affected bone that usually occurs in conjunction with repetitive trauma. If the fractured bone has completely detached, it can get caught between joints, causing pain. Orthop J Sports Med. Surgery may then be required to treat your symptoms. Familial osteochondritis dissecans is caused by inherited mutations (changes) to the ACAN gene, which is the source of a cartilage-building protein called aggrecan. Osteochondritis Dissecans 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. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. “Juvenile OCD” occurs in kids who are still growing. Surgery can include removing or fixing loose pieces or stimulating the OCD to heal by drilling it with a small wire. Copyright © 2020 Vita Optimus, L.L.C.. All Rights Reserved. Osteochondritis dissecans can be seen at any age but it is most common in kids and teenagers (10-15 years old). Arthroscopic surgery is a procedure that is frequently used as a treatment to remove the loose cartilage and bone tissue from the joint. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. Treatment for this may be different then in the early stages of the OCD lesion. Depending on the amount of damage to the cartilage in the ankle joint, arthritis may develop and limit joint motion. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. The first symptoms were pain and restriction of joint movement. Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Osteochondral lesions of the talus can be associated with injury to the ankle. In some cases, you or your doctor will be able to feel a loose fragment inside your joint. Reliance on any information provided on this website is solely at your own risk. 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. When the fragment is removed, a defect shaped like a small crater is left in the talar dome. 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. Which joints are most commonly affected by OCD? Osteochondritis dissecans usually develops in just one joint. Osteochondritis dissecans (OCD) is a condition where a small portion of bone loses blood supply, then loosens and separates from the tissues that surround it. The drilling actually allows new blood vessels to forms in the area and help with the healing process. Osteochondritis dissecans usually develops in just one joint. 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 intervention. 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