/ Chau, Michael M.; Tompkins, Marc A. T1 - Osteochondritis Dissecans of the Knee in Young Athletes. https://orthoinfo.aaos.org/en/staying-healthy/a-guide-to-safety-for-young-athletes. Osteochondritis dissecans of the knee is a relatively rare disorder in young athletes that can lead to premature osteoarthritis. Osteochondritis dissecans of the capitellum is a well-recognized cause of elbow pain and disability in the adolescent athlete. In the circumstances where the lesion does not seem to be healing but is still in place with intact cartilage, the surgeon can drill holes into the lesion to try to stimulate healing. 2018 Dec 19;6(12):2325967118815846. doi: 10.1177/2325967118815846. These injuries range in severity from a bone injury to a loose piece of bone floating in the joint. It has no known cause, but repetitive stress on the joint, low vitamin D and a genetic predisposition are often linked to this condition. Hergenroeder AC, et al. 393. note = "Funding Information: The authors declare no commercial or financial conflicts of interest and no funding sources were associated with this work.". There are several types of surgical intervention for this problem. Recommended Products and Resources Osteochondritis dissecans of the knee is being seen with increased frequency in pediatric and young adult athletes and is thought to be, in part, owing to earlier and increasingly competitive sports participation. Advertising revenue supports our not-for-profit mission. Osteochondritis dissecans (OCD) is a common joint disorder in knee, ankle and elbow, however it can be rarely found in glenohumeral joint. This program offers a comprehensive Q&A collection on arthritis, cartilage injuries, plica syndrome, patellofemoral pain, prepatellar bursitis and more. The incidence of OCD in the general population is estimated to be 15 to 30 cases per 100,000 persons.1,5 Although rare, it is recognized as an important cause of joint pain in active adolescents. Return to sports can be variable depending on the type of osteochondritis dissecans lesion and the treatment. Common knee injuries a young athlete can suffer. Level III, systematic review of Level IV studies. It is thought to result from ischemia of a localized area of subchondral bone, precipitated by infarction, trauma, or other causes. This site needs JavaScript to work properly. She complained of knee pain that was worse with weight bearing and leg extension. An official website of the United States government. Athletic Performance in the National Basketball Association After Arthroscopic Debridement of Osteochondral Lesions of the Talus. 4, 5 There are two main presentations of OCD at the knee, which ultimately depend on the skeletal maturity of the patient. 3,6,16 The cause of capitellar OCD remains unknown. National Library of Medicine We also conduct safe-training programs and clinics for coaches. It has no known cause, but repetitive stress on the joint, low vitamin D and a genetic predisposition are often linked to this condition. 2021 Apr 20;5(4):745-753. doi: 10.1016/j.jseint.2021.03.004. Osteochondritis dissecans of the capitellum: current concepts. I am a soccer player that plays at a very high level. Take steps to recover from knee surgery quickly and safely! Arthroscopic surgery in athletes with osteochondritis dissecans of the elbow, Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet], Centre for Reviews and Dissemination (UK). He was playing hockey at the highest level a 12-year-old player in Canada could play when osteochondritis dissecans in both knees forced him to take time off. Surgery to try to put the lesion back in place and hold it with screws or pins can occasionally be attempted successfully. This article discusses the anatomy, pathoanatomy, history, physical examination, imaging, management algorithm, and outcomes of surgical treatment of osteochondral lesions in these patients. All OCD lesions evident on radiographs should be staged for stability with MRI. The included studies had low methodologic quality and showed satisfactory results regarding pain, return to sports, and elbow function. Imaging studies are indicated for evaluation of clinical deterioration. York (UK): Centre for Reviews and Dissemination (UK); 1995-. Your child should be able to return to sports and activities after their knee, elbow, or other joint has regained strength and stability usually around six months after surgery. Osteochondritis Dissecans: Current Understanding of Epidemiology, Etiology, Management, and Outcomes. 2010 Sep;18(9):557-67. doi: 10.5435/00124635-201009000-00007. It is often associated with intra-articular loose bodies. Osteochondritis dissecans (OCD) is the end result of the aseptic separation of an osteochondral fragment with the gradual fragmentation of the articular surface and results in an osteochondral defect. 139. Recover From Knee Surgery Like a Champion! Minor swelling at the tibial plateau precipitated by the incident was persistent. Arthroscopic surgery in athletes with osteochondritis dissecans of the elbow. If the loosened piece of cartilage and bone stays in place, you may have few or no symptoms. Osteochondritis dissecans of the talus: diagnosis and treatment in athletes Clin Sports Med. This checklist can help you plan your next step to recover quickly and safely. The more severe the problem, the greater the damage to the overlying cartilage (this is the cartilage that is involved in arthritis). To diagnose osteochondritis dissecans, your childs doctor will assess the affected joint for any swelling or tenderness. DOI: 10.1016/j.csm.2014.01.003 Corpus ID: 22904155; Osteochondritis dissecans of the talus: diagnosis and treatment in athletes. Recover From Knee Surgery Like a Champion! She underwent arthroscopy to assess for unstable necrotic fragments. The cause is likely multifactorial secondary to repetitive stresses, biomechanical mismatch . Osteochondritis Dissecans of Smaller Joints: The Elbow. Methods: and transmitted securely. She was pain-free with full range of motion and a stable knee. Patient Data. If the lesion has broken away, nonsurgical treatment is not indicated. For additional information contact Mike Oliver, 205-918-2161 or Glenn Dortch, 205-918-2134. Osteochondritis dissecans typically affects athletes from approximately age 10-15. The reduced blood flow to the end of the affected bone might result from repetitive trauma small, multiple episodes of minor, unrecognized injury that damage the bone. Copyright 2000 by the American Academy of Family Physicians. Arthritis makes it hard for many people to perform their jobs. Customized rehabilitation and return to sport programs are important for successful outcomes regardless of treatment type. The site is secure. To diagnose osteochondritis dissecans of the elbow, ankle or another joint, your childs doctor will perform similar specialized manipulations. Osteochondritis dissecans occurs most often in children and adolescents. I was initially diagnosed with a Miniscus Fiscus at the age of 5. Please note that as an Amazon Associate I earn from qualifying purchases. Copyright 2011 Arthroscopy Association of North America. This site complies with the HONcode standard for trustworthy health information: verify here. Members of our orthopedics and sports medicine teamtravel to local and regional schools, youth groups and sports clubs to teach leg strengthening and other techniques with a goal of dramatically reducing overuse injuries like osteochondritis dissecans. Both male and female athletes can develop OCD, most commonly between the ages of 10 and 20 years old. Kiyomatsu H, Takeba J, Imai H, Fujibuchi T, Inoue T, Jono A, Hino K, Miura H. JSES Int. government site. Competitive sports should be avoided for six to eight weeks. 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. Your Privacy Choices: Opt Out of Sale/Targeted Ads. @article{Talusan2014OsteochondritisDO, title={Osteochondritis dissecans of the talus: diagnosis and treatment in athletes. In this Ask Dr. Geier column, I answer the question of a 17-year-old soccer player with a challenging knee problem osteochondritis dissecans. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). This causes pain and a sense that the joint is catching or giving way. These loose pieces are sometimes called joint mice or loose bodies.. They may need to complete a course of physical therapy before gradually resuming activity or sports. Established in 1903, we are one of the worlds most experienced pediatric orthopedic centers. The first sign of an osteochondritis dissecans injury may be a popping sensation in the injured joint. The doctor will check for pain along the affected joint line and may order an x-ray or MRI to help them see the joint. Young athletes involved in high-impact sports can sustain an osteochondritis dissecans injury from motions that put repetitive stress on the joint. eCollection 2018 Dec. Arthroscopic fragment fixation using hydroxyapatite/poly-L-lactate Acid thread pins for treating elbow osteochondritis dissecans. The 9 selected articles were criticized by use of a quality assessment tool derived from the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group. Weight loss surgery reduces the risk of premature death, 392. Im just wondering, will this affect my career? The https:// ensures that you are connecting to the Any suggestions? official website and that any information you provide is encrypted THE SITE MAY OFFER HEALTH, FITNESS, NUTRITIONAL AND OTHER SUCH INFORMATION, BUT SUCH INFORMATION IS DESIGNED FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. [PubMed: 21693350]. Often the OCD fragment breaks free and causes pain, swelling and locking and catching in the knee. THE SITE IS NOT RESPONSIBLE FOR ANY ACTIONS OR INACTION ON A USERS PART BASED ON THE INFORMATION THAT IS PRESENTED ON THE SITE. Operative treatment is offered to patients with closed physes, unstable lesions, mechanical symptoms, and failure of nonoperative treatment. Please tell me my running is not over. If surgery requires internal fixation of the lesion with screws or pins or using bone and cartilage grafts, return to sports can take up to 6 months or more. Osteochondritis dissecans (glenoid) . Careers. This condition typically affects young athletes, such as throwers and gymnasts, involved in high-demand, repetitive overhead, or weightbearing activities. Centre for Reviews and Dissemination ( UK ) ; 1995- or weightbearing activities Dortch, 205-918-2134 breaks free causes... Glenn Dortch, 205-918-2134, Marc A. T1 - osteochondritis dissecans of the worlds most experienced orthopedic! 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