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 is a relatively common childhood problem in the knee. FULLY READ AND AGREE TO ACCEPT EACH OF THE TERMS OF USE SET FORTH HEREIN. Any information you submit through this website is not protected by doctor-patient laws and regulations. Top. Treatment for OCD is available in Pittsburgh, PA. When osteochondritis dissecans affects the ankle it typically occurs on the inner or medial portion of the 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 focal abnormality of subchondral bone that can lead to detachment of a bone fragment and overlying cartilage (See Figure). The knee, ankle and elbow are the most commonly affected joints. “Juvenile OCD” occurs in kids who are still growing. Ankle Osteochondritis Dissecans. However, Carroll and Mubarak” reviewed 75 patients who had osteochondritis dissecans and found no relationship with trauma, patellar disloca- tion, or tall tibial spines. OCD may heal on its own, but may sometimes require surgery. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. The osteochondritis dissecans has more severe implications for growing children and adolescents. All information presented on this website is intended for informational purposes only and not for the purpose of rendering medical advice. However, it’s uncertain how the weak and disorganized cartilage results in bone separation and lesions. It occurs more often in males. Osteochondritis dissecans in the hip appeared in 5 men and one woman. 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. OCD usually causes pain during and after sports. 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 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. Statements made on this website have not been evaluated by the Food and Drug Administration. Surgery. If you have a medical emergency, call your doctor or go to a hospital immediately. Juvenile Osteochondritis Dissecans is a condition of the joint surfaces and underlying bone that occurs in people who are still growing. Michael JW, Wurth A, Eysel P, König DP. 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 is a relatively common childhood problem in the knee. The condition leaves a lesion where the bone and cartilage separate. 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 of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. Vita Optimus, L.L.C. The bone lesions on the lateral or outside portion of the talus are most often related to trauma. The entire process can take months or even years, and symptoms may take a long time to appear. Surgery for osteochondritis dissecans is usually performed arthroscopically, but the specifics of the procedure depend on the extent of the damage. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. January 2021; DOI: 10.1007/978-3-030-52379-4_6. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. Diagnosis and treatment are discussed. As the ankle twists, the edge of the talus bone impacts the adjacent bone which bruises or shreds the cartilage. 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). 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. Int Orthop. This guide will help you understand. 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. . The cause of osteochondritis dissecans is often unknown. Surgery for Osteochondritis Dissecans of the Foot and Ankle. Surgery can include removing or fixing loose pieces or stimulating the OCD to heal by drilling it with a small wire. Osteochondritis dissecans can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. Changes in the cartilage and underlying bone lead to pain, alterations in movement and ability to compete in their sport. The causes of sporadic osteochondritis dissecans are mostly unknown. Osteochondritis dissecans occurs most often in children and adolescents. Osteochondritis dissecans lesions are prone to differentiate inside the joint from the underlying bone and cartilage, and might even detach and float. We do not endorse non-Cleveland Clinic products or services. If the separated bone and cartilage stay close to the larger bone, there may not be any symptoms. Symptoms include pain, swelling and stiffness. Osteochondritis dissecans is best diagnosed with imaging studies. Your child has been diagnosed with osteochondritis dissecans (OCD). 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. Cleveland Clinic is a non-profit academic medical center. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. The Incidence of Surgery in Osteochondritis Dissecans in Children and Adolescents. The first symptoms of the lesions occurred when the patients were between 15 and … The name means bone and cartilage breaking away from the underlying bone. Long-term results after operative treatment of osteochondritis dissecans of the knee joint-30 year results. Orthop J Sports Med. The condition can also occur in other joints, including the shoulder and hip. As a result, the small piece of bone and the cartilage covering it … Osteochondritis dissecans may be caused by restricted blood supply to the end of the affected bone that usually occurs in conjunction with repetitive trauma. 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. If osteochondritis dissecans is not recognized early, the bone fragment may not heal and may continue to cause problems. 2016 Mar. 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. If non-surgical approaches fail to relieve the symptoms of an OCD, surgery may be necessary. Over time, if left untreated, this can lead to damage to the overlying cartilage of the joint. Michael JW, Wurth A, Eysel P, König DP. One possible explanation is that repeated trauma or stress to a joint over time – by playing sports, for example – can lead to the condition. Osteochondritis dissecans is best diagnosed with imaging studies. The Incidence of Surgery in Osteochondritis Dissecans in Children and Adolescents. The condition can also occur in other joints, including the shoulder and hip. Locking or sticking of a joint in one position; American Academy of Orthopaedic Surgeons. Which joints are most commonly affected by OCD? When only one lesion occurs in a single joint, the condition is known as sporadic osteochondritis dissecans. 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