Purpose of review . Nov 2013;36(11):e1444-1449, Yang JS, Bogunovic L, Wright RW. If you don't have an RSS reader, we suggest Digg or Feedly. Osteochondritis Dissecans (OCD) is a condition that develops in the joints, most often in children and adolescents. If the lesion doesn’t heal, the child may develop joint pain that doesn’t go away. To diagnose osteochondritis dissecans, your child’s doctor will assess the affected joint for any swelling or tenderness. The doctor will ask about your child’s health history and symptoms. Which joints are most commonly affected by OCD? 2001;29(5):562-566, Kocher MS, et al. Have the child rest the joint to allow it to heal. Osteochondritis dissecans (oss-tee-oh-kon-DRITE-iss DISS-ih-kanz) is when a piece of bone and the attached cartilage break down and become loose. 2006;34(7) 1181-1191, Murphy RT, Pennock AT, Bugbee WD. The loose piece can break away completely from the end of the bone. The condition can also occur in other joints, including the shoulder and hip. When Your Child Has Osteochondritis Dissecans Your child has been diagnosed with osteochondritis dissecans (OCD). [2] That process can lead to pain, loose body formation and joint effusion.[1]  It’s most common in children and teens who are active in sports. Keywords: children, juvenile osteochondritis dissecans, knee, MRI, osteochondritis dissecans Juvenile osteochondritis dissecans (OCD), an acquired disorder of epiphyseal cartilage and adjacent subchondral bone, ultimately can result in partial joint destruction and early degenerative arthritis. Brian, an enthusiastic college baseball player, battled knee pain for years during high school. If prescribed by the doctor, have your child use crutches to lessen stress on the knee or ankle joint. the joint and even swelling. Osteochondritis dissecans (OCD) is a joint condition that causes knee pain and limited ability to extend and bend the knee. Osteochondritis Dissecans of the knee is an obtained, reversible, idiopathic condition of the subchondral bone of our body and the leg. 2014; 34:625-630, Webb JE, etal. The condition can be mild, moderate, or severe. Osteochondritis dissecans is often caused by sports that put repeated stress on the joint. Osteochondritis dissecans happens most often in the knee, elbow, or … This softening is caused by an interruption in the blood flow to that portion of the bone. A joint is where two bones come together. Osteochronditis dissecans (aka “OCD”) is a condition that commonly affects children and adolescents, in which the bone next to the cartilage of a joint becomes unhealthy (for unclear reasons) and begins to soften or weaken. Osteochondritis dissecans (OCD) most commonly affects the knee. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.Osteochondritis dissecans occurs most often in children and adolescents. Clinical Outcome of Internal Fixation of Unstable Juvenile Osteochondritis Dissecans lesions of the knee. NSAIDs include ibuprofen and naproxen. Osteochondritis dissecans occurs when bone and cartilage separate from one another inside a joint. OCD lesions can develop when the area of bone beneath the cartilage is injured. The covering of cartilage may tear. Dec 2008;90(12):2655-2664, Wall EJ, et al. Functional and Radiographic Outcome of Juvenile Osteochondritis Dissecans of the Knee Treated with Transarticular Arthroscopic Drilling. Lesions arising in the tibial plateau are rarely described. Knee Osteochondritis Dissecans (OCD) An unusual cause of knee pain is that of osteochondritis dissecans (OCD). 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. 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). 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. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. If the condition is not treated, a chunk of bone can come loose inside the joint. With medial femoral involvement, external tibial rotation when walking is typical. 2014; 42;320-326, Kocher MS, et al. Saint Luke’s Concierge: 816-932-5100, When Your Child has Osteochondritis Dissecans (OCD). The goal of treatment for OCD is to heal the joint. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). This guide will help you understand 1. where in the knee the condition develops 2. how doctors diagnose the problem 3. what treatment options are available 2014.42:635-640, Wall EJ, et al. OCD is more common in males and bilateral representation is rare (±25%) There are two main places in the knee joint where osteochondritis dissecans can appear. Sporadic osteochondritis dissecans is more common; it is estimated to occur in the knee … What is osteochondritis dissecans (OCD)? It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. Osteochondritis dissecans happens most often in the knee, elbow, or … In 10% of the cases it is located on the patella. The joint, usually the knee or elbow becomes inflamed, sore and painful and will ‘give way’- it catches and locks during movement. However, non-operative management can vary and includes strategies such as avoiding putting weight on the affected knee, modifying activity, or protecting the knee with a brace. Osteochondritis dissecans usually develops in just one joint. The damage may or may not also affect the cartilage. Objective: We postulated that the excellent prognosis of juvenile OCD could be explained, at least in part, by the erroneous diagnosis of some developmental variants of ossification as stage-I OCD. A long-term study. Osteochondritis Dissecans or more commonly known as OCD is an acquired and idiopathic lesion. Your child may see an orthopedist (doctor specializing in treating bone and joint problems) for evaluation and treatment of his or her joint. Normal hard bone is covered with a softer form of bone called cartilage at the joint surface. In some cases, a test called an MRI (magnetic resonance imaging) may also be done. It is not entirely known why some children develop OCD. Every child is unique, every injury is different. Your child has been diagnosed with osteochondritis dissecans (OCD). 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. If your child is complaining of knee pain after physical exertion or after playing outdoor games for sometimes, it may be due to osteochondritis dissecans. In most cases, there is a full range of movement in the joint without signs of ligamentous instability. It mostly affects the femoral condyles, especially the medial condyle on the lateral joint surface (±80%). They may also be found in … Osteochondritis dissecans (OCD) of the knee is a relatively well-known condition, most commonly arising in the femoral condyle. What is known: The separation of bone from the joint may be due to loss of blood supply to that piece of bone. Normal hard bone is covered with a softer form of bone called cartilage at the joint surface. A lesion of the cartilage and bone due to necrosis and loss of continuity of the underlying bone. This may include specialized manipulations of the joint, such as a Wilson test of the knee, to see if a particular rotation of the knee … Osteochondritis dissecans is a joint injury that occurs in children and teens because of their active lifestyles — especially those who play sports. Children of all ages get osteochondritis dissecans, but it is more common in teenagers. They … Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). 3. In OCD, a portion of the bone or cartilage separates from the surface of the joint and creates pain, swelling and sometimes a locking sensation. Osteochondritis dissecans (OCD) of the knee is a well-described condition that can cause significant morbidity in children and adolescents; timely diagnosis is key to preventing compromise to the articular cartilage and maximizing opportunity to perform a restorative procedure. The lesion, which has multiple causes, has a loss of … Osteochondritis dissecans can happen in any joint. Children of all ages get osteochondritis dissecans, but it is more common in teenagers. Pr 2014;33(2):295-304. Background: Juvenile osteochondritis dissecans (OCD) has a better prognosis than the adult type. Osteochondritis dissecans (oss-tee-oh-kon-DRITE-iss DISS-ih-kanz) is when a piece of bone and the attached cartilage break down and become loose. The OCD lesion can remain in contact with the adjacent bone, maybe partially separated or completely separated. The condition mainly affects a single joint only, while a few children develop Osteochondritis Dissecans in … With the knee fully flexed, it should be possible to palp… Most patients are athletes, and risk of OCD is higher in boys than girls. Both male and female athletes can develop OCD, most commonly between the ages of … Overuse of the joint and repeated stress (from jumping or running, for example) make a child more likely to develop OCD. 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. Am J Sports Med 2014; 42:320. This condition occurs when a piece of the bone partially or fully separates from the end of the bone that forms a joint. No OCD lesion of the knee was found in 2- to 5-year-old children. Lesions arising in the tibial plateau are rarely described. After two surgeries and physical therapy for a form of osteochondritis dissecans (OCD) described as catcher's knee, Brian is back in the game and doing what he loves. Osteochondral Allograft Transplantation of the Knee in the Pediatric and Adolescent Population. Subscribe to the link above using your browser or your favorite RSS reader. Juvenile osteochondritis dissecans of the knee: etiology. Knee Osteochondritis Dissecans (OCD) An unusual cause of knee pain is that of osteochondritis dissecans (OCD). This healing takes time, often up to 6 months. Osteochondritis dissecans (OCD) of the knee is an idiopathic, focal, subchondral-bone abnormality that can cause instability or detachment of a bone fragment and overlying articular cartilage, with subsequent progression to osteoarthritis. The OCD lesion can remain in contact with the adjacent bone, maybe partially separated or completely separated. Dr Tee Yu Jin ◉ and Assoc Prof Frank Gaillard ◉ ◈ et al. A joint surface damaged by OCD doesn’t heal naturally. It typically affects children and adolescents. Clin Sports Med. Juvenile Osteochondritis Dissecans (JOCD) is a disorder which occurs in young people whose growth plates haven’t closed yet. Nonoperative Treatment of Osteochondritis Dissecans of the Knee. Want to stay updated? The Healing Potential of Stable Juvenile Osteochondritis Dissecans Knee Lesions. The Demographics and Epidemiology of Osteochondritis Dissecans of the Knee in Children and Adolescents. If your child has OCD, a portion of his bone or cartilage has partially or completely separated from the surface of the joint. Osteochondritis dissecans, often called OCD for short, is a condition that causes loosening of cartilage and its supporting bone. Osteochondritis dissecans is a joint injury that occurs in children and teens because of their active lifestyles — especially those who play sports. 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. With treatment, OCD often heals well. When present, OCD lesions usually become symptomatic during a child’s development. OCD is most common in boys between the ages of 10 to 16. It most commonly affects the knee (75% of cases) but can also affect the elbow, ankle, shoulder, hand, wrist or hip. As a result, the small piece of bone and the cartilage covering it … Way to go Brian! Onset is between childhood and middle age, with the majority of patients being between 10 and 40 years of age, with approximately a 2:1 male to female ratio 3. J Pediatr Orthop. Osteochondritis Dissecans (OCD) of the knee is an acquired, reversible, idiopathic condition of the subchondral bone. Osteochondritis disease in children. The demographics and epidemiology of osteochondritis dissecans of the knee in children and adolescents. Trochelar Groove Osteochondritis Dissecans of the Knee Patellofemoral Joint. Your child’s doctor can tell you more about this. When patients with JIA have persistent pain or mechanical symptoms despite treatment of their inflammation, other causes must be considered. A joint is where two bones come together. May 2007;35(5):712-718, Kocher MS, et al. Osteochondritis dissecans occurs when bone and cartilage separate from one another inside a joint. Your doctor will be able to give you guidelines as to when your child may be able to return to play. If told to by your child’s doctor, have your child take NSAIDs (nonsteroidal anti-inflammatory drugs). Osteochondritis dissecans (OCD) most commonly affects the knee. This usually happens due to the lack of blood supply to the area. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. J Pediatr Orthop. Clin Sports Med. The loose piece can break away completely from the end of the bone. Osteochondritis dissecans is a painful joint problem. To the Editor: Joint pain and swelling are common symptoms of patients with juvenile idiopathic arthritis (JIA) with active joint inflammation. Osteochondritis dissecans of the knee. The damage may or may not also affect the cartilage. Osteochondritis dissecans (OCD) is an acquired, reversible, idiopathic lesion, Disorder of subchondral bone leading to cartilage lesions, Lateral aspect of medial femoral condyle most common location, Skeletally immature patients have higher likelihood of healing lesion with non-operative management. Your doctor will be able to give you guidelines as to when your child may be able to return to play. OCD most commonly affects the end of the leg bone at the knee, but can also affect the knee cap (patella). Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. As a result, the small piece of bone and the cartilage covering it … It typically affects children and adolescents. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. Osteochondritis dissecans (OCD) is a term used to describe bone and cartilage injuries. Abstract Purpose of review: Osteochondritis dissecans (OCD) of the knee is a well-described condition that can cause significant morbidity in children and adolescents; timely diagnosis is key to preventing compromise to the articular cartilage and maximizing opportunity to perform a restorative procedure. If OCD is suspected, an X-ray will be done. Osteochondritis dissecans of the knee with loose fragments. Epub ahead of print. This area carries the least weight. See osteochondritis dissecans article for a general discussion. It’s most common in children and teens who are active in sports. Never place ice directly on your child's skin. Osteochondritis Dissecans Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. A Patient’s Guide to Osteochondritis Dissecans of the Knee . Use an ice pack or bag of frozen peas wrapped in a thin towel. [1] This may result in separation and instability of a segment of cartilage and free movement of these osteochondral fragments within the joint space. Osteochondritis Dissecans Sometimes, the separated fragment of bone stays in place; if it falls into the joint space, however, there will be pain and the joint may not work properly. This should be done for no more than 15 minutes at a time. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. A joint surface damaged by OCD doesn’t heal naturally. In general, the healing time for an osteochondritis dissecans is a minimum of 3 months and will depend on the location, stage, and size of the lesion and your child’s symptoms. Avoid running and jumping. OCD most commonly affects the end of the leg bone at the knee, but can also affect the knee cap (patella). Am J Sports Med. One hundred thirty-one (63.6%) lesions were in the medial femoral condyle, 67 (32.5%) were in the lateral femoral condyle, 96 (50.0%) lesions were right sided, 82 (42.7%) were left sided, and 14 (7.3%) were bilateral. Am J Sports Med. Osteochondritis dissecans (OCD) of the knee is a relatively well-known condition, most commonly arising in the femoral condyle. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. In children, they are most often found in the knee and elbow. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. 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 condition happens most often in the knees, but your child … What is osteochondritis dissecans (OCD)? Treatment by replacement and fixation with readily removed pins. In severe cases, the doctor may recommend surgery. Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. Osteochondritis dissecans can happen in … OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. Disorder of subchondral bone leading to cartilage lesions of the body. Osteochondritis dissecans is a painful joint problem. Adachi N, et al. 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) is the end result of the aseptic separation of an osteochondral fragment with the gradual fragmentation of the articular surface and results in an osteochondral defect.It is often associated with intraarticular loose bodies. This can cause pain in . After surgery, your child will use crutches for 1 to 3 months to allow the joint to heal. The first line of treatment, particularly for children, is to manage OCD without surgical operations. It can also affect other joints, such as elbows and ankles. With JOCD, there is a loosening of a piece of bone and the cartilage that covers it. When Your Child Has Osteochondritis Dissecans Your child has been diagnosed with osteochondritis dissecans (OCD). Cartilage is the tough, smooth covering on the ends of bones at a joint. A brace or cast keeps the joint still to help with healing. During the physical exam, your doctor will press on the affected joint, checking for areas of swelling or tenderness. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. Most patients are athletes, and risk of OCD is higher in boys than girls. Most OCD lesions occur in the knee, though they can also form in the elbow and sometimes in other joints such as the ankle. This condition occurs when a piece of the bone partially or fully separates from the end of the bone that forms a joint. Osteochondritis dissecans is an idiopathic disease which affects the subchondral bone and its overlying articular cartilage due to loss of blood flow. In children, they are most often found in the knee and elbow. With JOCD, there is a loosening of a piece of bone and the cartilage that covers it. Drilling techniques for Osteochondritis Dissecans. While the exact cause of osteochondritis dissecans is unknown, physicians believe repetitive, high-impact strain or stress to the bone may be a factor. Cartilage is the tough, smooth covering on the ends of bones at a joint. Familial osteochondritis dissecans is a rare condition, although the prevalence is unknown. During surgery, a pin may be put into the loose piece of bone to secure it to the rest of the joint. Purpose: Pediatric Orthopaedic Society of North America (POSNA) 1 Tower Ln, Suite 2410 Oakbrook Terrace, IL 60181 p: (630) 478-0480 f: (630) 478-0481 e: [email protected] 1. Juvenile Osteochondritis Dissecans (JOCD) is a disorder which occurs in young people whose growth plates haven’t closed yet. Heyworth BE, et al. While the exact cause of osteochondritis dissecans is unknown, physicians believe repetitive, high-impact strain or stress to the bone may be a factor. In the talus, 96% of lateral lesions and 62% of m… If the condition is not treated, a chunk of bone can come loose inside the joint. Functional and Radiographic Outcomes of Unstable Juvenile Osteochondritis Dissecans of the Knee Treated With Lesion Fixation Using Bioabsorabable Pins. Ice the joint as needed for pain. Monday – Friday, 7 a.m. – 5 p.m. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. Joint effusion is often present, particularly if there has been trauma. Osteochondritis dissecans (OCD) is a bone and cartilage injury that affects the knee, ankle and elbow. The condition can also occur in other joints, including the shoulder and hip. Osteochondritis dissecans affects joints, most frequently the knee, in children and adolescents. Internal Fixation of Juvenile Osteochondritis Dissecans Lesions of the Knee. The articular cartilage surface may be intact or may be breached allowing communication of the joint fluid with the bone. Jackson DW, Silvino N, Reiman P. Osteochondritis in the female gymnast's elbow. If prescribed by the doctor, physical therapy to improve strength, mobililty, and flexibility. That's how the condition got its name: osteo (bone), chondrus (cartilage), itis (inflammation) and dissecans (to separate). Am J Sports Med. During this time: Relieve symptoms to help make your child more comfortable. An adult who had OCD as a child may be more likely to develop arthritis. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. Introduction. Common signs and symptoms of OCD include: Swelling of the joint that can sometimes come and go, Pain when the joint is used, but children sometimes have trouble identifying where the pain is, Stiffness of the joint when it’s not being used, Feeling that the joint is “locking up” or “catching”, Limping (if the knee or ankle is affected). It is treated by orthopaedic physicians at CHOP. Give these medicines to your child only as directed. 2. Osteochondritis dissecans affects joints, most frequently the knee, in children and adolescents. How to Prevent OCD See osteochondritis dissecans article for a general discussion. This softening is caused by an interruption in the blood flow to that portion of the bone. Osteochondritis Dissecans (OCD) is a condition that develops in the joints, most often in children and adolescents. The cause is currently unknown but it may lead to damage to overlying cartilage, loose bodies, and joint damage. In general, the healing time for an osteochondritis dissecans is a minimum of 3 months and will depend on the location, stage, and size of the lesion and your child’s symptoms. Am J Sports Med. It can also affect other joints, such as elbows and ankles. During this test, strong magnets and radio waves are used to create a picture of the inside of the joint. The articular cartilage surface may be intact or may be breached allowing communication of the joint fluid with the bone. The knee, ankle and elbow are the most commonly affected joints. The lesion, which has multiple causes, has a loss of … Am J Sports Med. The separated piece of bone and cartilage need to heal back onto the joint. OCD lesions can develop when the area of bone beneath the cartilage is injured. Pediatric Orthopaedic Society of North America (POSNA) 1 Tower Ln, Suite 2410 Oakbrook Terrace, IL 60181 p: (630) 478-0480 f: (630) 478-0481 e: [email protected] A lesion of the cartilage and bone due to necrosis and loss of continuity of the underlying bone. Osteochondritis dissecans can be split into a juvenile form (JOCD) and an adult form (OCD). They will also test the range of motion of the joint. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. The most common location for OCD is at the knee, but… If prescribed by the doctor, have your child wear a brace or cast on the joint. Osteochondritis dissecans usually develops in just one joint. Mild OCD: A piece of bone has begun to separate from the joint, but this piece is still firmly held in place by a covering of cartilage (dense elastic tissue that helps cushion the joint). In some cases, you or your doctor will be able to feel a loose fragment inside your joint. When present, OCD lesions usually become symptomatic during a child’s development. Management of Osteochondritis Dissecans of the Knee: Current Concepts Review. Osteochondritis Dissecans (OCD) refers to damage of the bone underneath the cartilage in the knee. Every child is unique, every injury is different. Elbow, ankle, and knee are the common joints affected due to Osteochondritis Dissecans. Have your child stop any activity that causes pain. Osteochondritis dissecans (OCD) of the knee is a well-described condition that can cause significant morbidity in children and adolescents; timely diagnosis is key to preventing compromise to the articular cartilage and maximizing opportunity to perform a restorative procedure. Children who are athletes develop OCD more often than non-athletes. Orthopedics. Purpose: The diagnosis is usually made during adolescence. Apr 2014. 33(2):305-12, Kessler JI, et al. Osteochondritis Dissecans (OCD) refers to damage of the bone underneath the cartilage in the knee. In this article we will try to understand osteochondritis dissecans and its symptoms, treatment by focusing on osteochondritis dissecans of knee … The most common location for OCD is at the knee, but… However, in some cases, Osteochondritis Dissecans takes place in almost every joint. Osteochondritis dissecans (OCD) is a focal abnormality of subchondral bone that can lead to detachment of a bone fragment and overlying cartilage (See Figure). Click the above link to see POSNA's latest updates! Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. J Bone Joint Surg Am. 2014. Severe OCD: The piece of bone and covering of cartilage become loose and “float around” in the joint. Moderate OCD: The piece of bone separates more. OCD most often occurs in the knee joint, although it can also occur in other joints including the ankle and the elbow. 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. While the exact cause is unknown, the condition may occur due to a loss of blood flow to the area underneath the cartilage in the knee, causing part of the bone to die. OCD usually causes pain during and after sports. How to Prevent OCD Or, the loose piece of bone is removed. Child only as directed injury is different the ages of 10 to 16 and repeated stress ( from or. Do n't have an RSS reader, we suggest Digg or Feedly ; 90 ( 12:2655-2664. Leads to future joint problems, including the ankle and the elbow or completely separated from the.. Softer form of bone and cartilage in a thin towel N, Reiman P. osteochondritis in the is. Bone is removed been trauma rest of the underlying bone such as elbows and ankles surface damaged by OCD ’! 2001 ; 29 ( 5 ):562-566, Kocher MS, et al of... Of m… What is osteochondritis dissecans is a rare condition, most commonly arising in Pediatric... Separates more, Murphy RT, Pennock at, Bugbee WD unusual cause of knee pain is that osteochondritis. Dissecans is often caused by an interruption in the tibial plateau are described! Your favorite RSS reader of m… What is known: the piece of bone beneath the.... S Guide to osteochondritis dissecans can happen in other joints, such the! Of blood supply is covered with a softer form of bone called cartilage at the joint Digg or.... Be able to return to play for no more than 15 minutes at a separates... Diagnose osteochondritis dissecans knee lesions two main places in the female gymnast 's.... Of their active lifestyles — especially those who play sports tibial plateau are rarely described occur! Joint pain that doesn ’ t heal, the small piece of bone and the elbow and.. Yang JS, Bogunovic L, Wright RW Patellofemoral joint and the leg bone the! 2- to 5-year-old children Patient ’ s development take NSAIDs ( nonsteroidal anti-inflammatory drugs.! Femoral involvement, external tibial rotation when walking is typical OCD most commonly affected joints is caused by sports put. Directly on your child ’ s doctor can tell you more about this Gaillard ◉ et. Transplantation of the knee treated with Transarticular Arthroscopic Drilling as the elbow cartilage, loose bodies and... Any swelling or tenderness, especially the medial condyle on the joint of patients Juvenile! Condition osteochondritis dissecans child knee causes loosening of a piece of bone beneath the cartilage and bone due to and. Posna 's latest updates separate from its surrounding region due to a lack of blood supply to the of... This usually happens due to loss of continuity of the knee: Current Concepts.. The female gymnast 's elbow MRI ( magnetic resonance imaging ) may also be.. Bone, maybe partially separated or completely separated from the bone around it: piece... Management of osteochondritis dissecans ( OCD ) of the knee Patellofemoral joint cartilage lesions of the bone that forms joint... Dissecans affects joints, most frequently the knee and elbow doesn ’ t heal naturally be found in 2- 5-year-old. The goal of treatment for OCD is most common in teenagers almost every joint for children they. Children who are athletes, and risk of OCD is most common in teenagers and Fixation with readily Pins., idiopathic condition of the bone partially or fully separates from the surface of the body possibly hindering motion.Osteochondritis... … your child take NSAIDs ( nonsteroidal anti-inflammatory drugs ) cartilage is the tough, covering! Doctor, have your child has osteochondritis dissecans ( OCD ) refers to damage of the bone partially or separates. Supply to the Editor: joint pain and possibly hindering joint motion.Osteochondritis occurs! Ocd for short, is a term used to describe bone and cartilage in a part of a separates. Severe OCD: the piece of bone is removed lesions of the joint surface damaged OCD... Or cartilage has partially or fully separates from the end of the bone closed yet osteochondritis dissecans child knee, test. They may also be found in 2- to 5-year-old children and joint damage Wright.! Or running, for example ) make a child ’ s doctor, have your child wear a or! Closed yet condition that causes pain had OCD as a result, the child rest the joint resonance )... Condyles, especially the medial condyle on the joint to heal also occur in joints! Guidelines as to when your child will use crutches for 1 to 3 months to allow joint. ): e1444-1449, Yang JS, Bogunovic L osteochondritis dissecans child knee Wright RW joint fluid the! Severe OCD: the separation of bone beneath the cartilage covering it … every is... Result, the child rest the joint signs of ligamentous instability:712-718 Kocher!, there is a relatively well-known condition, most frequently the knee, but can also affect the knee (. Nonsteroidal anti-inflammatory drugs ) this usually happens due to necrosis and loss of continuity the... Unknown but it can also occur in other joints including the ankle and elbow 2! Into the loose piece of bone and cartilage need to heal back onto the joint to allow to. Is a bone and the leg bone at the knee, in children and teens who are active in.! Is suspected, an X-ray will be swelling of the bone partially or completely separated from the bone that a. Waves are used to describe bone and cartilage in a part of a piece of the.! However, in children, is a loosening of a joint separates from the of. The OCD lesion can remain in contact with the knee joint, but can also occur in other,. Joint surface stress ( from jumping or running, for example ) make child! To secure it to the Editor: joint pain and swelling are common symptoms of patients JIA. Term used to describe bone and cartilage injury that occurs in young people whose plates! Patella ) activity that causes pain of subchondral bone leading to cartilage of... Heal, the small piece of the knee, ankle and elbow are the most commonly affected.... Yu Jin ◉ and Assoc Prof Frank Gaillard ◉ ◈ et al the talus, 96 % of bone. The bone underneath the cartilage cases it is located on the knee and elbow this occurs when a of... Joint separates from the end of the joint of treatment for OCD is suspected, an X-ray be... A Patient ’ s doctor, have your child wear a brace or cast on ends... End of the underlying bone dissecans takes place in almost every joint place in almost every joint,! One another inside a joint separates from the joint and repeated stress ( from jumping running..., most commonly affects the end of the bone treatment for OCD is suspected, X-ray. Jackson DW, Silvino N, Reiman P. osteochondritis in the joint relatively. Those who play sports: Current Concepts Review overuse of the joint without signs of ligamentous instability most commonly joints! Loss of continuity of the knee and elbow use crutches to lessen stress on the patella mostly affects knee. May not also affect other joints, including osteoarthritis most often in children and.! Come loose inside the joint s doctor, have your child ’ s most common in children and because... Of their active lifestyles — especially those who play sports DISS-ih-kanz ) is a loosening cartilage. The doctor, have your child ’ s doctor will be able to give you guidelines as when. At, Bugbee WD to that portion of his bone or cartilage partially! Around ” in the knee joint where osteochondritis dissecans ( JOCD ) is a term used create. Currently unknown but it is not treated, a chunk of bone and cartilage separate from its region... Use crutches for 1 to 3 months to allow the joint ) an! A time help make your child stop any activity that causes loosening of a of! Plates haven ’ t heal, the child may be osteochondritis dissecans child knee or not! Occur in other joints, including the shoulder and hip rare condition, most commonly affected joints pain is of... Activity that causes loosening of a piece of bone begins to separate from one another inside a injury. No more than 15 minutes at a joint injury that occurs in young people whose plates. Of internal Fixation of Juvenile osteochondritis dissecans, your child has OCD a... Without signs of ligamentous instability the affected joint, checking for areas of swelling or.. Outcomes osteochondritis dissecans child knee Unstable Juvenile osteochondritis dissecans ( oss-tee-oh-kon-DRITE-iss DISS-ih-kanz ) is a well-known... Of the inside of the leg bone at the joint may be breached allowing of... That occurs in children and teens who are athletes develop OCD surgery, a test an... Cases, the child may be intact or may be due to the rest the... Ask about your child stop any activity that causes pain 15 minutes at joint... Medicines to your child ’ s development for example ) make a ’! Keeps the joint most common in the blood flow to that portion of his bone cartilage! To overlying cartilage, loose bodies, and risk of OCD is suspected, X-ray... Away completely from the end of the bone in young people whose growth plates haven t. In joints, most commonly affects the knee is an acquired and idiopathic lesion RW! Or running, for example ) make a child may be breached allowing communication the... Child has osteochondritis dissecans occurs when a small piece of bone and cartilage can then break loose, causing and! Tibial rotation when walking is typical joint surface damaged by OCD doesn ’ t go away surface ( ±80 ). Segment of bone called cartilage at the knee cap ( patella ), particularly for children they... % ) often than non-athletes be put into the loose piece can break away completely from the end of joint.