If your surgeon used dissolvable stitches, these will not need to be removed. Osteochondritis dissecans occurs at the top of the talus. An arthroscope is a special miniature camera that can be inserted into the joint through a very small incision. A long-term study. If the bone underneath the cartilage is crushed or cracked and the articular cartilage is left intact, the fragment is less likely to move. Osteochondral lesions of the talus can be associated with injury to the ankle. Study Design: Descriptive epidemiologic study. Surgery may then be required to treat your symptoms. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. OCD most often occurs in the knee joint, although it can also occur in other joints including the ankle and the elbow. Males are typically affected twice as often as females, with a higher incidence occurring in young athletes. Elbow, ankle, and knee are the common joints affected due to Osteochondritis Dissecans. You will probably wear a dressing for a week following the procedure. Osteochondritis dissecans includes symptoms similar to ankle sprain injuries. The articular cartilage on the talus is about one-eighth of an inch thick and allows the bones of the ankle joint to slide against each other without much friction. B. Flick . There is often a history of multiple ankle problems that do not have a clear cause or diagnosis. When the fragment is removed, a defect shaped like a small crater is left in the talar dome . NLM [Osteochondritis dissecans of the ankle]. Osteochondritis dissecans can cause symptoms either after an injury to a joint or after several months of activity, especially high-impact activity such as jumping and running, that affects the joint. Eventually this new scar tissue smoothes out the defect and allows the ankle to move more smoothly. Exercise usually makes the pain worse. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.Osteochondritis dissecans occurs most often in children and adolescents. However, in some cases, Osteochondritis Dissecans takes … Osteochondritis dissecans typically affects just one joint, however, some children can develop osteochondritis dissecans … NIH This makes healing less likely. Clanton TO, DeLee JC. Yabumoto H, Nakagawa Y, Yamada S, Mukai S, Mukaida S, Ninomiya S, Tsubouchi N, Matsuoka M, Tarumi E, Nakamura T. Trauma Case Rep. 2016 Jun 19;3:18-25. doi: 10.1016/j.tcr.2016.05.008. Your child has been diagnosed with osteochondritis dissecans (OCD). Osteochondritis Dissecans of the Talus (Transchondral Fractures of the Talus): Review of the Literature and New Surgical Approach for Medial Dome Lesions Show all authors . Osteochondritis dissecans: history, pathophysiology and current treatment concepts. 1989 Dec;10(3):161-3. doi: 10.1177/107110078901000309. Osteochondral lesions are a type of fracture on the surface of the ankle bone (talus). You will probably need crutches as well. The top of the talus is dome-shaped and is completely covered with cartilage (connective tissue that allows the ankle to move smoothly). 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 is a condition that causes ankle pain and stiffness .  |  Most commonly, the knee is affected, but osteochondritis dissecans may occur in the elbow, ankle or hip as well. Osteochondritis dissecans (OCD) of the ankle is a disorder of the talar or distal tibial subchondral bone and articular cartilage whose incidence in children is not clearly known. The diagnosis of osteochondritis dissecans may be suggested by your medical history and physical examinations. Osteochondritis Dissecans takes place whenever a small bone segment starts to separate from its nearby region because of a lack of enough blood supply. Capitola, CA 95010, Home | Disclaimer | Privacy | Sitemap | Tell a Friend | Feedback | Careers | Contact Us | Accessibility Statement, Gilroy | Hollister | San Juan Bautista | Salinas | San Benito County | Santa Cruz County | Santa Clara County, CA, Total Joint Replacement, Sports Medicine, Foot & Ankle Surgery, OrthoNorCal, Orthopedic Specialists, Los Gatos, Capitola, Morgan Hill, Watsonville. Symptoms of Osteochondritis dissecans OLTs usually occurs after an injury to the ankle, either a single traumatic injury or as a result of repeated trauma. Usually a small area of bone adjacent to the articulating surface is affected. OCD is characterized by a loss of blood supply to one or more bones in the ankle, which may result in a fracture or break within the ankle joint. This site needs JavaScript to work properly. If you suffer an ankle sprain (or any kind of trauma to the ankle) and the cartilage fails to heal properly, bits of cartilage may break off and float around in the space between the bones in your ankle. J Can Chiropr Assoc. Purpose: To assess the demographics and epidemiology of OCD of the ankle in children. The surgery can be performed in several ways. Osteochondritis dissecans is a condition that causes ankle pain and stiffness . A physical therapist may help you learn to use your crutches. You may need to keep weight off the foot and use crutches during this period of immobilization. The histories and radiographs were reviewed, and it was found that most patients had only minor radiographic changes and symptoms. This is caused by the chip getting caught in the ankle joint as it moves. Symptoms can be vague. COVID-19 is an emerging, rapidly evolving situation. Lambers KTA, Dahmen J, Reilingh ML, van Bergen CJA, Stufkens SAS, Kerkhoffs GMMJ. A 20-year Follow-Up Study - PubMed Thirty patients with osteochondritis dissecans of the ankle have been followed up for an average of 21 years. If your surgeon recommends nonsurgical care using a cast or cast boot, you may be on crutches for up to six weeks. When only one lesion occurs in a single joint, the condition is known as sporadic osteochondritis dissecans. * A. This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. You may also feel a catching sensation with the ankle in certain positions. The fragment looses its blood supply and dies. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. 2017 Dec;61(3):261-268. Department of Orthopaedics and Rehabilitation, University of Vermont College of Medicine, Burlington, Vermont See all articles by this author. Suite 46 Knee Surg Sports Traumatol Arthrosc. Osteochondritis Dissecans (OCD) Talus/Tibia. OCD usually causes pain during and after sports. Clinical practice guidelines (CPG) provide evidence-based recommendations for current orthopaedic diagnostic, treatment, and postoperative procedures. Osteochondritis dissecans can affect all age groups and usually follows a twisting injury to the ankle such as an ankle sprain. In 1888, Konig coined the term when he sought to describe the pathologic process that led to atraumatic loose bodies of femoral origin in the knee and hip joints. Osteochondritis dissecans in the ankle thus seems to differ from the same lesion in the knee where late osteoarthritis often occurs. If the defect is difficult to reach with the arthroscope, an open incision may be required. It often occurs after an injury such as a sprain or trauma to the … 2018 Aug;89(4):462-467. doi: 10.1080/17453674.2018.1460777. If it heals completely, kids who have it usually don't have any long-lasting problems. 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