Osteochondritis dissecans orthobullets. 2016 Apr;154(2):199-216.

Osteochondritis dissecans orthobullets Long term outcome of osteochondritis dissecans of the humeral capitellum was determined for 53 patients. Keun Churl Chun We examined 24 patients with osteochondritis dissecans of the humeral capitellum to determine the results of nonoperative treatment. For patients with radiographically apparent lesions, MRI may be used to further characterize the osteochondritis dissecans lesion or identify other knee pathology. The purpose of this study was to evaluate radiographic-based classification systems for osteochondritis dissecans (OCD) of the capitellum and determine their agreement with intraoperative findings. Osteochondritis dissecans (OCD) lesions are a relevant problem that affects the long-term prognosis of young patients. 2001 Apr;20(2):321-42. Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions. A literature search was conducted across 3 databases (PubMed, Cochrane, and CINAHL [Cumulative Index to Nursing and Allied Health Literature]) from database inception through December 2019 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. 3 In patients presenting with unilateral osteochondritis dissecans symptoms, there was a 15% prevalence of bilateral disease, with no difference in age, sex, physeal status, or lesion characteristics between patients with unilateral vs bilateral osteochondritis dissecans lesions. The predictive value of scintigraphic evaluation and various parameters (age at onset, sex, location and size of lesion) were analyzed. The treatment of advanced capitellar OCD remains challenging because of the limited potential of the articular cartilage for self-repair. Two adolescents underwent this procedure with good results. Please Rate. According to the current Osteochondritis Dissecans of Elbow is a localized injury and subsequent separation of articular cartilage and subchondral bone of the capitellum, most commonly seen in gymnasts and pitchers. Keywords: juvenile osteochondritis dissecans; knee joint; paediatric Cite this article: EFORT Open Rev 2019;4:201-212. This systemic review was performed to identify the surgical indications for this condition. 2/24/2020 Osteochondritis dissecans (OCD) of the knee is a common cause of knee pain and dysfunction among skeletally immature and young adult patients. Experts 0 May 29, 2021 · Osteochondritis Dissecans Osgood Schlatter's Disease (Tibial Tubercle Apophysitis) Sinding-Larsen-Johansson Syndrome The ideal treatment for juvenile osteochondritis dissecans of the talus (ODT) is still unclear. This article is a review of the current understanding of the etiology, pathogenesis, and how to diagnose and treat knee osteochondritis dissecans (OCD) followed by an analysis of and outcomes of the treatments available. Pubmed Optimal treatment of osteochondritis dissecans of the knee has been controversial. Epub 2016 Dec 5. It is often difficult to distinguish Panner's disease from osteochondritis dissecans of the humeral capitellum. Recent literature reveals that the prevalence is likely higher than previously thought. Prognosis and treatment depends on the stability of the lesion and the age of the patient. Dec 7, 2021 · Little league elbow refers to a continuous spectrum of injuries to the medial side of the elbow seen in adolescent pitchers, which includes: medial epicondyle stress fractures, ulnar collateral ligament (UCL) injuries and flexor-pronator mass strains. Orthobullets Careers - Join Our Team Osteochondritis dissecans of the glenoid in adolescent baseball players: a report of 4 cases. The condition tends to manifest as knee dysfunction and pain, predominantly affecting school-aged children and adolescents. 7 years (range, 9-18, years), 21 of the 29 knees with lesions (72%) had open physes, and median follow-up was 3. Although some surgical techniques have been described for the operative treatment of unstable Osteochondritis dissecans (OCD) of the knee, outcomes are variable and are not satisfying totally. When making treatment decisions, one should rather use relatively simple distinctions (e. Players with an OCD lesion began playing baseball at an earlier age (P = . Juvenile osteochondritis dissecans (OCD) lesions of the knee are a common cause of knee pain in skeletally immature patients. INTRODUCTION. It is characterized by localized injury of subchondral bone of the humeral capitellum. The term osteochondritis dissecans was Initial use of autologous bone grafting in combination with the matrix-induced autologous chondrocyte implantation procedure has shown efficacy in small- to medium-sized osteochondral lesions. Would you like to start learning session with this topic items scheduled for future? that, “There is a spontaneous osteochondritis dissecans, which without any other considerable damage to the joint brings about detached pieces of the articular surface. Nov 11, 2020 · MSK | Osteochondritis Dissecans MSK - Osteochondritis Dissecans; Listen Now 8:21 min. The multicenter study group Research in Osteochondritis dissecans of the Knee (ROCK) was formed to advance the understanding and treatment of this condition. The most widely used are the Hefti and Nelson systems. Experts. 4 years) with 36 juvenile OCD lesions of the knee and 33 skeletally mature patients (25 men, eight women; mean age, 26. A high index of suspicion is warranted to prevent delay in the diagnosis. Please Login to add comment. The cause is likely multifactorial secondary to repetitive stresses, biomechanical mismatch, and a tenuous vascular supply of the capitellum. The lesion usually occurs in the knee on the lateral and posterior aspect of the medial femoral condyle. The Juvenile osteochondritis dissecans (JOCD) has been a recognized entity for more than 100 years. Despite many reports on the subject, there remains no clear understanding of the etiology, natural history, or treatment. 1 years to 34. 3 ± 2. Because lesion progression is common, early identification is potentially beneficial for an athlete's treatment and recovery. 2/24/2020. Experts 4 Osteochondritis dissecans is a potentially devastating cause of knee pain in adolescents and adults. OCD is increasingly frequently seen in pediatric, adolescent and young adult athletes. Osteochondritis dissecans, if not recognized and treated appropriately, may lead to secondary osteoarthritis with pain and functional limitation. 1–3 Long term outcome of osteochondritis dissecans of the humeral capitellum was determined for 53 patients. Jul 7, 2024 · ORTHOBULLETS Events. Please Login to add comment May 31, 2021 · Osteochondritis dissecans (OCD) more commonly found at lateral aspect of medial femoral condyle of 15 to 20-year-old males. To quantify the 1-year cumulative incidence of capitellar osteochondritis dissecans (OCD) in preadolescent baseball players and identify the risk factors associated with this condition. ”1 Osteochondritis dissecans (OCD) has been recently Osteochondritis dissecans (OCD) of the capitellum is an increasingly recognized disease affecting young athletes. There has been explosive growth of intensive, year-round sports for children of both sexes, with a resulting high degree of family involvement and commitment. The average followup was 12. Osteochondritis Dissecans (OCD) is a condition for which the aetiology remains unknown. 1264 plays. The average age of the patients at the initial examination was 13. 0025) and past (P . Collapse all The purpose of this study was to evaluate radiographic-based classification systems for osteochondritis dissecans (OCD) of the capitellum and determine their agreement with intraoperative findings. Osteochondritis dissecans (OCD) of the knee can be difficult to treat. 1225 plays. 0 (0) Login. Orthobullets Careers - Join Our Team Knee & Sports | Osteochondritis Dissecans Knee & Sports - Osteochondritis Dissecans; Listen Now 23:13 min. In more than one third of cases, conservative treatment is unsuccessful,andsurgeryisindicated. METHODS In total, 1,275 school-aged baseball players (aged 6-11 years) without an established diagnosis of capitellar OCD were enrolled in this longitudinal Aug 6, 2024 · Osteochondritis Dissecans Osgood Schlatter's Disease (Tibial Tubercle Apophysitis) Sinding-Larsen-Johansson Syndrome Current advanced imaging classification systems for osteochondritis dissecans (OCD) of the knee grade severity of disease by identifying certain lesion characteristics. Events Mosaicplasty for the treatment of osteochondritis dissecans of the talus: two to seven year results in 36 patients. The femoral condyles of the knee are the most common locations for OCD, and the incidence of OCD appears to be increasing among active children. Our current understanding regarding the etiology, risks factors, diagnosis, and efficacy of the available treatment options has expanded over recent years, however remains suboptimal. The authors describe a surgical mosaicplasty technique, with an anterior surgical dislocation approach without trochanterotomy, for osteochondritis dissecans of the hip. Although conservative management is the first line of treatment, surgical intervention is usually recommended for patients with persistent mechanical symptoms, loose bodies, or unstable lesions. 180079 Introduction Osteochondritis dissecans (OCD) is an acquired condition of the joint that affects the articular surface and the sub-chondral bone. Most OCD lesions in skeletally immature patients will heal with nonoperative treatment. See full list on radiopaedia. Treatment of large, unstable defects in the elbow with osteochondral autograft plug transfer has not been adequately studied. Osteochondritis dissecans (OCD) is a chronic and painful joint condition that can occur from childhood through to adult life. Orthobullets Team Knee & Sports Osteochondritis dissecans (OCD) is a disorder of articular cartilage and subchondral bone. Unfortunately, the age range of the patients who typically require treatment of this disorder is young enough that long-term results become critical. The average follow-up was 48 months, with a minimum of 24 months. The purpose of this study was to analyze the evidence on potential and indications of nonsurgical treatment strategies for knee OCD. g. Aug 8, 2023 · Regardless of etiology, osteochondritis dissecans is an idiopathic focal joint disorder affecting the subchondral bone. 2/24/2020 Osteochondritis dissecans of the knee primarily affects subchondral bone, with a secondary effect on the overlying articular cartilage. 93 plays Osteochondritis dissecans (OCD) of the capitellum is a common disorder that causes pain and functional limitation in the adolescent elbow. At an average of 4. 7 (3) Login. Impaired motion and pain on effort were the most common complaints. PURPOSE To assess the demographics and epidemiology of OCD of the elbow among children. Ebraheim’s educational animated video describes the condition of Osteochondritis Dissecans of the knee joint. Knee MRI is indicated in young, active patients who have knee pain and/or effusion, to make an early diagnosis and decide about treatment, according essentially to the MRI stability signs. In unstable lesions, the underlying bone can be significantly abnormal and necessitate treatment. Although conclusive evidence of an exact cause is lacking, there is widespread agreement that JOCD is related to repetitive trauma. It affects subchondral bone and secondarily its overlying cartilage and is mostly found in the knee. Jun 1, 2024 · Osteochondral Lesions of the Talus are focal injuries to the talar dome with variable involvement of the subchondral bone and cartilage which may be caused by a traumatic event or repetitive microtrauma. Informed consent was waived by the Institutional Review Board for this HIPAA-compliant study. Most OCD in children and adolescents presents as a stable lesion amenable to non-operative Osteochondritis dissecans is a condition of the joints that appears to affect subchondral bone primarily, with secondary effects on articular cartilage. Events. Osteochondritis dissecans of the humeral capitellum was found in 82 (3. Would you like to start learning session with this topic items scheduled for future? Osteochondral autologous transplantation surgery (OATS) has been advocated for treatment of osteochondritis dissecans (OCD) of the capitellum in adolescents. Diagnosis can be made with plane radiographs but MRI studies can be helpful to evaluate for the size of lesion and extent of bony edema. Cartilage restoration techniques are often indicated when the lesion or fragment cannot be salvaged and the patient remains symptomatic. 0. 3 years. 72 plays. Capitellar osteochondritis dissecans (OCD) can be a significant problem in adolescent overhead athletes. Ten articles with a total of 691 (73%) males and 260 (27%) females were included. ORTHOBULLETS Events. The purpose of the present study was to determine if patient age, lesion size, lesion location, presenting knee symptoms, and sex predict the healing status after six months of a standard protocol of nonoperative treatment for stable juvenile osteochondritis dissecans of the knee. Ahmad2 Published online: 28 April 2016 # Springer Science+Business Media New York 2016 Abstract Capitellar osteochondritis dissecans (OCD) can be a significant problem in adolescent overhead athletes. This case report demonstrates use of the "Sandwich" technique in a large, deep osteochondritis dissecans lesion of the medial femoral condyle. Diagnosis may be made radiographically (notch view) but MRI usually required to determine size and stability of lesion, and to document the degree of cartilage injury. Osteochondritis dissecans (OCD) occurs most commonly in the knees of young individuals. A great part of remote traumatic events associated with loose bodies must be considered as having occurred in this way. Although favorable treatment outcomes have been reported for centrally located OCD, treatment outcomes are generally questionable and the choice of surgical method is controversial for laterally located OCD. There were symptoms in about half of the elbows at the follow-up examination. 10/18/2019. 1302/2058-5241. 5 ± 10. JOCD has better potential for healing than adult OCD, but several series have shown up to a 50% failure to heal with nonsurgical techniques. 0001) elbow pain compared with players without a lesion. DOI: 10. Despite our long recognition of OCD, the natural history and most effective therapies are poorly understood. This condition is known to cause pain and discomfort in the knee and can lead to disability and early knee osteoarthritis. During the surgery, cylinder osteochondral plugs were taken from the center of the osteochondritis dissecans lesion and examined with light microscopy. 2024 Aug;36(3-4):198-210. Thereisawidevariety Osteochondritis dissecans of the knee is identified with increasing frequency in the young adult patient. 6 days ago · Osteochondritis Dissecans is a pathologic lesion affecting articular cartilage and subchondral bone with variable clinical patterns. 3 Feb 24, 2020 · ORTHOBULLETS Events. 4%) elbows by ultrasonography. Various treatment methods have resulted in good short-term results. This study was done to determine the results of the arthroscopic treatment of osteochondritis dissecans of the capitellum in a young population. Osteochondritis dissecans (OCD) is a disorder resulting in focal breakdown of the subchondral bone, with potential disruption of the overlying articular cartilage. 0013), and had experienced more present (P = . Henry G Chambers Kevin G Shea Dec 5, 2024 · Osteochondritis Dissecans Osgood Schlatter's Disease (Tibial Tubercle Apophysitis) Sinding-Larsen-Johansson Syndrome To report clinical outcomes of osteochondral allograft transplantation (OCA) for skeletally mature patients with osteochondritis dissecans (OCD) lesions of the knee in whom prior surgical intervention has failed, and to describe return-to-sport (RTS) rates and any predictive demographic or preoperative variables associated with a higher One should be cautious when assigning grades using magnetic resonance classifications for capitellar osteochondritis dissecans. 3. Arthroscopic Bioabsorbable Screw Fixation of Unstable Osteochondritis Dissecans in Adolescents: Clinical Results, Magnetic Resonance Imaging, and Second-Look Arthroscopic Findings. stable versus unstable osteochondritis dissecans; lateral wall intact versus not intact), as these are more reliable. Osteochondritis dissecans is a condition of the joints that appears to affect subchondral bone primarily, with secondary effects on articular cartilage. Nov 25, 2024 · Osteochondritis Dissecans of Elbow Team Orthobullets (J) Shoulder & Elbow - Elbow Arthritis; Listen Now 12:51 min. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. If the lesion consists of a subchondral region demarcated from the surrounding bone, the demarcation should be examined for completeness and the presence of a "double-line sign" that is seen in avascular necrosis or findings of instability, which are important for proper evaluation of osteochondritis dissecans. Experts 0 For treatment of advanced elbow osteochondritis dissecans (OCD), we have used surgical treatment. 8 years (range, 1-9 years). To determine predictors of failure of conservative treatment, children admitted for ODT were retrospectively analyzed. Events In this episode, we review the high-yield topic of Osteochondritis Dissecans from the Knee & Sports section. The authors sought to determine lesion healing rates, the risk factors associated with failure to heal, and the clinical outcomes for patients who underwent internal fixation for unstable OCD lesions. No osteonecrosis was observed at the longest follow-up. 3 years (range, 11 to 16). R C Schenck Jr J M Goodnight Osteochondritis dissecans. Several case series have been published exploring a variety of surgical treatments for osteochondritis dissecans (OCD) in patients 18 years and younger, but a systematic review is currently lacking. A graft was taken from the lateral condyle of the knee. Whether OLT is a precursor to more generalised arthrosis of the ankle remains unclear, but the condition is often symptomatic enough to warrant treatment. 4. For unstable yet salvageable OCD lesions, the senior author's preferred treatment is fixation with bone grafting. Osteochondritis dissecans of the knee is identified with increasing frequency in the young adult patient. The study group consisted of 32 skeletally immature patients (25 boys, seven girls; mean age, 14. 7 (3) The AUC clinical patient scenarios were derived from patient indications that generally accompany osteochondritis dissecans of the femoral condyle, as well as from current evidence-based clinical practice guidelines and supporting literature. Fragmentation of a small focus of subchondral bone creates a defect between the osteochondral lesion and the parent bone, leading to decreased vascularization and resulting in osteonecrosis of the fragment. Osteochondritis dissecans is a common osteochondral abnormality affecting the knee. Events Osteochondritis dissecans. 01). Osteochondritis rarely involves the femoral condyles. Would you like to start learning session with this topic items scheduled for future? Several case series have been published exploring the surgical management of osteochondritis dissecans (OCD) of the knee in pediatric patients. Recent data suggest magnetic resonance imaging (MRI) is the best method to analyze the status of the cartilage and subchondral bone in patients with juvenile osteochondritis dissecans (JOCD). A total of 26 children (9 females, 17 males, 3 with bilateral lesions; thus, 29 lesions) were identified. Please Login to add comment Background: Osteochondritis dissecans (OCD) of the capitellum is a painful condition, which often affects young throwing athletes. Background: Osteochondritis dissecans (OCD) of the capitellum is a painful condition, which often affects young throwing athletes. Most OCD in children and adolescents presents as a stable lesion amenable to non-operative A prospective clinical study used joint scintigraphy to investigate conservative treatment of juvenile osteochondritis dissecans (JOCD) of the femoral condyle. The average age of the patients at the time of treatment was 16. Although many techniques exist, we favor an open surgical approach to ensure that the bone is properly managed. AAOS Clinical Practice Guideline: diagnosis and treatment of osteochondritis dissecans. Osteochondritis dissecans (OCD) and juvenile osteochondritis dissecans (JOCD) are distinct entities that require different management. Teenagers engaged in sports that involve repetitive stress on the elbow are at risk. In the elbow, an OCD is localized most commonly at the humeral capitellum. The treatment of unstable OCD lesions with open reduction and internal fixation with metallic compression screws is well documented in the literature. For patients with knee symptoms, radiographs of the joint may be obtained to identify the lesion. org Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. 6 years (range, 10-34 years). It can occur in adults, but is generally identified when growth remains, when it is referred to as juvenile OCD. PMID: 39075306 Oper Orthop Traumatol. Left untreated, osteochondritis dissecans can lead to the development of osteoarthritis at an early age, resulting in progressive pain and disability. Would you like to start learning session with this topic items scheduled for future? The aim of this study was to present mid-term functional and radiological outcomes of patients with physeal closure who underwent arthroscopic or open internal fixation with headless cannulated compressive screws due to unstable Osteochondritis Dissecans (OCD) lesions of the knee. With progression, this pathology may present clinically with symptoms related to the integrity of the articular cartilage. We assessed cell-based surgical therapy for patellar osteochondritis dissecans (OCD) in adolescents and young adults by (1) determining function with the International Knee Documentation Committee (IKDC) subjective and Lysholm-Gillquist scores; and (2) evaluating activity level using the Tegner-Lysholm scale. All the patients were advised to stop heavy use of the elbow for 6 months. Osteochondritis dissecans (OCD) lesions are injuries that occur more commonly in the skeletally immature population. Transplantation of tissue-engineered cartilage for the treatment of osteochondritis dissecans in the elbow: outcomes over a four-year follow-up in two patients. Epub 2024 Jul 29. Osteochondritis dissecans (OCD) of the femoral condyle is an idiopathic focal bone abnormality affecting the subchondral bone and can result in unstable osteochondral lesions. Events - Osteochondritis Dissecans; Listen Now 23:13 min. Thirty-one patients with osteochondritis dissecans of the capitellum humeri were followed for an average of 23 years. Panner's disease has been reported to occur in boys between 7 and 10 years old, which is younger than susceptible age of osteochondritis dissecans. Continued elbow stress resulted in the worst outcome in terms of pain and radiographic findings. Osteochondritis dissecans (OCD) of the elbow is a disease of unclear etiology that affects young children and adolescents, particularly overhead athletes and gymnasts. Aug 10, 2024 · Dr. The aim of the present study is to evaluate the outcomes of autogenous osteochondral grafting for OCD of the knee. 0 Jun 1, 2021 · Osteitis pubis is the inflammation of the pubic symphysis caused by repetitive trauma that most commonly occurs during sports involving repetitive kicking or hip abduction/adduction. 2 years) with 34 adult OCD lesions of the knee. An osteochondritis dissecans lesion with an open capitellar physis and a good range of elbow motion resulted in a good outcome. FREE CME. 0 Abstract. Capitellar osteochondritis dissecans (OCD) is one of the most common causes of elbow pain and dysfunction in adolescent athletes. Churchill1 & Julianne Munoz2 & Christopher S. You are done for today with this topic. Orthobullets Careers - Join Our Team Transchondral fractures (osteochondritis dissecans) of the talus. METHODS Osteochondritis dissecans (OCD) is a pathology involving the osteochondral unit, resulting in sequestration of sub-chondral bone with or without articular cartilage involve-ment and instability. In most cases, the aetiology is not well understood, but fortunately, many OCD lesions may heal on their own over time, particularly in skeletally immature patients with open physes. Diagnosis of OCD, based on MRI findings, is quite straightforward; MRI examination can also be very useful for dating the defect and obtaining information about the associated bone bruise. The diagnosis is usually made during adolescence. 2 years follow-up, our prospective, randomized, clinical study in children under the age of 18 years has shown significant superiority of the mosaic-type OAT over MF for the treatment of osteochondritis dissecans defects in the knee. 2016 Apr;154(2):199-216. The etiology of OCD remains unclear; theories on causes include inflammation, ischemia, ossification abnormalities, genetic factors, and repetitive microtrauma. Osteochondritis Dissecans of Elbow is a localized injury and subsequent separation of articular cartilage and subchondral bone of the capitellum, most commonly seen in gymnasts and pitchers. May 31, 2021 · Osteochondritis Dissecans Osgood Schlatter's Disease (Tibial Tubercle Apophysitis) Sinding-Larsen-Johansson Syndrome Osteochondritis dissecans (OCD) of the capitellum is a condition most commonly seen in adolescents involved in repetitive overhead sports and can profoundly affect ability to return to play and long-term elbow function. METHODS MRI analysis of 122 knees and 132 JOCD lesions in 109 patients who underwent arthroscopic treatment for osteochondritis dissecans lesions of the osteochondritis dissecans (OCD), osteochondral fracture and osteochondral defect. 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. Twelve knees in 11 patients (average age, 16 years) with osteochondritis dissecans of the medial femoral condyle were treated by biological internal fixation. Nov 8, 2024 · Osteochondritis Dissecans of Elbow is a localized injury and subsequent separation of articular cartilage and subchondral bone of the capitellum, most commonly seen in gymnasts and pitchers. . This article will review our current understanding of the pathophysiology, treatment options, and outcomes of OCD of the knee, with a focus on the past, present, and future research To (1) define population-based incidence of knee Osteochondritis dissecans (OCD) lesions using the population of Olmsted County, (2) examine trends over time, and (3) evaluate rate of surgical management over time. This technique includes arthroscopic evaluation of cartilage and bone quality of the OCD fragment, hinging open the lesion, debridement of fibrous nonunion tissue, reducing the fragment, and obtaining multi-point compression screw fixation. The cause is not well understood, and treatment plans are not well delineated. Both of the weak recommendations are related to imaging evaluation. The authors' preferred treatment algorithm for osteochondritis dissecans (OCD) of the knee is based on skeletal maturity, OCD lesion stability, and OCD lesion salvageability. While lesions can occur in the elbow, ankle, and wrist, the most common site of involvement is the knee [7–9]. Juvenile osteochondritis dissecans (JOCD) is a joint disorder of the subchondral bone and articular cartilage that affects skeletally immature patients. Osteochondritis dissecans (OCD) of the elbow is a disorder of subchondral bone and articular cartilage, of which the incidence among children is not clearly known. Osteochondritis dissecans (OCD) is an idiopathic disorder primarily affecting subchondral bone that results in destabi-lization of the affected subchondral bone and its overlying articular cartilage [1††, 2††, 3††, 4–6]. Although both conditions result from stress fractures of the subchondral bone, JOCD has a much better prog-nosis; treated conservatively, 50% of cases will heal, probably providing a normal knee during adult life. Fresh osteochondral allograft (OCA) transplantation can restore both bone and cartilage defects characteristic of OCD. Early Results of Single-plug Autologous Osteochondral Grafting for Osteochondritis Dissecans of the Capitellum in Adolescents. Osteochondritis dissecans (OCD) was first described to provide an explanation for the nontraumatic development of loose bodies within a joint. Cards. D 2 Treatment algorithm for osteochondral Osteochondritis dissecans of the knee primarily affects subchondral bone, with a secondary effect on the overlying articular cartilage. In patients with a closed capitellar physis, surgery provided significantly better results than elbow rest (p 0. However, little information is available regarding the optimal knee harvest site to match the contour and cartilage thickness of the recipient elbow lesion. Osteochondritis dissecans (OCD) of the capitellum is an intra-articular lesion and one of the leading causes of permanent elbow disability. Would you like to start learning session with this topic items scheduled for future? ORTHOBULLETS Events. PMID: 27919119 Z Orthop Unfall. Microtrauma, vascular insufficiency, or abnormal endochondral ossification are the most common causes of OCD. Jan 25, 2024 · Osteochondritis dissecans of the knee is a relatively rare condition, categorized as a form of osteonecrosis affecting the subchondral bone. Consequently, a diagnosis of juvenile osteochondritis dissecans (JOCD) impacts parent and child on many different levels. Osteochondritis Dissecans is a condition that affects the articular cartilage and the subchondral bone of the knee. The aetiology of JOCD is unknown and the natural history is poorly characterized in part due to inconsistent and largely retrospective literature. A retrospective review of 16 patients (17 elbows) was performed by follow-up examination and radiographs. 1 Although many theories on its etiopathogenesis have been historically proposed, 2 the exact nature of OCD remains unclear. Osteochondritis dissecans of the knee (OCD) is a multifactorial pathology in where repetitive microtrauma plays a central role in the etiopathogenesis. It occurs when a small segment of bone begins to crack and separate from its surrounding region due to a lack of blood supply. It typically occurs in gymnasts and overhead throwers and presents along a wide spectrum of severity. This systemic review identifies the various surgical techniques reported in the literature for treating OCD and assesses the effectiveness of these Evaluations of the stability of osteochondritis dissecans (OCD) lesions of the elbow using magnetic resonance imaging (MRI) have resulted in reports with variable accuracy. Osteochondritis dissecans (OCD) of the knee is an idiopathic, focal, acquired condition involving the osteochondral unit (subchondral bone and articular cartilage complex) having the potential to cause instability and separation of the osteochondral fragment from the joint surface which may results in intra-articular loose body formation and premature osteoarthritis. 3 years, and follow-up ranged from 6 months to 16. Therefore, the International Cartilage Repair Society (ICRS) classification remains the gold standard to determine OCD lesion stability. JOCD poses a therapeutic dilemma for the pediatric sports specialist because the healing potential is unpredictable at the disease onset. The mean age was 14. 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. Osteochondritis dissecans of the elbow Ryan W. 016), had a longer duration of competitive play (P = . Apr 1, 2021 · Orthobullets Self-Assessment Exams Osteochondritis Dissecans PMID: 11398361 Clin Sports Med. Osteochondritis dissecans (OCD) of the humeral capitellum most commonly affects young athletes engaged in sports that repetitively stress the elbow. This process can lead to pain, effusions, and loose body formation. 6 years (range, 3-25 years). METHODS We present our arthroscopic technique for fixation of an unstable osteochondritis dissecans (OCD) lesion. Osteochondritis dissecans (OCD) can cause knee pain and dysfunction in children. Skeletally immature patients with stable lesions are amenable for nonoperative treatment. 7/5/2023. Discovery in this localization raises several questions concerning the nature of the articular cartilage, the potential for spontaneous healing, and, in the event of a free fragment, the outcome after its loss or repair. Mean age ranged from 11. wcdozby wqmoagtu fzoox txtfh fqndy jomh bryml mbgvlfe jtywk tnu