Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. In severe cases of osteochondritis dissecans, it may be necessary to resort to a procedure known as bulk allograft transplantation, which involves taking bone and cartilage from a cadaver and grafting it into the damaged talus of the injured person. A cursory review of the literature reveals only a single example (Hicks, 2), in the middle cuneiform of the left foot in a child of five. It can occur in all age groups. The location of the lesion is a factor that differentiates OCD from traumatic osteochondral fracture, … OCD usually causes pain during and after sports. Osteochondral injuries occur in an estimated 6.5% of all ankle sprains. Osteochondritis dissecans (OCD) of the talus is a subchondral bone pathology that presents as an osteochondral lesion of the talar dome with consequent articular cartilage abnormalities. Fractures of the talar dome are usually the result of inversion injuries—that is, an inward twisted ankle—and when injury is the cause of osteochondritis dissecans, it is usually this type of injury. This guide will help you understand 1. how OCD develops 2. how the condition causes problems 3. what can be done for your pain Figure 1: Lateral (Side) View of Right Foot. Foot and Ankle Surgery 1996 2:105-107 A case of osteochondritis dissecans at the first metatarsal head N. WUELKER AND G. PETERS Orthopaedic Medical School, Hannover Medical School, Heimchenstrasse 1-7, Hannover, Germany Summary A 16-year-old female with pain in her left first metatarso-phalangeal joint was found to have a lesion at the metatarsal head with the typical … OCD usually causes pain and swelling of the affected joint which catches and locks during movement. In the long term OCD can lead to subsequent dege… Osteochondritis dissecans (OCD or OD) is a joint disorder in which cracks form in the articular cartilage and the underlying subchondral bone. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. OCD occurs most often in children and adolescents. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. It can occur in all age groups. Osteochondritis Dissecans (OCD) occurs when a loose piece of bone and cartilage separates from the end of the knee or elbow. Medial osteochondral lesions, however (lesions on the inside part of the talar dome), can be caused either by injury or by chronic weight overload, which can be caused, in part, by very high arches, or by chronic ankle instability. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. 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. Your doctor will also check other structures around the joint, such as the ligaments.Your doctor will also ask you to move your joint in different directions to see whether the joint can move smoothly through its normal range of motion. Sudden ankle inversion sprains (i.e. Osteochondritis dissecans is a painful joint problem. Osteochondritis dissecans causes irregularity and fragility of affected cartilage. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. Typically, the causes of osteochondritis dissecans include injury or trauma to the joint, or over use. It can occur in all age groups. Osteochondritis dissecans occurs especially in young athletes involves in throwing sports such as baseball or field athletic events like javelin. Find out when to see your doctor, and much more. Osteochondritis dissecans (OCD) is a condition that occurs in young people and most frequently occurs in the knee. Reports of OD in archaeological skeletal remains are few and the majority demonstrate low OD prevalence (<1%). Involvement of the middle cuneiform bone is apparently rare. If lesions are present, however, further treatment will be necessary. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. As a result, the small piece of bone and the cartilage covering it … Osteochondritis Dissecans is an acquired joint defect which involves the subchondral bone and the overlying articular cartilage. The majority of osteochondritis dissecans lesions of the talus are related to trauma. https://www.footvitals.com/ankle/osteochondritis-dissecans.html The unsettled nature for the role of trauma in osteochondritis dissecans was reflected in … Osteochondritis dissecans occurs … Osteochondral lesion of the talus (OLT) is a broad term used to describe an injury or abnormality of the talar articular cartilage and adjacent bone. In the talus, 96% of lateral lesions and 62% of … If surgery is required, osteochondritis dissecans will often be addressed with ankle arthroscopy, a procedure involving the insertion into the ankle of a small flexible tube with a light, camera, and surgical instruments attached to it. Osteochondritis dissecans is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Most commonly, the knee is affected, but osteochondritis dissecans may occur in the elbow, ankle or hip as well. 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