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Osteochondritis Dissecans

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Osteochondritis dissecans (OCD) is a lesion of subchondral bone that may cause separation from and instability of overlying articular cartilage.

  • The loose piece of bone and cartilage ...

DIAGNOSIS

HISTORY

  • Insidious (most common) or posttraumatic onset of pain, which improves with rest

  • Pain usually is described as a deep and vague ache.

  • Pain may be associated with clicking, swelling, lock...

TREATMENT

GENERAL MEASURES

  • Goals of treatment

    • Maintain a smooth, congruous joint surface.

    • Alleviate pain.

    • Prevent degenerative joint disease.

    • Promote revascularization of necrotic fragment and regeneration...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Outpatient care is the usual course.

  • Inpatient treatment for surgical intervention

Patient Monitoring

  • 6-week intervals are appropriate to assess for fragment displac...

REFERENCES

1
Abouassaly M, Peterson D, Salci L, et al. Surgical management of osteochondritis dissecans of the knee in the paediatric population: a systematic review addressing surgical techniques. Kne...

ADDITIONAL READING

  • Bauer KL, Polousky JD. Management of osteochondritis dissecans lesions of the knee, elbow and ankle. Clin Sports Med.  2017;36(3):469–487.

  • Chambers HG, Shea KG, Anderson AF, et ...

CODES

ICD10

  • M93.20 Osteochondritis dissecans of unspecified site

  • M93.269 Osteochondritis dissecans, unspecified knee

  • M93.229 Osteochondritis dissecans, unspecified elbow

  • M93.279 Osteochondritis dissecans,...

CLINICAL PEARLS

  • OCD is an acquired lesion of the subchondral bone, causing separation of the overlying articular cartilage; it may become unstable and require surgical intervention; the knee is the mo...

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