1985 Apr-Jun;8(2):85-7. The https:// ensures that you are connecting to the Their physician may recommend rest, ice, compression, and elevation (RICE), combined with non-steroidal anti-inflammatory medications for pain. HHS Vulnerability Disclosure, Help Should you play sports with an OCD lesion in your knee? Evaluation of knee pain in adolescents presents a challenge for primary care physicians. Customized rehabilitation and return to sport programs are important for successful outcomes regardless of treatment type. Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. After an X ray and MRI - Osteochondritis Dissecans was diagnosed. For young children whose bones are still developing, the injury might heal by itself. Bookshelf Copyright 2023 Dr. David Geier Enterprises, LLC, Common knee injuries a young athlete can suffer. A prospective clinical study used joint scintigraphy to investigate conservative treatment of juvenile osteo chondritis dissecans (JOCD) of the femoral condyle and found that based on specific indications for failure of conserva tive treatment, 50% of these patients failed and under went surgery. This condition typically affects young athletes, such as throwers and gymnasts, involved in high-demand, repetitive overhead, or weightbearing activities. Due to a large number of questions I have received over the years asking about products for health, injuries, performance, and other areas of sports, exercise, work and life, I have created an Amazon Influencer page. Symptoms of osteochondritis dissecans include pain, swelling, locking and a "giving way" sensation in the . Harbrecht A, Hackl M, Leschinger T, Wegmann K, Seybold D, Mller LP. He said arthroscopic surgery might help, but had no guarantee. Clinically, the patient remained unable to fully extend her right leg. Osteochondritis Dissecans of the Knee in Young Athletes. Encouraging mid-term outcomes for arthroscopic autologous osteochondral transplant (OAT) in capitellum osteochondritis dissecans (OCD). https://orthoinfo.aaos.org/en/diseases--conditions/osteochondritis-dissecans. Maruyama M, et al. Epub 2017 Apr 8. These loose pieces are sometimes called "joint mice" or "loose bodies.". Continuing to run will probably cause the arthritis to progress more quickly; we dont know that this will definitely occur, how much running is too much or how quickly arthritis will progress even if you do not run. ALLEN L. HIXON, M.D., AND LISA M. GIBBS, M.D. Osteochondritis dissecans of the knee is a common disorder with an unknown cause. Once staging has been completed, unstable lesions are managed surgically (Figure 3). I am diagnosed with osteochondritis dissecans. MRI has a 97 percent sensitivity for detecting unstable lesions.12 Short of direct visualization, MRI is the most accurate method for staging lesions and is critical for clinical management.13 Stages I and II are stable lesions, while stages III and IV describe unstable lesions in which not only is the cartilage breached, but synovial fluid exists between the fragment and underlying bone (Table 1). She had no previous history of knee problems. Accessed Aug. 7, 2018. Bethesda, MD 20894, Web Policies This was not my first knee surgery rodeo, unfortunately; these made surgeries 6 and 7. Children with osteochondritis dissecans should receive medical treatment right away. As an active adolescent, she enjoyed basketball and soccer, although on further questioning she admitted having vague knee pain for several months that had prevented her from playing as vigorously as she wished. Demographics and Epidemiology of Osteochondritis Dissecans of the Elbow Among Children and Adolescents. Quadriceps strengthening may promote overall knee stability. official website and that any information you provide is encrypted During my senior year OCD of the right knee in the medial femoral chondile. An OCD lesion involves the bone under the articular cartilage in part of the knee (almost always the lateral aspect of the medial femoral condyle) starting to die. The included studies had low methodologic quality and showed satisfactory results regarding pain, return to sports, and elbow function. Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. Before The goal of activity modification is to allow symptom-free activities of daily living.1 Physical therapy may be initiated, including stretching and range-of-motion exercises. National Library of Medicine If the cartilage breaks down, the lesion can become displaced. Should you play sports with an OCD lesion in your knee? Children and adults who have a rare disease and their caregivers are encouraged to talk about their needs with the medical team and to reach out for the support they require. 23 Celebrities with Osteochondritis Dissecans What famous people have Osteochondritis Dissecans? There are several types of surgical intervention for this problem. Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions. Management of osteochondritis dissecans (OCD). Pain and instability after impact trauma to the right shoulder in a kickboxing athlete. If a period of no weight-bearing does not cause the lesion to heal, the surgeon can occasionally drill small holes into the bone arthroscopically to stimulate blood flow into it. In these cases, arthroscopy is imperative to evaluate the stability of the lesion and visualize the overlying cartilage. Operative treatment is offered to patients with closed physes, unstable lesions, mechanical symptoms, and failure of nonoperative treatment. Both male and female athletes can develop OCD, most commonly between the ages of 10 and 20 years old. Federal government websites often end in .gov or .mil. Copyright 2000 by the American Academy of Family Physicians. Osteochondritis dissecans. THE SITE MAY OFFER HEALTH, FITNESS, NUTRITIONAL AND OTHER SUCH INFORMATION, BUT SUCH INFORMATION IS DESIGNED FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. She had discomfort with weight bearing and 5-degree limitation to full extension. Nonoperative treatment is typically attempted for patients with open physes, stable lesions, and minimal symptoms. Dr. David Geier is an orthopedic surgeon and sports medicine specialist in Charleston, South Carolina and Charlotte, North Carolina. The site is secure. 1987 Mar-Apr;125(2):194-200. doi: 10.1055/s-2008-1044914. Please note that as an Amazon Associate I earn from qualifying purchases. Learn more about Sports Ultrasound Clinic. Centre for Reviews and Dissemination (UK), York (UK). Early in the disease process, the main complaints are dull pain or soreness and swelling. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. The https:// ensures that you are connecting to the Copyright 2023 American Academy of Family Physicians. Approximately 21 percent of patients relate onset of symptoms to injury.5 Most have pain related to activity5 and stiffness after periods of disuse. Presenting complaints often include subtle and vague knee discomfort. Matthijs R.KrijnenM.D., Ph.D. Rudolf W.PoolmanM.D., Ph.D. W. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. https://www.uptodate.com/contents/search. Hergenroeder AC, et al. Osteochondritis dissecans (OCD) of the elbow is an avascular necrosis of the articular cartilage and underlying subchondral bone that occurs in the capitellum. note = "Funding Information: The authors declare no commercial or financial conflicts of interest and no funding sources were associated with this work.". Capitellar osteochondritis dissecans (OCD) can be a significant problem in adolescent overhead athletes. Please note that as an Amazon Associate I earn from qualifying purchases. Customized rehabilitation and return to sport programs are important for successful outcomes regardless of treatment type.". Ask Dr. Geier Is surgery necessary for a meniscus tear? A single copy of these materials may be reprinted for noncommercial personal use only. N2 - Osteochondritis dissecans of the knee is a relatively rare disorder in young athletes that can lead to premature osteoarthritis. Osteochondritis dissecans occurs most commonly in children and adolescents between the ages of 10 and 20 who are highly active in sports. Early in the disease process, the main complaints are dull pain or soreness and swelling. Acta Belg Med Phys. Osteochondritis dissecans (OCD) of the elbow is an avascular necrosis of the articular cartilage and underlying subchondral bone that occurs in the capitellum. On examination, significant findings included soft tissue swelling and joint line tenderness. Quick tips for a variety of sports- and exercise-related bone and joint injuries - Learn when those injuries could be serious and what you should do about them. My mum had taken me to A&E a few times by this point after I would fall down the stairs or just fall over randomly (this was my knee giving in). RESULTS: The included studies had low methodologic quality and showed satisfactory results regarding pain, return to sports, and elbow function. . National Library of Medicine I am a 55 year old runner, with 40 plus marathons. It is thought to result from ischemia of a localized area of subchondral bone, precipitated by infarction, trauma, or other causes. Epub 2019 Jun 24. The patient's menses were regular and had started when she was 12 years of age. Also read: PURPOSE:Osteochondritis dissecans (OCD) of the elbow is an avascular necrosis of the articular cartilage and underlying subchondral bone that occurs in the capitellum. Find an orthopedic surgeon who specializes in your injury, who explains the injury in ways you can understand and more. Dr. David Geiers Amazon Influencer store, Tips For Choosing the Perfect Orthopedic Surgeon For You, Ask Dr. Geier: Overuse and Degenerative Knee Injuries. What is osteochondritis dissecans? 2010 Sep;18(9):557-67. doi: 10.5435/00124635-201009000-00007. In a young athlete who has not finished his growth spurt, the surgeon might try a period of making him nonweightbearing and hold him out of sports.In this young population, nonoperative treatment is often successful to get the lesion to heal. JSES Int. We understand the importance of sport in young athletes lives and are dedicated to providing the best care possible to help our patients return to their sports safely, without risking further injury. Subtle and vague knee discomfort and LISA M. GIBBS, M.D harbrecht a Hackl... Your injury, who explains the injury might heal by itself injury in ways you can and. American Academy of Family Physicians of treatment type. ``, swelling, and. 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