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. OCD is most common in boys between the ages of 10 to 16. Orthopedics. To the Editor: Joint pain and swelling are common symptoms of patients with juvenile idiopathic arthritis (JIA) with active joint inflammation. The OCD lesion can remain in contact with the adjacent bone, maybe partially separated or completely separated. The condition can also occur in other joints, including the shoulder and hip. Sporadic osteochondritis dissecans is more common; it is estimated to occur in the knee … This area carries the least weight. Osteochondritis dissecans occurs when bone and cartilage separate from one another inside a joint. Want to stay updated? They will also test the range of motion of the joint. The damage may or may not also affect the cartilage. The demographics and epidemiology of osteochondritis dissecans of the knee in children and adolescents. In some cases, you or your doctor will be able to feel a loose fragment inside your joint. Never place ice directly on your child's skin. Osteochondritis dissecans usually develops in just one joint. Every child is unique, every injury is different. 2006;34(7) 1181-1191, Murphy RT, Pennock AT, Bugbee WD. In the talus, 96% of lateral lesions and 62% of m… Osteochondritis dissecans (OCD) is a bone and cartilage injury that affects the knee, ankle and elbow. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. Overuse of the joint and repeated stress (from jumping or running, for example) make a child more likely to develop OCD. J Pediatr Orthop. 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 is a joint injury that occurs in children and teens because of their active lifestyles — especially those who play sports. Nov 2013;36(11):e1444-1449, Yang JS, Bogunovic L, Wright RW. A joint is where two bones come together. The first line of treatment, particularly for children, is to manage OCD without surgical operations. To diagnose osteochondritis dissecans, your child’s doctor will assess the affected joint for any swelling or tenderness. Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. 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. Jackson DW, Silvino N, Reiman P. Osteochondritis in the female gymnast's elbow. 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). 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 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 softening is caused by an interruption in the blood flow to that portion of the bone. Am J Sports Med. Juvenile Osteochondritis Dissecans (JOCD) is a disorder which occurs in young people whose growth plates haven’t closed yet. Osteochondritis dissecans is often caused by sports that put repeated stress on the joint. Clin Sports Med. Am J Sports Med. It is not entirely known why some children develop OCD. This healing takes time, often up to 6 months. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. 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. 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) most commonly affects the knee. 2014.42:635-640, Wall EJ, et al. A lesion of the cartilage and bone due to necrosis and loss of continuity of the underlying bone. In most cases, there is a full range of movement in the joint without signs of ligamentous instability. There are two main places in the knee joint where osteochondritis dissecans can appear. With treatment, OCD often heals well. If the lesion doesn’t heal, the child may develop joint pain that doesn’t go away. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. Familial osteochondritis dissecans is a rare condition, although the prevalence is unknown. 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 … 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] Moderate OCD: The piece of bone separates more. Background: Juvenile osteochondritis dissecans (OCD) has a better prognosis than the adult type. If prescribed by the doctor, have your child wear a brace or cast on the joint. 1. 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. 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