Osteochondritis dissecans (OCD) of the ankle is the end result of the aseptic separation of an osteochondral fragment of the talar dome with the gradual fragmentation of the articular surface. The most common joints affected by osteochondritis dissecans are the knee, ankle and elbow, although it can also occur in other joints. When osteochondritis dissecans affects the ankle it typically occurs on the inner or medial portion of the ankle (talus). Osteochondritis dissecans (OCD or OD) is a joint disorder in which cracks form in the articular cartilage and the underlying subchondral bone. However, in the femoral condyles, OCD has a prevalence of approximately 6 cases per 10,000 … These fragments are sometimes referred to as joint mice. Males are typically affected twice as often as females, with a higher incidence occurring in young athletes. Welcome to Sidney Physiotherapy's patient resource about Osteochondritis Dissecans of the Talus. The lesion is encountered on either the medial or lateral surface of the talar dome. Osteochondritis dissecans or OCD is a type of joint condition in which the bone underneath the articular cartilage dies due to a lack of blood. Since 1983, 24 children have been treated for OCD of the talus at a major Canadian pediatric referral center. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. Over time, swelling may persist and the pain may become more of a generalized aching. Treatment of osteochondritis dissecans is intended to restore the normal functioning of the affected joint and relieve pain, as well as reduce the risk of osteoarthritis. What are the Symptoms of Juvenile Osteochondritis Dissecans? Pain and popping: Osteochondritis dessicans is basically arthritic changes in the ankle with bone spurs that may be intact or broken off. Osteochondritis dissecans occurs most commonly in the knee, but also occurs in elbows, ankles and other joints. When Your Child Has Osteochondritis Dissecans. It is a very important step in diagnosing any disease because it not only gives the idea of possible etiology … Osteochondritis dissecans is an acquired, potentially reversible idiopathic lesion of subchondral bone resulting in delamination and sequestration with or without articular cartilage involvement and instability. Ankle Osteochondritis Dissecans. Osteochondritis dissecans (OCD) of the talus (ankle bone) happens when repetitive trauma results in a blood supply injury to the talus and the bone either fails to develop from the cartilage your kid was born with, or the maturing bone dies and therefore softens and collapses. This leads to separation of the bone and cartilage from the surrounding joint causing pain and inflammation. Most cases of osteochondritis dissecans of the talus occur around the time of skeletal maturity (10-14 years of age for girls and 12-16 years of age for boys). No single treatment works for everybody. Articular cartilage protects the bones and allows joints to move smoothly, without pain. Symptoms: mechanical symptoms, including locking, catching, and recurrent effusion, may be present, indicating an unstable osteochondritis dissecans or intra-articular loose body. Therapy. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. Osteochondritis dissecans at a glance: Osteochondritis dissecans is a condition in which small cracks develop in the cartilage and/or bones of a joint. The most common symptoms of Osteochondritis Dissecans are pain, locking, clunking, weakness, stiffness and swelling. Osteochondritis Dissecans Signs and Symptoms. In the United States, the overall prevalence of osteochondritis dissecans is not known. Symptoms often last > 1 year prior to diagnosis ... Knee, ankle, and elbow joints are most commonly involved. Clinical evaluation of the ankle. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. [7] OCD is a type of osteochondrosis in which a lesion has formed within the cartilage layer itself, giving rise to secondary inflammation. Osteochondritis dissecans can cause symptoms either after an injury to a joint or after several months of activity, especially high-impact activity such as jumping and running, that affects the joint. Much like other ankle sprains, osteochondritis dissecans causes swelling, pain and an inability to bear weight. In many cases of OCD in children, the affected bone and cartilage heal on their own, especially if a child is still growing. Although it can occur from childhood through adult life, the majority of patients are 10 to 20 years of age. To diagnose the case of osteochondritis dissecans, it is very important to look for the various causes using history taking. Osteochondritis dissecans (OCD) of the talus is rare in children. Osteochondritis dissecans is a localized injury or condition affecting a surface of the joint that involves a separation of a segment of cartilage and the underlying bone. Symptoms will usually be occassional pain with limitation of motion and intermittent pain to the area. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). It can occur in all age groups. In osteochondritis dissecans, fragments of cartilage or bone become loose within a joint, leading to pain and inflammation. Your child has been diagnosed with osteochondritis dissecans (OCD). Treatment options include noninvasive methods and surgical procedures. It can also affect other joints, such as elbows and ankles. Even with surgery, OCD usually leads to future joint problems, including degenerative arthritis and osteoarthritis. Osteochondritis dissecans affects joints, most frequently the knee, in children and adolescents. The etiology is unknown, although trauma has been implicated, particularly in lateral lesions. Ankle sprain/instability; In the talus, 96% of lateral lesions and 62% of medial lesions were associated with direct trauma ; Competitive athletics; Family history: epiphyseal dysplasia has been postulated as a subset of OCD; Symptoms of osteochondritis dissecans. If the cracks begin to fragment, the joint may become jammed or locked. Symptoms of Ankle OCD Lesions. However, in some cases, Osteochondritis Dissecans takes … Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. Clanton TO, DeLee JC. Symptoms experienced in the affected joint include difficulty with range of motion, popping or snapping noises, buckling, pain on movement, as well as swelling. In many cases of OCD in children, the affected bone and cartilage heal on their own, especially if a child is still growing. The condition typically affects just one joint, however, some children can develop OCD in several joints. Depending on the location of the bone chip, some patients feel a ‘catching’ sensation with certain ankle movements. Each joint in our body has cartilage and subchondral bone, and as such, there are a variety of ways that JOCD presents. X-rays are used for initial evaluation, but often MRI is used for further evaluation and treatment planning [16]. A joint surface damaged by OCD doesn't heal naturally. The bone lesions on the lateral or outside portion of the talus are most often related to trauma. Gait: the patient may have an antalgic gait. Osteochondritis Dissecans takes place whenever a small bone segment starts to separate from its nearby region because of a lack of enough blood supply. Symptoms of OCD depend on the stage of the lesion. 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). What is osteochondritis dissecans? SYMPTOMS: The symptoms of Osteochondritis dissecans of the talus can be either acute or chronic. It occurs more often in males. See your podiatrist if the pain becomes worse and especially if the motion starts to diminish. Osteochondritis dissecans (OCD) is a condition in which a fragment of bone and cartilage separates causing pain, swelling and mechanical issues. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. Pain and swelling are the most common symptoms of osteochondritis dissecans. If left untreated, OCD may lead to early degenerative changes with chronic pain and functional impairment. Most commonly, Juvenile Osteochondritis Dissecans occurs in the knees (about 95% of cases), hips, ankles, elbows and collarbones, although it may occur in other joints. Osteochondritis dissecans: history, pathophysiology and current treatment concepts. Physical examination of a patient with ankle OCD often returns symptoms of joint effusion, crepitus, and diffuse or localized tenderness. This article will review the symptoms, causes, management, and prevention of osteochondritis dissecans. Symptoms of osteochondritis dissecans include pain, swelling, locking and a “giving way” sensation in the affected joint. Prevalence. Osteochondritis usually affects people between the ages of 10-20 years and is three times more common in men than women. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. Previous Next: Epidemiology. The most common joints affected by osteochondritis dissecans are the knee, ankle and elbow, although it can also occur in other joints. They might flare up after physical activity, like climbing stairs or playing sports. Frequency. Elbow, ankle, and knee are the common joints affected due to Osteochondritis Dissecans. Osteochondritis Dissecans Symptoms, Causes & Treatment This article will review the symptoms, causes, management, and prevention of osteochondritis dissecans. It can occur in all age groups. OCD most commonly affects the knee joint, but it can also occur at the ankle, elbow, or other joints throughout the body. The anatomy of the talar dome and the ankle mortise is such that medial lesions are posterior and lateral lesions more anterior. Osteochondritis Dissecans Osteochondritis dissecans (OCD), happens when a piece of tissue that covers a joint (articular cartilage) is separated from the bone. This condition commonly occurs in the knee, but can also occur in the elbow, shoulder, hip, or ankle. Signs and symptoms. Oftentimes these fractures occur when a person suffers a severe ankle sprain, but they can also occur if the foot is struck by a strong force. OCD occurs most often in children and adolescents. Causes and Symptoms of Osteochondritis Dissecans The most common cause of osteochondritis dissecans is acute injury to the ankle that results in a chip-type fracture. It most commonly affects the knee (75% of cases) but can also affect the elbow, ankle, shoulder, hand, wrist or hip. This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. Symptoms experienced in the affected joint include difficulty with range of motion, popping or snapping noises, buckling, pain on movement, as well as swelling. OCD is characterized by a loss of blood supply to one or more bones in the ankle, which may result in a fracture or break within the ankle joint. Osteochondritis is commonly seen in children and adolescents, who are active in sports. The chip fracture occurs on the talus, a large bone in the back part of the foot … Osteochondritis dissecans occurs in approximately 15 to 29 per 100,000 patients. Because of this, the small bone piece and the cartilage covering it starts to lose and crack. As a result, the small piece of bone and the cartilage covering it … Osteochondritis dissecans is a condition that does not have clear etiology and also presentation occurs in the young age group in most of the cases. 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