Osteochondritisdissecans Skip to main contentSkip to searchEnglish (US)EnglishPortuguês中文Log in#{autosuggest.search}#{autosuggest.search}HomeOsteochondritis dissecans MENULog in or subscribe to access all of BMJ Best PracticeLast reviewed:13 Feb 2024Last updated:12 Mar 2024SummaryOsteochondritis dissecans is an idiopathic lesion of subchondral bone.Majority of patients are adolescent or young as the cause of joint pain in adolescent and young adult athletes, thought to be due to earlier and higher-demand participation in competitive sport. However, no clear evidence is available to support this belief, and despite much speculation the cause of both juvenile and adult osteochondritisdissecans remains unclear.[4]History and examKey diagnostic factorspresence of risk factorspain is exacerbated
Younger age is a risk factor for developing recurrent or postoperative osteochondritisdissecans after surgery for discoid lateral meniscus with/without preoperative osteochondritisdissecans. To evaluate the efficacy of surgical treatment of the discoid lateral meniscus with osteochondritisdissecans (OCD) through clinical and radiological evaluations, focusing on recurrent or postoperative OCD
microRNAs are differentially expressed in equine plasma of horses with osteoarthritis and osteochondritisdissecans versus control horses. Osteoarthritis (OA) is a leading cause of lameness in horses with no effective disease-modifying treatment and challenging early diagnosis. OA is considered a disease of the joint involving the articular cartilage, subchondral bone, synovial membrane , and ligaments. Osteochondritisdissecans (OCD) is a joint disease consisting of focal defects in the osteochondral unit which may progress to OA later in life. MicroRNAs (miRNAs) have been recognized as small non-coding RNAs that regulate a variety of biological processes and have been detected in biological fluids. MiRNAs are currently investigated for their utility as biomarkers and druggable targets
Nineteen years of radiographic screening: Impact of sepsis and evolution of osteochondrosisdissecans prevalence in Walloon sport horses born between 2004 and 2022. Osteochondrosisdissecans is a particularly common developmental orthopaedic disorder in equines. Among its causes, the hereditary component is no longer a matter of debate, and, for several decades, the various studbooks for sport horses have been selecting stallions in order to limit the prevalence of this condition in the population. However, to our knowledge, no study has evaluated changes in the prevalence of osteochondrosisdissecans over time through longitudinal monitoring of a population of sport horses. The study presented here is part of a large screening programme for developmental orthopaedic pathologies in Wallonia
Outcomes of Concentrated Bone Marrow Aspirate with Extracellular Matrix in Pediatric and Adolescent Patients with Capitellar OsteochondritisDissecans. Humeral capitellar osteochondritisdissecans (OCD) lesions can be challenging to treat. Past studies have demonstrated grafting with extracellular matrix with bone marrow aspirate concentrate (ECM-BMAC) to be a viable technique for treatment
Adolescents with OsteochondritisDissecans of the Femoral Condyle Present with High Rates of Corresponding Coronal Malalignment. Osteochondritisdissecans of the knee (KOCD) may be a source of pain in active, skeletally immature patients. An association between the condylar lesion location and lower-extremity coronal plane malalignment has been established, but clinical implications have been
Subchondral defects resembling osteochondrosisdissecans in joint surfaces of the extinct saber-toothed cat Smilodon fatalis and dire wolf Aenocyon dirus. Skeletal disease may hamper the behavior of large predators both living and extinct. We investigated the prevalence of osteochondrosisdissecans (OCD), a developmental bone disease affecting the joints, in two Ice Age predators: the saber
OsteochondritisdissecansOsteochondritisdissecans - Symptoms, diagnosis and treatment | BMJ Best PracticeSkip to main contentSkip to search * About us * Help * Subscribe * Access through your institution * Log inBMJ Best Practice * Help * Getting started * FAQs * Contact us * Recent updates * Specialties * Calculators * Patient leaflets * Videos * Evidence * Drugs * Recent for diagnosis.While the aetiology remains unclear, early recognition is essential as many treatment options exist.DefinitionOsteochondritis dissecans is an acquired, potentially reversible idiopathic lesion of subchondral bone resulting in delamination and sequestration with or without articular cartilage involvement and instability.[1]Clanton TO, DeLee JC. Osteochondritisdissecans: history, pathophysiology
OsteochondritisdissecansOsteochondritisdissecans - Symptoms, diagnosis and treatment | BMJ Best PracticeSkip to main contentSkip to search * About us * Help * Subscribe * Access through your institution * Log inBMJ Best Practice * Help * Getting started * FAQs * Contact us * Recent updates * Specialties * Calculators * Patient leaflets * Videos * Evidence * Drugs * Recent for diagnosis.While the aetiology remains unclear, early recognition is essential as many treatment options exist.DefinitionOsteochondritis dissecans is an acquired, potentially reversible idiopathic lesion of subchondral bone resulting in delamination and sequestration with or without articular cartilage involvement and instability.[1]Clanton TO, DeLee JC. Osteochondritisdissecans: history, pathophysiology
Editorial Commentary: At Least 2 out of 3 Adolescent Athletes Can Return to Preinjury Sports After Marrow Stimulation for OsteochondritisDissecans of the Elbow. Osteochondritisdissecans (OCD) of the capitellum is a common cause of elbow pain in young throwers and gymnasts, symptoms of which can rob these young athletes of valuable time participating in sporting activities. The optimal treatment
Deep Learning-Based Computer-Aided Diagnosis of OsteochondritisDissecans of the Humeral Capitellum Using Ultrasound Images. Ultrasonography is used to diagnose osteochondritisdissecans (OCD) of the humerus; however, its reliability depends on the technical proficiency of the examiner. Recently, computer-aided diagnosis (CAD) using deep learning has been applied in the field of medical science
Five-Year Follow-up of Adolescent Gymnasts After Surgical Treatment of OsteochondritisDissecans of the Elbow. Elbow osteochondritisdissecans (OCD) is well-studied in throwing athletes; however, there are limited data regarding gymnasts with capitellar OCD lesions. We aimed to determine the overall rate of return to competition following surgical treatment of capitellar OCD lesions
Clinical Outcomes of OsteochondritisDissecans Lesions of the Capitellum Treated with Arthroscopy with a Mean Follow-Up of 8.3 Years. While numerous studies exist evaluating the short-term clinical outcomes for patients who have undergone elbow arthroscopy for osteochondritisdissecans (OCD) of the capitellum, the literature on minimum 2-year clinical outcomes for a large cohort of patients
Magnetic Resonance Imaging Assessment of Cartilage Appearance Following Marrow Stimulation of OsteochondritisDissecans of the Humeral Capitellum. Osteochondritisdissecans (OCD) of the capitellum is often treated by marrow stimulation techniques with good long-term outcomes. Magnetic resonance imaging (MRI) can be used to characterize the healing of cartilage repair tissue. However, no formal
Longitudinal 3T MRI T(2) * mapping of Juvenile osteochondritisdissecans (JOCD) lesions differentiates operative from non-operative patients-Pilot study. Juvenile osteochondritisdissecans (JOCD) is an orthopedic joint disorder of children and adolescents that can lead to premature osteoarthritis. Thirteen patients (mean age: 12.3 years, 4 females), 15 JOCD-affected and five contralateral
Physician preferences in diagnostics and treatment of juvenile osteochondritisdissecans are diverse across the knee, ankle and elbow: an ESSKA survey. To investigate the current preferences regarding the work-up and treatment choices of juvenile osteochondritisdissecans (JOCD) of the knee, ankle and elbow among orthopaedic surgeons. An international survey was set up for all European Society treatment of choice. Furthermore, plain radiography and MRI were the preferred imaging modalities for the knee and ankle, but not for the elbow. For determining the operative technique, physicians agreed that the size of the lesion is an important prognostic factor in all joints. These findings help us understand how juvenile osteochondritisdissecans is treated in current practice and may provide
Epiphyseal cartilage vascular architecture at the distal humeral osteochondritisdissecans predilection site in juvenile pigs. Failure of endochondral ossification due to interruption of the vascular supply to the epiphyseal cartilage is a critical step in the development of osteochondritisdissecans (OCD). Herein we describe the vascular architecture of the distal humeral epiphyseal cartilage
Capitellum Osteochondral Allograft Transplantation for OsteochondritisDissecans of the Elbow. Reconstruction of unstable osteochondritisdissecans lesions of the capitellum using fresh osteochondral allograft transplantation from the capitellum has the advantages of restoring hyaline cartilage, matching the native radius of curvature, and avoiding the donor-site morbidity encountered with osteochondral autograft transfer. This technical note describes the indications and contraindications, pertinent anatomy, and surgical technique of open osteochondral allograft transplantation using fresh distal humerus allograft for the treatment of unstable osteochondritisdissecans lesions of the capitellum.
Compositional evaluation of lesion and parent bone in patients with juvenile osteochondritisdissecans of the knee using T(2) * mapping. Juvenile osteochondritisdissecans (JOCD) lesions contain cartilaginous, fibrous and osseous tissues which are difficult to distinguish with clinical, morphological magnetic resonance imaging (MRI). Quantitative T * mapping has earlier been used to evaluate
Conservative treatment for stable osteochondritisdissecans of the elbow before epiphyseal closure: effectiveness of elbow immobilization for healing. Stable lesions of osteochondritisdissecans (OCD) of the capitellum have been treated with activity restriction (AR), and the complete healing requires 1 or 2 years. Little is known about the effectiveness of elbow immobilization. We hypothesized