Although it can occur from childhood through adult life, the majority of patients are 10 to 20 years of age. Osteochondritis dissecans is best diagnosed with imaging studies. Arthroscopic surgery is a procedure that is frequently used as a treatment to remove the loose cartilage and bone tissue from the joint. The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. Symptoms include joint pain, stiffness, and even locking of the joint. does not endorse or recommend any of the participating advertisers. When only one lesion occurs in a single joint, the condition is known as sporadic osteochondritis dissecans. There are several types of surgery that can help. 2008 Apr. When osteochondritis dissecans affects the ankle it typically occurs on the inner or medial portion of the ankle … Surgery for osteochondritis dissecans is usually performed arthroscopically, but the specifics of the procedure depend on the extent of the damage. Surgery for Osteochondritis Dissecans. Although it can occur from childhood through adult life, the majority of patients are 10 to 20 years of age. Osteochondritis Dissecans is a relatively common childhood problem in the knee. The most common location for OCD is at the knee, but… 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. Osteochondritis dissecans can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. “Juvenile OCD” occurs in kids who are still growing. During the physical exam, your doctor will press on the affected joint, checking for areas of swelling or tenderness. Int Orthop. 2008 Apr. 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; A large flap lesion in the femur head typical of late stage Osteochondritis dissecans. Surgery may then be required to treat your symptoms. Long-term results after operative treatment of osteochondritis dissecans of the knee joint-30 year results. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. Your child has been diagnosed with osteochondritis dissecans (OCD). Diagnosis and treatment are discussed. This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. We do not endorse non-Cleveland Clinic products or services. However, Carroll and Mubarak” reviewed 75 patients who had osteochondritis dissecans and found no relationship with trauma, patellar disloca- tion, or tall tibial spines. Osteochondritis dissecans is best diagnosed with imaging studies. Advertising on our site helps support our mission. It is most commonly seen in the knee, but can also be found in the ankle and elbow. This softening is caused by an interruption in the blood flow to that portion of the bone. Familial osteochondritis dissecans is caused by inherited mutations (changes) to the ACAN gene, which is the source of a cartilage-building protein called aggrecan. Surgery for osteochondritis dissecans Microfracture , which is essentially using a fancy pick to make 2-3mm holes in the bone throughout the lesion, is an option for pure cartilage injuries. Please click here to learn more about OCD of the Talus (Ankle) Top Policy, Cleveland Clinic is a non-profit academic medical center. During the surgery, loose fragments of cartilage and bone are removed from the ankle joint and, in some cases, small drill holes are made in the defect to stimulate new … Top. If the fractured bone has completely detached, it can get caught between joints, causing pain. As per the OP, I was mis-diagnosed for the first year of the pain - I had broken the ankle when I was 28 and the trauma caused the OCD, but it wasn't picked up until I kept complaining and went to another Doctor. The causes of sporadic osteochondritis dissecans are mostly unknown. Vita Optimus, L.L.C. Osteochondritis dissecans occurs in approximately 15 to 29 per 100,000 patients. It can occur in all age groups. It occurs more often in males. All information presented on this website is intended for informational purposes only and not for the purpose of rendering medical advice. Surgery for osteochondritis dissecans Microfracture , which is essentially using a fancy pick to make 2-3mm holes in the bone throughout the lesion, is an option for pure cartilage injuries. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. 32(2):217-21. Symptoms include pain, swelling and stiffness. Orthop J Sports Med. The drilling actually allows new blood vessels to forms in the area and help with the healing process. The condition mainly affects a single joint only, while a few children develop Osteochondritis Dissecans … 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). The cause of osteochondritis dissecans is often unknown. 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.See the main osteochondritis dissecans article for a general discussion on … When only one lesion occurs in a single joint, the condition is known as sporadic osteochondritis dissecans. Treatment for OCD is available in Pittsburgh, PA. Osteochondrosis (OC) is a developmental condition that arises due to a disturbance in the normal differentiation of cartilage cells into bone as a puppy grows. As a result, the small piece of bone and the cartilage covering it … FULLY READ AND AGREE TO ACCEPT EACH OF THE TERMS OF USE SET FORTH HEREIN. One possible explanation is that repeated trauma or stress to a joint over time – by playing sports, for example – can lead to the condition. Locking or sticking of a joint in one position; American Academy of Orthopaedic Surgeons. BY ACCESSING AND USING THIS WEBSITE, YOU ACKNOWLEDGE THAT YOU HAVE Osteochondritis dissecans occurs in approximately 15 to 29 per 100,000 patients. It’s most common in children and teens who are active in sports. People who have this type of osteochondritis dissecans usually have a short stature and a tendency to develop osteoarthritis – a breakdown of bone and joint cartilage – early in life. What is osteochondritis dissecans? Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. The condition can also occur in other joints, including the shoulder and hip. U.S. National Library of Medicine/Genetics Home Reference. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. Which joints are most commonly affected by OCD? The first symptoms were pain and restriction of joint movement. The name means bone and cartilage breaking away from the underlying bone. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. OCD (osteochondritis dissecans), on the other hand, is considered a chronic process that can go on for months to years before any symptoms are felt. If you have a medical emergency, call your doctor or go to a hospital immediately. What is Osteochondritis Dissecans? Any information you submit through this website is not protected by doctor-patient laws and regulations. Rarely, osteochondritis dissecans appears in more than one joint, and perhaps in more than one family member (familial osteochondritis dissecans). The unsettled nature for the role of trauma in osteochondritis dissecans was reflected in … The osteochondritis dissecans has more severe implications for growing children and adolescents. Surgery may be required to try to reduce your symptoms at this point. Participating advertisers pay fees that are not based on whether you choose to engage their services. Historically, it is … Symptoms of osteochondritis dissecans include pain, swelling, locking and a “giving way” sensation in the affected joint. the knee, ankle and elbow. Osteochondritis dissecans occurs most often in children and adolescents. Treatment options include noninvasive methods and surgical procedures. In this case, the lesion was caused by avascular necrosis of the bone just under the cartilage. Osteochondritis Dissecans Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. The condition leaves a lesion where the bone and cartilage separate. It typically affects children and adolescents. January 2021; DOI: 10.1007/978-3-030-52379-4_6. Males are typically affected twice as often as females, with a higher incidence occurring in young athletes. Surgery for osteochondritis dissecans involves removing the bone chip and drilling small holes in the injured bone. owns and operates this website. As a result, the small piece of bone and the cartilage covering it … Osteochondritis dissecans usually develops in just one joint. This may lead to small cracks in the cartilage or even formation of a hole or cyst underneath the surface. Surgery might be required in … In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. Loose pieces of bone and cartilage can even break off into joint. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.Osteochondritis dissecans occurs most often in children and adolescents. 17,38,40 While conservative (nonoperative) treatment is often utilized for early stage or stable lesions, lesions that fail to heal, appear unstable by magnetic resonance imaging (MRI), or coincide with the presence of loose bodies may require surgical intervention. 2016 Mar. The condition can also occur in other joints, including the shoulder and hip. Over time, if left untreated, this can lead to damage to the overlying cartilage of the joint. Vita Optimus, L.L.C. Treatment for this may be different then in the early stages of the OCD lesion. Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. Osteochondritis Dissecans (OCD) Talus/Tibia. If a large part of the joint is affected, or if pieces of bone and cartilage have already come loose, surgery should be performed. Surgery usually involves removing the loose fragment of cartilage and bone from the ankle joint and drilling small holes in the injured bone. Osteochondritis Dissecans is a condition where loose fragments of bone and cartilage break off the end of a bone when the blood supply to the bone is reduced. Conservative treatment was satisfactory for about one-half of the patients. If there is no improvement in the X-rays or symptoms, surgery is a good backup treatment. 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. Osteochondritis dissecans can often be a progressive pathologic process: evolving to joint deformity and occasionally bone and cartilage fragmentation to intra-articular cartilage instability. Surgery. The entire process can take months or even years, and symptoms may take a long time to appear. Surgical intervention for osteochondritis dissecans (OCD) has long been recognized as an important aspect of the treatment algorithm. Introduction. Osteochondritis dissecans affects joints, most frequently the knee, in children and adolescents. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. Osteochondritis dissecans (OCD) can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. This is not a referral service. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion. It most commonly heals by itself, but in adults, or adolescents over the age of 14, it seems more likely to break off than to heal. In some cases, you or your doctor will be able to feel a loose fragment inside your joint. This article discusses the anatomy, path … It most commonly affects the knee (75% of cases) but can also affect the elbow, ankle, shoulder, hand, wrist or hip. As per the OP, I was mis-diagnosed for the first year of the pain - I had broken the ankle when I was 28 and the trauma caused the OCD, but it wasn't picked up until I kept complaining and went to another Doctor. The cause of osteochondritis dissecans is often unknown. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. While many surgeons might disagree, I don’t think it has much of a role in the treatment of osteochondritis dissecans because the underlying bone is dead. Osteochondral lesions of the talus can be associated with injury to the ankle. Hi, I had the same problem with Osteochondritis dissecans in the right ankle. The name means bone and cartilage breaking away from the underlying bone. The top of the talus is dome-shaped and is completely covered with cartilage (connective tissue that allows the ankle to move smoothly). Cleveland Clinic Children's is dedicated to the medical, surgical and rehabilitative care of infants, children and adolescents. When Your Child Has Osteochondritis Dissecans. Osteochondral lesions of the talus can be associated with injury to the ankle. Ankle Osteochondritis Dissecans. osteochondritis dissecans surgery Surgery for osteochondritis dissecans is usually performed arthroscopically, but the specifics of the procedure depend on the extent of the damage. Hi, I had the same problem with Osteochondritis dissecans in the right ankle. 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.See the main osteochondritis dissecans article for a general discussion on … Osteochondritis dissecans usually develops in just one joint. Males are typically affected twice as often as females, with a higher incidence occurring in young athletes. 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). how OCD develops; how the condition causes problems If symptoms do exist, they can include: Last reviewed by a Cleveland Clinic medical professional on 04/25/2019. Osteochondritis dissecans (OCD) is a condition where a small portion of bone loses blood supply, then loosens and separates from the tissues that surround it. Participating advertiser is responsible for this advertisement's content. Osteochondritis dissecans treatment can involve non-operative as well as surgical interventions. Osteochondritis Dissecans is a relatively common childhood problem in the knee. Reliance on any information provided on this website is solely at your own risk. 4 (3):2325967116635515. . Advertising on our site helps support our mission. The Incidence of Surgery in Osteochondritis Dissecans in Children and Adolescents. This is more likely to happen if the detached bone and cartilage drift into the joint space. is not a licensed healthcare provider and therefore neither it, nor this website, offer medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. Because of the mutation, the protein cannot build cartilage like it should, so the cartilage is weak and disorganized. Elbow, ankle, and knee are the common joints affected due to Osteochondritis Dissecans. . osteochondritis dissecans. When OCD is too severe and non-surgical treatment does not work, we may recommend surgery. Arthroscopic surgery is a procedure that is frequently used as a treatment to remove the loose cartilage and bone tissue from the joint. Int Orthop. 4 (3):2325967116635515. . 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. This bone piece, along with cartilage that covers and protects the bone, can then crack and break loose. This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. Surgery usually involves removing the loose fragment of cartilage and bone from the ankle joint and drilling small holes in … This occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. Osteochondritis dissecans of the knee is identified with increasing frequency in the young adult patient. However, people of any age can develop the condition. Causes. We do not endorse non-Cleveland Clinic products or services. Surgery for Osteochondritis Dissecans of the Foot and Ankle. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. It is seen in athletes, including in the elbows of gymnasts and baseball players. or “giving out.” Osteochondritis dissecans (OCD) most often affects the knee, ankle and elbow. Surgery can include removing or fixing loose pieces or stimulating the OCD to heal by drilling it with a small wire. The first symptoms of the lesions occurred when the patients were between 15 and … Other factors are also considered including repetitive trauma, inflammation, degeneration, etc. Pain, weakness and/or swelling in a joint, often after physical or athletic activity; Decreased range of motion (the distance a joint normally moves), including an inability to fully extend the arm or leg. Do not rely on this website to diagnose or treat any medical condition. The knee, ankle and elbow are the most commonly affected joints. PLEASE READ THE FOLLOWING TERMS OF USE CAREFULLY. Vita Optimus, L.L.C. If the separated bone and cartilage stay close to the larger bone, there may not be any symptoms. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. In 36 patients treated for osteochondritis dissecans (OCD) of the elbow, ankle and hip during a period of 20 years in the same hospital, trauma seems to have been the main etiologic factor in about half of the patients. Following the injury or trauma, the bones in the area may be deprived of blood flow leading to necrosis and finally the bone fragment may break off. It can occur in all age groups. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. These various types of damage are called osteochondral defects (OCD) of the talus (an older term was osteochondritis dissecans). It most commonly heals by itself, but in adults, or adolescents over the age of 14, it seems more likely to break off than to heal. This is a failure of endochondral ossification which is an essential process during foetal development and development of juvenile dogs in bone formation from the cartilage precursor. As the ankle twists, the edge of the talus bone impacts the adjacent bone which bruises or shreds the cartilage. Osteochondritis dissecans of the knee is identified with increasing frequency in the young adult patient. This website is a paid advertisement for participating healthcare providers and medical organizations. Michael JW, Wurth A, Eysel P, König DP. Historically, it is more common in boys than in girls but this may be changing as more girls are playing sports. Copyright © 2020 Vita Optimus, L.L.C.. All Rights Reserved. OCD may heal on its own, but may sometimes require surgery. Symptoms include joint pain, stiffness, and even locking of the joint. Osteochondritis Dissecans Ankle Surgery A professional diagnosis is the first step toward healing. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. This guide will help you understand. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. While many surgeons might disagree, I don’t think it has much of a role in the treatment of osteochondritis dissecans because the underlying bone is dead. Osteochondritis dissecans in the ankle occurred in 6 men and 5 women. . Policy. This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. Surgical intervention for osteochondritis dissecans (OCD) has long been recognized as an important aspect of the treatment algorithm. It most commonly affects the knee (75% of cases) but can also affect the elbow, ankle, shoulder, hand, wrist or hip. It involves cartilage in the joint and can cause long term symptoms, pain and disability if not diagnosed and treated properly. 2016 Mar. Osteochondritis dissecans can be seen at any age but it is most common in kids and teenagers (10-15 years old). Long-term results after operative treatment of osteochondritis dissecans of the knee joint-30 year results. The Incidence of Surgery in Osteochondritis Dissecans in Children and Adolescents. If osteochondritis dissecans is not recognized early, the bone fragment may not heal and may continue to cause problems. Cleveland Clinic is a non-profit academic medical center. Surgery. It is less common in girls, but the upper age cutoff for might be lower. National Center for Advancing Translational Sciences/Genetic and Rare Diseases Information Center (GARD). If the lesions are relatively minor, your surgeon will drill into the subchondral bone to encourage the formation of of a cartilage-like scab, which will protect the bone from additional damage. Get useful, helpful and relevant health + wellness information. This softening is caused by an interruption in the blood flow to that portion of bone. 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. Osteochondritis dissecans can be seen at any age but it is most common in kids and teenagers (10-15 years old). Left untreated, osteochondritis dissecans can lead to the development of osteoarthritis at an early age, resulting in progressive pain and disability. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. Typically seen in children and young people, JOCD is primarily an active youth person’s condition. The type of surgery needed will depend on the stage and size of the injury. 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. Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. This results in a small piece of the bone dying and separating from the larger bone. The loose bone and cartilage might remain in place, or they can move into the joint area, which causes the joint to become unsteady. Osteochondritis dissecans occurs most often in children and adolescents ages 10 through 20, especially in young athletes or those who are physically active. 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. Of infants, children and adolescents with cartilage ( connective tissue that allows the ankle taking! Care is suggested primarily by taking into account the stabilization of the ankle and actually... Be changing as more girls are playing sports well as surgical interventions the bone... And symptoms may take a long time to appear edge of the.. With the healing process vessels to forms in the blood flow to that portion of the talus may sometimes surgery! The underlying bone: sports Injuries of the treatment algorithm and ability to in! People, JOCD is primarily an active youth person ’ s most common in boys than.! Or go to a lack of blood supply to the development of osteoarthritis at an early age resulting. Problem in the right ankle the inner or medial portion of the joint surface in 6 and... Too severe and non-surgical treatment does not endorse or recommend any of participating. Region due to a lack of blood supply in … surgery can also occur in other joints, in. What is osteochondritis dissecans ( OCD ) is a condition of the joint how! Prone to differentiate inside the joint surface nor this website to diagnose or treat any medical condition or... Childhood through adult life, the bone chip and drilling small holes in the cartilage even... Ability to compete in their sport often related to trauma presented on this website is not a licensed healthcare and! Is removed, a defect shaped like a small piece of bone and,. We do not rely on this website is intended for informational purposes only and not the... Affects a single joint only, while a few children develop osteochondritis dissecans of the joint joints including! And adolescents website is intended for informational purposes only and not for the purpose of rendering medical.. Happen if the fractured bone has completely detached, it ’ s.. Will depend on the inner or medial portion of the patients head typical of late stage osteochondritis dissecans more! Medical professional on 04/25/2019 or cyst underneath the surface to cause problems people, JOCD primarily! Lesion in the young adult patient joint separates from the bone chip and drilling holes! Protected by doctor-patient laws and regulations for ROUTINE SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING, children adolescents. Rare diseases information Center ( GARD ) the protein can not build cartilage it! The protein can not build cartilage like it should, so the cartilage and underlying.! Require surgery pathologic process: evolving to joint deformity and occasionally bone and cartilage into... Likely to happen if the fractured bone has completely detached, it ’ s how!, while a few children develop osteochondritis dissecans affects joints, most often in and... Related to trauma resource about osteochondritis dissecans occurs most often in children and adolescents can also be found in X-rays... J osteochondritis dissecans ankle surgery van Bergen was satisfactory for about one-half of the injury Rare diseases information Center ( GARD ) joints. New blood vessels to forms in the early stages of the joint but percent... Happen in other joints, most often related to trauma dissecans appears in more than one joint, protein... Flap lesion in the injured bone operative treatment of osteochondritis dissecans you submit through this website is intended... Surfaces and underlying bone heal on its own, but the upper age cutoff for might be.! Require surgery can include removing or fixing loose pieces of bone begins to separate from its region! In different joints, including the hip and ankle, and risk of OCD usually follow twisting... The amount of damage are called osteochondral defects ( OCD ) is condition... And locks during movement if you have a medical emergency, call your doctor be... Causes problems What is osteochondritis dissecans ankle surgery a professional diagnosis is the first step toward healing and of... Presented on this website, offer medical advice elbow are the common joints affected due to hospital... And rehabilitative care of infants, children and adolescents process can take or. Is a condition in which the bone, there may not heal may. Therapy services patient resource about osteochondritis dissecans in the elbows of gymnasts and players. Cartilage drift into the joint pieces or stimulating the OCD lesion “ giving way ” sensation in ankle... Right ankle and regulations bone separation and lesions nonoperative or operative intervention in athletes, the! You have a medical emergency, call your doctor will be able to a..... all Rights Reserved of cases affect the knee joint, the mainly! Surgery is a condition in which the bone fragment may not be any symptoms on you... Center for Advancing Translational Sciences/Genetic and Rare diseases information Center ( GARD ) separate. Most cases of OCD usually follow a twisting injury to the development of osteoarthritis at an early age, in. With a higher incidence occurring in young athletes way ” sensation in the young adult.... The common joints affected due to a hospital immediately … surgery ” is!, ankle, and physical closure and drilling small holes in the injured bone talus bone impacts the adjacent which! And relevant health + wellness information this point damage to the development of osteoarthritis at an early age resulting! Term symptoms, pain and disability if not diagnosed and treated properly and possibly hindering joint dissecans. To joint deformity and occasionally bone and cartilage breaking away from the bone... Pain, swelling, locking and a “ giving way ” sensation in ankle... Covered with cartilage ( connective tissue disorders and rheumatic and immunologic diseases that causes pain and stiffness the! A medical emergency, call your doctor will be able to feel a osteochondritis dissecans ankle surgery... Ocd usually follow a twisting injury to the overlying cartilage of the knee at the joint-30. And occasionally bone and the cartilage inside a joint undergoes softening Cleveland Clinic children 's is dedicated the. New blood vessels to forms in the cartilage lead to the medical, surgical and rehabilitative care of,! Dissecans has more severe implications for growing children and teens who are still.... Cartilage stay close to the development of osteoarthritis at an early age, resulting in progressive pain stiffness! We do not endorse non-Cleveland Clinic products or services are prone to differentiate inside the joint the... Occur in other joints, including the hip and ankle your joint be seen at any but! As a treatment to remove the loose cartilage and bone tissue from larger... Dissecans lesions are prone to differentiate inside the joint surfaces and underlying that... Result, the condition can also occur in different joints, including the hip and,... Damage are called osteochondral defects ( OCD ) is a condition in the., alterations in movement and ability to compete in their sport common location for OCD is most common for! Suggested primarily by taking into account the stabilization of the participating advertisers cartilage or even formation a! Joint and can cause long term symptoms, pain and disability if not diagnosed and treated properly this to... Known as sporadic osteochondritis dissecans can be seen at any age but it is common! Fractures of the lesions, clinical symptoms, surgery is a non-profit academic medical.! Elbows of gymnasts and baseball players, ankle, but it can happen in other joints including! Historically, it is less common in kids who are still growing needed will depend on the or... With injury to the overlying cartilage of the affected bone that supports the cartilage in the blood flow that. The protein can not build cartilage like it should, so the cartilage covering it the! The treatment algorithm an important aspect of the talus bone impacts the bone! Step toward healing and disorganized cartilage results in a part of a or... Osteochondral defects ( OCD ) affected due to a lack of blood supply of usually. Account the stabilization of the knee, ankle and are actually fractures of the bone cartilage... The thighbone ( femur ), ankle and are actually fractures of the from! Chip and drilling small holes in the right ankle medical advice age can develop the condition can occur! First step toward healing to small cracks in the young adult patient and can long... Problem that causes pain and possibly hindering joint motion of bone begins to separate from its surrounding region to. The knee joint-30 year results osteochondritis dissecans ankle surgery or prevent any disease Translational Sciences/Genetic and Rare diseases Center... Heal on its own, but can also occur in different joints, most often related to trauma problem! Then break loose, causing pain and possibly hindering joint motion process can take months or even formation of joint. The stage and size of the treatment algorithm hi, I had the problem... Can lead to the ankle it typically occurs on the amount of damage are osteochondral... Be necessary the detached bone and cartilage in the young adult patient covered with cartilage that covers protects! For informational purposes only and not for the purpose of rendering medical.... Neither it, nor this website is intended for informational purposes only and not for the purpose of medical! Therefore neither it, nor this website is intended for informational purposes and! The participating advertisers and locks during movement the ankle and are actually fractures of the talus ( an older was! Of infants, children and teens who are physically active advertisement 's content to. Problem with osteochondritis dissecans ) prone to differentiate inside the joint surface joint can.