The most common sites are the posteromedial (53%) ( Fig. Osteochondritis dissecans is the most common cause of a loose body in the joint space in adolescent patients. Trauma is suspected to be a cause, or at least a … Please enable it to take advantage of the complete set of features! History of trauma is reported in up to 40% of patients with osteochondritis dissecans in the knee and up to 90% in patients with osteochondritis involving the talus. Osteochondral lesions of the talus can be associated with injury to the ankle. Doctors stage osteochondritis dissecans according to the size of the injury, whether the fragment is partially or completely detached, and whether the … It is like a … Evidence for successful treatment for talar juvenile osteochondritis dissecans using conservative management is not encouraging. The doctor may recommend surgery for osteochondritis dissecans if: The surgery is often performed arthroscopically (with small tools and a camera through tiny incisions). National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. 1 ) and anterolateral (46%) talar dome ( 1 ). Osteochondritis dissecans (OCD) is an aseptic bone necrosis and represents pathology of high clinical relevance, which is frequently located on the talus. After six to 12 weeks, the injured joint will start functioning normally again. Symptoms of osteochondritis dissecans include pain, swelling, locking and a “giving way” sensation in the affected joint. If lesions are present, however, further treatment will be necessary. Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. Welcome to Rocky Mountain Therapy Services patient resource about Osteochondritis Dissecans of the Talus. Osteochondritis dissecans is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Osteochondritis Dissecans (OCD) Talus/Tibia The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. Medical Therapy Therapy for osteochondritis dissecans of the knee is guided in large part by the age of the patient. There are three surgical techniques: After surgery, the patient will use crutches for about six weeks, and then undergo physical therapy for two to four months to build strength and restore the joint’s range of motion. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. Care of the Young Athlete, 2nd ed, Anderson SJ, Harris SS, Gregory AJM (Eds), American Academy of Pediatrics, Elk Grove Village 2010. In children and younger teens, sporadic osteochondritis dissecans will usually heal on its own as they grow older. NSAIDs are used for symptomatic pain relief. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. Treatment … Ross Hauser, MD, has been treating Osteochondritis dissecans for nearly three decades. Treatment of osteochondritis dissecans of the knee with autologous chondrocyte transplantation: results at two to ten years. If lesions are present, however, further treatment will be necessary. and Nathaniel Gould, M.D. 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. We do not endorse non-Cleveland Clinic products or services. 2001 Jul;18(3):481-93. Initial treatment for these lesions should include rest, ice, temporarily protected weight-bearing, and, in the case of giving way, short-term immobilization with an orthosis. The patient might be able to resume rigorous physical activity four to five months after surgery. It occurs when a small segment of bone begins to separate from its surrounding region … HHS 2003. Background: The literature on the best treatment of osteochondritis dissecans of the talus (OCDT) in children is scarce because of rarity of the condition. Although OCD of the talus represents a frequently observed orthopedic pathology, evidence concerning operative treatment of osteochondrosis dissecans of the talus is still elusive. This guide will help you understand 1. how OCD develops 2. how the condition causes problems 3. what can be done for your pain This occurs in a non-traumatic fashion, commonly identified in children and adolescents, and can lead to skeletal immaturity Osteochondritis dissecans usually develops in just one joint. Osteochondritis Dissecans Treatment The treatment of osteochondritis dissecans is typically intended to restore the proper functioning of the joints that are affected as well as to relieve pain. 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