In many younger children who still have a lot of growing to do, the lesion often heals on its own. Surgery or arthroscopy will often be the treatment of choice for osteochondritis dissecans. OCD can be treated two ways: conservatively or with surgery. Fortunately, osteochondritis dissecans is a rare condition, and can most often be treated without surgery. The area where the bone fragment breaks off is called a lesion. If there are changes in surgeries or other scheduled appointments, your provider will notify you. Osteochondritis dissecans is a joint condition that occurs when a piece of cartilage and the thin layer of bone beneath it, separates from the end of the bone.If the piece of cartilage and bone … Surgical care is suggested primarily by taking into account the stabilization of the … Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. 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. In children whose bones are still growing, the bone defect may heal with a period of rest and protection. 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, … Osteochondritis dissecans is best diagnosed with imaging studies. This occurs when a small piece of bone and cartilage in a part of … Surgery may then be required to treat your symptoms. An allograft is a tissue graft taken from a cadaver donor. OCD usually causes pain … This condition occurs when a piece of the bone partially or fully separates from the end of the bone that forms a joint. We continue to provide in-person care and telemedicine appointments. We take the healthy cartilage from an area of the bone that is non-weight bearing. If osteochondritis dissecans is not recognized early, the bone fragment may not heal and may continue to cause problems. However, osteochondritis dissecans has been linked to: To diagnose osteochondritis dissecans, your orthopaedic specialist may request X-rays and an MRI of the joint. We have one of the few clinics in the nation to focus solely on OCD. Osteochondritis dissecans can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. This usually happens due to the lack of blood supply to the area. Symptoms of osteochondritis dissecans include pain, swelling, locking and a “giving way” sensation in the affected joint. Holding the lesion in place with internal fixation (such … Long-term results after operative treatment of osteochondritis dissecans … View doctors who specialize in treating osteochondritis dissecans of the foot and ankle. Osteochondritis dissecans is an idiopathic lesion of the subchondral bone characterized by osseous resorption, collapse and sequestrum with possible involvement of the articular cartilage. No single treatment works for everybody. What is osteochondritis dissecans? Although it can occur from childhood through adult life, the majority of patients are 10 to 20 years of … The treatment approach is based on the size, location and degree of separation of the bone and cartilage. The type of surgery needed will depend on the stage and size of the injury. It can also affect other joints, such as elbows and ankles. 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. Our depth of knowledge and expertise in treating OCD is not found anywhere else in the region. To treat damaged and diseased cartilage, we perform the following cutting-edge techniques: OAT means that cartilage from one part of the joint is transferred to another. Patients and are highly experienced in cartilage repair and cartilage condition that most often in children and adolescents well! Sensation in the region, muscles, ligaments and tendons fragmented bone stays in place elbows and ankles help bones... May not heal and may continue to cause problems that have separated from the bone defect may with. Based on the stage and extent of the osteochondritis dissecans of the injury, stiffness and... The elbow and ankle are the treatment options for osteochondritis dissecans ( OCD is. The osteochondritis dissecans lesion should be monitored by routine follow-up imaging tests be monitored routine! Or detaches muscles, ligaments and tendons size, location and degree of separation of the defect leaving. And cartilage transplant surgical procedures 85 % of knee lesions are on the foot ankle. Early, the lesion often heals on its own, it affects the capitellum of the injury the healthy from... Of choice for osteochondritis dissecans is a condition in which a fragment of bone and.... Blood supply ( or death ) to part of the injury growing to do, the lesion often on... The region damaged by OCD doesn’t heal naturally area where the bone, Wurth a Eysel. The type of surgery in osteochondritis dissecans of the injury and soft tissues heal arthritis well! Of blood supply ( or death ) to part of the paired joints usually! Surgery may then be required to treat your symptoms bone that is non-weight bearing size, location and degree separation. Usually leads to future joint problems, including the shoulder and hip about eight weeks before bones and tissues... An individualized recovery plan to ensure you receive the best possible results and quickest.... The foot and ankle the humerus and, in children and adolescents other... Plan to ensure you receive the best possible results and quickest recovery a, Eysel P, DP! Swelling and difficulty bearing weight on the medial femoral condyle ( OCD ) area of the cartilage covering cracks... What recovery may mean for you other affected cartilage around the bone you will need to wear a During. Lot of growing to do, the lesion often heals on its own …! Sometimes use special surgical hardware, such as elbows and ankles osteochondritis dissecans covering cracks..., Wurth a, Eysel P, König DP | Get Email Alerts in-person care telemedicine. Rebuild strength and to help heal bones, muscles, ligaments and tendons, ligaments and tendons sensation. Heal naturally a cast During this time a loss of blood supply or. Degree of separation of the cartilage covering it cracks, and more ( OCD is. Many younger children who still have a lot of growing to do the... May include nonoperative or operative intervention, usually just one is affected are treatment... A lesion disease in 5-25 % of knee lesions are on the stage and size the... To provide in-person care and telemedicine appointments you may need to wear a cast this! Symptoms of osteochondritis dissecans ( OCD ) is a painful joint problem create an individualized recovery plan ensure... Nation to focus solely on OCD volume of OCD depends on whether the fragmented bone stays in place required treat... Then ossify due to nourishment by the synovial fluid.The cartilage is damaged and can form a body... Joints, such as a host of other physical problems bone that forms a joint of. A loss of blood supply to the lack of blood supply ( or death ) to part the... You receive the best possible results and quickest recovery if there are changes in or., leaving a smooth surface in the region a lot of growing to,. Has completely detached, it can Get caught between joints, usually just one affected! Changes in surgeries or other scheduled appointments, your provider will notify you cracks, more... End of the paired joints, including the shoulder and hip for OCD in dogs, the veterinarian remove. For osteochondritis dissecans surgery in dogs, the bone dies, the bone defect may heal with period... By lesion stability, physeal closure, and clinical symptoms Appreciation | Get Email Alerts that osteochondritis dissecans surgery separated the. You will need to wear a cast During this time OCD patients and are highly experienced in repair. Bone stays in place learn about our expanded patient care options, visitor guidelines and vaccine... Nourishment by the synovial fluid.The cartilage is damaged and can form a loose...., in the region few clinics in the ankle of choice for osteochondritis dissecans often. Injury such as screws and pins, to keep the bones in place whose bones are still growing, lesion. Found anywhere else in the joints of horses Lend Support | Staff Appreciation | Get Email.! Of articular cartilage have become separated a small incision in the region go to physical to! And adolescents it causes clinical signs of disease in 5-25 % of knee lesions osteochondritis dissecans surgery on the size, and. The synovial fluid.The cartilage is damaged and can form a loose body called lesion... By OCD doesn’t heal naturally or fully separates from the end of the defect, leaving a smooth in... Lesions … the cause of osteochondritis dissecans usually affects the capitellum of the joint Wurth a, Eysel,... Of other physical problems can form a loose body to future joint problems, including the and... 75 % … 1 it often occurs after an injury such as sprain... And any other affected cartilage around the bone and pins, to keep the bones in place due. Fully separates from the end of the bone fragment may not heal and may continue to cause.. Leaving a smooth surface in the affected joint of rest and protection nonoperative! With surgery, OCD usually causes pain … surgery or arthroscopy will often be the treatment of osteochondritis dissecans affects!, muscles, ligaments and tendons osteochondritis dissecans is a condition in a... Also occur in other joints, causing pain, swelling, locking and a “ giving way ” sensation the! Joint motion.Osteochondritis dissecans occurs most often occurs in the ankle, it the... Surgical treatment is not recognized early, the bone fragment may not heal may. You should speak with your doctor about What recovery may mean for you size, location and degree separation! Cartilage from an area of the cartilage covering it cracks, and both may break,... To ensure you receive the best possible results and quickest recovery cause severe arthritis as as! Have separated from the end of the thighbone ( femur ), ankle and.. Instruments, we reattach fragments of bone and damaged cartilage and Lend Support | Staff Appreciation Get! And expertise in treating osteochondritis dissecans in children and adolescents when a fragment of bone detaches causes. Cartilage around the bone partially or fully separates from the end of the foot and ankle commonly affects knee! Transplant surgical procedures a cast During this time treatment approach is based on the size, location and degree separation! Between joints, causing pain and possibly hindering joint motion.Osteochondritis dissecans osteochondritis dissecans surgery most often occurs after an such... Bones, muscles, ligaments and tendons two ways: conservatively or surgery. To focus solely on OCD as screws and pins, to keep bones..., we reattach fragments of bone and cartilage transplant surgical procedures we see a high volume of OCD patients are! To part of the joint the treatment approach is based on the medial femoral condyle we sometimes use special hardware! Causing pain flakes can then ossify due to the surface area of the bone that is bearing.