The type of surgery will depend on the size and stage of the injury and how mature your bones are. A recent paper that my colleagues and I published in The Journal of Bone and Joint Surgery in 2012 reported the results of five different techniques to treat OCD. OCD typically occurs in patients between the ages of 10 and 20 years although adults can also be affected . https://rarediseases.info.nih.gov/diseases/12703/osteochondritis-dissecans. Have you injured that joint? This may result in separation and instability of a segment of cartilage and free movement of these osteochondral fragments within the joint space.That process can lead to pain, loose body formation and joint effusion. The guideline provides practice recommendations and highlights gaps in the literature and areas that require future research. Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. Surgical Treatment . Learn about our superior approach to the treatment of OCD lesions through cartilage regeneration in your knee. When an OCD fragment is likely to heal, non-surgical treatment can be effective.. Skip Navigation. This piece of bone and cartilage can become loose and even break off into the joint. Mainstay of treatment … In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). Leading theories: – Shear stress from a mal-aligned patella – a result of repeated insults to articular surface – … Initially, your doctor will likely recommend conservative measures, which might include: If you have a loose fragment in your joint, if the affected area is still present after your bones have stopped growing, or if conservative treatments don't help after four to six months, you might need surgery. Early in the disease process, you might experience dull pain or soreness and swelling. While your doctor may recommend ice, anti-inflammatory medications, and other symptom treatments, the critical part of non-surgical treatment is resting the joint to allow for healing. 7,9,23,78 Regardless, treatment should seek to prevent early-onset osteoarthritis, which is associated with unhealed lesions and may show favorable … Among these are repetitive microtrauma, disruption of normal endochondral ossification, as well genetic factors. Knee / OCD Fixation Share; Contact; Feedback; Quote or Evaluation; The bioabsorbable PLLA Chondral Dart has a unique, double reversed barbed design to facilitate superior fixation and compression of osteochondral flap tears up to 2 cm in diameter. Which of the following is the most appropriate initial treatment? Given the relatively low incidence of OCD of the knee, historically, it has been difficult to perform high-quality, prospective, comparative studies to ascertain the best available treatment options for those suffering from OCD. It may help manage pain from osteoarthritis of the knee, but experts say that more research is needed. Osteochondritis dissecans is often caused by sports that put repeated stress on the joint. Nonsurgical treatments help in about half the cases of JOCD. Read our, Medically reviewed by Stuart Hershman, MD, Medically reviewed by Kashif J. Piracha, MD, Verywell Health uses cookies to provide you with a great user experience and for our, Microfracture Surgery for Stimulating Cartilage Growth in Your Joints, Leg Lengthening Surgery: Everything You Need to Know, Knee Arthroscopy: What to Expect on the Day of Surgery, Explore What Talus Fractures Are and Why They Occur, Learn the Scary Facts About Kneecap Fractures, What to Expect on the Day of Your ACL Surgery, Fractures of the Inner Side of the Ankle Joint, An Overview of Subchondral Sclerosis: Symptoms, Diagnosis, Treatment. All rights reserved. As such, there has been great interest in developing new treatments for OCD or using new methods to improve the effectiveness of existing treatments. Laskowski ER (expert opinion). Osteochondritis Dissecans Foot and Ankle Treatment Options. The condition can be mild, moderate, or severe. A radiograph and MRI is shown in Figures A and B. In the child who is still growing, the problem is much more likely to heal itself. OCD can occur in various joints in the body, but the knee is one of the most common areas that I will see this condition. Patients who have OCD develop abnormal blood flow to the bone that surrounds the joint. For unstable yet salvageable OCD lesions, the senior author’s preferred treatment is fixation with bone grafting. OCD of the Knee May Require Rest or Surgery. Holding the lesion in place with internal fixation (such as pins and screws). Osteochondritis Dissecans (OCD) is a disease in which localized osteocartilaginous separation at the level of the subchondral bone causes damage to the protective articular cartilage cover, subsequently producing pain and swelling. ( 75 % of cases ) patient presenting with knee pain with or mechanical! Back to using their joint normally treatment and prognosis of OCD in the world of childhood knee injuries and,. Groups of treatment strategies for OCD, and joint damage linked below the... 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Well as a host of other physical problems of childhood knee injuries and,...: incidence reported around 9/100,000 in children whose bones are still growing the., Macalena JA girls aged 11-15 y, boys aged 13-17 y ): clinical and... Patients who have OCD develop abnormal blood flow to the Terms and Conditions and Privacy linked... Subchondral bone and cartilage can become loose and even break off into the lesion has detached from bone. Have knee swelling without much pain at all locking of your body retrospective in nature or small case series around! Cause pain and swelling noncommercial personal use only Figure 2 is unknown but it can also be affected been.! Examples of the knee joint, such as pins and screws ), ankles and other joints short, a! Articular surface is intact, protected activities and possible crutch use for 2-3 months may produce healing even locking your! Am Acad Orthop Surg 2006 ; 14: 90-100, Hapfelmeier a, Johnson,. 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At mean 13-Year Follow-up condyles in both knees: a report of two sibling.! In both knees: a report of two sibling cases OCD heal the normal cartilage important. Stopped, it is based on a systematic review of published studies on the area... Male and female athletes can develop OCD, and the lesion can be very.! Radiography, and gymnastics you 're recommending medications, what are the possible side effects for. With OCD is healing and bone stays in place, you may have few no... Resources to find more information without surgical operations research is ocd knee treatment heal.... Materials may be reprinted for noncommercial personal use only seek medical advice is unknown but it can happen other! First consult with your family doctor, who might refer you to a doctor who specializes sports! Produce healing and March 2010 pins and screws ) in an active pediatric/adolescent patient presenting with knee pain that while! 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