Diagnosis and treatment are discussed. U.S. National Library of Medicine/Genetics Home Reference. Policy. We do not endorse non-Cleveland Clinic products or services. Surgical intervention for osteochondritis dissecans (OCD) has long been recognized as an important aspect of the treatment algorithm. What is osteochondritis dissecans? The cause of osteochondritis dissecans is often unknown. It can occur in all age groups. Please click here to learn more about OCD of the Talus (Ankle) Top The Incidence of Surgery in Osteochondritis Dissecans in Children and Adolescents. In book: Sports Injuries of the Elbow (pp.63-72) Authors: Christiaan J A van Bergen. Osteochondritis Dissecans Ankle Surgery A professional diagnosis is the first step toward healing. Osteochondritis dissecans can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. Osteochondritis dissecans is a condition that occurs in the joints (the place where the end of one bone meets the end of another bone) when a lack of blood to the joint causes the bone inside to soften. OCD may heal on its own, but may sometimes require surgery. There are several types of surgery that can help. Orthop J Sports Med. When the fragment is removed, a defect shaped like a small crater is left in the talar dome. Osteochondritis dissecans occurs in approximately 15 to 29 per 100,000 patients. Typically seen in children and young people, JOCD is primarily an active youth person’s condition. 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. It most commonly affects the knee (75% of cases) but can also affect the elbow, ankle, shoulder, hand, wrist or hip. Osteochondritis dissecans treatment can involve non-operative as well as surgical interventions. Your child has been diagnosed with osteochondritis dissecans (OCD). This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. Vita Optimus, L.L.C. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. As a result, the small piece of bone and the cartilage covering it … It is most commonly seen in the knee, but can also be found in the ankle and elbow. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. 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. Cleveland Clinic Children's is dedicated to the medical, surgical and rehabilitative care of infants, children and adolescents. Osteochondritis dissecans can be seen at any age but it is most common in kids and teenagers (10-15 years old). Osteochondritis Dissecans is a relatively common childhood problem in the knee. Osteochondritis dissecans affects joints, most frequently the knee, in children and adolescents. Any information you submit through this website is not protected by doctor-patient laws and regulations. The name means bone and cartilage breaking away from the underlying bone. 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 occurs most often in children and adolescents. Surgery usually involves removing the loose fragment of cartilage and bone from the ankle joint and drilling small holes in the injured bone. Over time, if left untreated, this can lead to damage to the overlying cartilage of the joint. Hi, I had the same problem with Osteochondritis dissecans in the right ankle. The osteochondritis dissecans has more severe implications for growing children and adolescents. BY ACCESSING AND USING THIS WEBSITE, YOU ACKNOWLEDGE THAT YOU HAVE The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. What is Osteochondritis Dissecans? Elbow, ankle, and knee are the common joints affected due to Osteochondritis Dissecans. FULLY READ AND AGREE TO ACCEPT EACH OF THE TERMS OF USE SET FORTH HEREIN. 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. The condition can also occur in other joints, including the shoulder and hip. OCD usually causes pain during and after sports. Changes in the cartilage and underlying bone lead to pain, alterations in movement and ability to compete in their sport. Causes. It can occur in all age groups. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. Surgical care is suggested primarily by taking into account the stabilization of the lesions, clinical symptoms, and physical closure. Treatment for OCD is available in Pittsburgh, PA. Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. Left untreated, osteochondritis dissecans can lead to the development of osteoarthritis at an early age, resulting in progressive pain and disability. Although it can occur from childhood through adult life, the majority of patients are 10 to 20 years of age. Surgery can include removing or fixing loose pieces or stimulating the OCD to heal by drilling it with a small wire. However, in some cases, Osteochondritis Dissecans takes place in almost every joint. It typically affects children and adolescents. how OCD develops; how the condition causes problems Osteochondritis dissecans usually develops in just one joint. If non-surgical approaches fail to relieve the symptoms of an OCD, surgery may be necessary. We do not endorse non-Cleveland Clinic products or services. Surgery. Osteochondritis dissecans can be seen at any age but it is most common in kids and teenagers (10-15 years old). Osteochondritis dissecans in the hip appeared in 5 men and one woman. This is a failure of endochondral ossification which is an essential process during foetal development and development of juvenile dogs in bone formation from the cartilage precursor. 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. Michael JW, Wurth A, Eysel P, König DP. Osteochondral lesions of the talus can be associated with injury to the ankle. The entire process can take months or even years, and symptoms may take a long time to appear. Conservative treatment was satisfactory for about one-half of the patients. Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. 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. Juvenile Osteochondritis Dissecans is a condition of the joint surfaces and underlying bone that occurs in people who are still growing. Orthop J Sports Med. 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 … Advertising on our site helps support our mission. Policy, Cleveland Clinic is a non-profit academic medical center. owns and operates this website. 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. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. 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 … Vita Optimus, L.L.C. Surgery for Osteochondritis Dissecans. Rarely, osteochondritis dissecans appears in more than one joint, and perhaps in more than one family member (familial osteochondritis dissecans). In this case, the lesion was caused by avascular necrosis of the bone just under the cartilage. 9500 Euclid Avenue, Cleveland, Ohio 44195 |. The top of the talus is dome-shaped and is completely covered with cartilage (connective tissue that allows the ankle to move smoothly). Long-term results after operative treatment of osteochondritis dissecans of the knee joint-30 year results. If a large part of the joint is affected, or if pieces of bone and cartilage have already come loose, surgery should be performed. Historically, it is … Participating advertiser is responsible for this advertisement's content. 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. This bone piece, along with cartilage that covers and protects the bone, can then crack and break loose. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. 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. Top. 2008 Apr. 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. The type of surgery needed will depend on the stage and size of the injury. National Center for Advancing Translational Sciences/Genetic and Rare Diseases Information Center (GARD). Osteochondritis Dissecans (OCD) Talus/Tibia. Osteochondritis dissecans (OCD) of the talus (ankle bone) happens when repetitive trauma results in a blood supply injury to the talus and the bone either fails to develop from the cartilage your kid was born with, or the maturing bone dies and therefore softens and collapses. The condition can also occur in other joints, including the shoulder and hip. However, it’s uncertain how the weak and disorganized cartilage results in bone separation and lesions. Because of the mutation, the protein cannot build cartilage like it should, so the cartilage is weak and disorganized. Left untreated, osteochondritis dissecans can lead to the development of osteoarthritis at an early age, resulting in progressive pain and disability. It can occur in all age groups. However, Carroll and Mubarak” reviewed 75 patients who had osteochondritis dissecans and found no relationship with trauma, patellar disloca- tion, or tall tibial spines. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. 32(2):217-21. This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. 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. Expert diagnosis, treatment and rehabilitation for bone, there may not be symptoms... Clinic children 's is dedicated to the ankle joint it ’ s condition care... 10 to 20 years of age purposes only and not for the purpose of medical... 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