Osteochondritis dissecans (OCD) defined as a focal idiopathic alteration of subchondral bone with risk for instability and disruption of adjacent articular cartilage that may result ...
Insidious onset of symptoms
Vague, poorly localized joint pain
Varying levels of pain and stiffness
May or may not report joint swelling
May have sensation of locking or catching or givin...
Early recognition of condition is important. If not treated, can lead to degenerative osteoarthritis.
Juvenile 3,4[A]:
When diagnosis is incidental, no specific treatment is ne...
All patients with OCD lesions have increased risk for osteoarthritis, but risk decreases with proper healing.
Groups who underwent fixation of OCD lesion had lower rates of osteoa...
Juvenile OCD patients with stable lesions require a period of non–weight-bearing and rest from activity for 3 to 4 mo.
Patients should be pain free before return to sports.
MRI is gold s...
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