With the knee fully flexed, it should be possible to palp… Osteochondritis dissecans is a painful joint problem. 2. OCD lesions are generally categorized as juvenile—growth plates open—or adult—growth plates closed. DOI: 10.1302/2058-5241.4.180079 Introduction Osteochondritis dissecans (OCD) is an acquired condition of the joint that affects the articular surface and the sub-chondral bone. Treatment depends on many factors. curved curette to more accurately remove the remainder of the OCD (Fig 5). Sometimes the affected joint can become swollen. 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. It’s most common in children and teens who are active in sports. Osteochondritis Dissecans Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. Osteochondritis dissecans (OCD) of the knee is a common cause of pain in both juveniles and adults. Children as young as nine or ten can develop this condition. Osteochondritis dissecans (OCD) should be considered in young, active patients who have generalized or anterior knee pain. Sometimes these pieces can come loose and float around inside the joint. Keywords: juvenile osteochondritis dissecans; knee joint; paediatric Cite this article: EFORT Open Rev 2019;4:201-212. Your child may complain of pain that gets worse with activity and improves with rest. The condition happens most often in the knees… An MRI (magnetic resonance imaging test) may also be necessary for further evaluation. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Crossref, Medline, Google Scholar; 27 De Smet AA, Ilahi OA, Graf BK. Reassessment of the MR criteria for stability of osteochondritis dissecans in the knee and ankle. 1. repetitive throwing / valgus stress and gymnastics / weight bearing on upper extremity 1.1. valgus stress / compressive force on the vulnerable chondroepiphysis of the radiocapitellar joint in skeletally immature patients is supported as the etiology for OCD of the capitellum 8 2. ankle sprain/instability 2.1. Traditionally, osteochondritis dissecans (OCD) is divided into juvenile (open physes) and adult (closed physes) formed based on skeletal maturity. Of 73 patients in whom 122 lesions of osteochondritis dissecans of the knee developed, nearly half had multiple lesions and 30% were of short stature. Stanley Manne Children's Research Institute has moved onto the campus of its medical partners creating the promise of greater impact for pediatric research. Zadzwoń pod numer 1.312.227.4000 (Relay: 1.800.526.0844.). This softening is caused by an interruption in the blood flow to that portion of the bone. Tested Concept QID: 3697 For this We use cookies to help provide and enhance our service and tailor content and ads. Share on Twitter. With medial femoral involvement, external tibial rotation when walking is typical. The average age at operation was 12.8 years, and all the knees had open physes. We know that is more likely to occur in young people who are very active. While the prevalence of OCD ranges from 15 to 29 per 100,000 individuals [ 29 , 36 ], the incidence may be increasing due to greater detection … ObjectiveOsteochondral surgical procedures have been described for the treatment of unfixable osteochondritis dissecans (OCD), but only few of them have been studied for juvenile … This video discusses the assessment, diagnosis and treatment of juvenile osteochondritis dissecans of the knee. 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