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Osteochondritis Dissecans Of The Knee - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describes osteochondritis dissecans of the knee - Wilson's test.
Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC
published: 31 Jul 2020
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Osteochondritis dissecans
Osteochondral defect affecting the lateral aspect of the medial femoral condyle.
published: 02 Feb 2021
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Osteochondritis Dissecans | National Fellow Online Lecture Series
Peter Fabricant, MD, MPH, shares a lecture on Osteochondritis Dissecans as part of the AMSSM National Fellow Online Lecture Series. The session was moderated by James Robinson, MD.
published: 27 Jan 2022
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Johns Hopkins All Children’s Sports Medicine - Osteochondritis Dissecans
Hello my name is Dr. Drew Warnick, and I am the surgical director of AllSports Medicine at All Children's Hospital. I am a pediatric orthopaedic surgeon with special training in pediatric and adolescent sports medicine.
In this video, we are going to discuss osteochondritis dissecans.
What is OCD?
Osteochondritis dissecans is a condition that develops in the joints of children and adolescents. It occurs when a small piece of joint surface begins to crack and loosen. This small segment of joint surface can then separate from its surrounding region. The most common joints affected by Osteochondritis dissecans are the knee, ankle, and elbow. The condition usually affects just one joint, but some children can develop Osteochondritis dissecans in multiple joints.
What Causes OCD?
It is not...
published: 15 Mar 2013
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Osteochondritis dissecans (OCD): Signs, symptoms and current treatments
Osteochondritis dissecans is a fairly uncommon injury or condition, usually affecting the knee, but occasionally the elbow. It mainly affects children and teenagers, but you sometimes see it in adults. In this video, I discuss what it is, the common signs and symptoms, and when it requires surgery.
If you have knee, hip, shoulder, or other joint pain and you want to get significantly better in the next 30 days, without cortisone shots, physical therapy, or surgery, click this link and share your injury information in the description box to learn more.
https://www.drdavidgeier.com/work-with-me/contact/
Dr. David Geier is a triple-board certified orthopedic surgeon, sports medicine specialist, and anti-aging and regenerative medicine expert. Dr. Geier helps you feel, look, and perform you...
published: 21 Oct 2023
-
Osteochondritis dissecans of the knee
Osteochondritis dissecans (OCD) is a common cause of knee pain in children and young adults that may spontaneously heal. Though the etiology is unknown, it is thought to represent avascular necrosis of subchondral bone resulting from repeated microtraumas associated and shear forces that disrupt the blood supply. It typically involves the inner aspect of the medial femoral condyle.
published: 13 Jan 2020
-
Knee Osteochondritis Dissecans , Wilson's Test - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describes the condition of Osteochondritis Dissecans of the knee joint.
Osteochondritis Dissecans is a condition that affects the articular cartilage and the subchondral bone of the knee. The lesion usually occurs in the knee on the lateral and posterior aspect of the medial femoral condyle. (70% of lesion are in the posterolateral aspect of the knee)
Distribution of OCD lesion around the knee
•Medial femoral condyle 85%.
•Lateral femoral condyle 13%
•Patella 1%
•Trochlea 1%
The chances of the lesion occurring at the lateral condyle and patellar aspect of the knee is rare. Lateral condylar and patellar lesions will have a bad prognosis.
The mechanism and causes of injury for OCD lesions:
May be multifactorial (vascular?). It is usually caused b...
published: 11 Dec 2014
-
Patient with Osteochondritis Dissecans Returns to Sports - UC Davis Children's Hospital
10-year-old Ian Ljohki was diagnosed with osteochondritis dissecans lesions, but after going through therapy at UC Davis Sports Medicine Clinic, he's returned to baseball.
——
At UC Davis Children’s Hospital, we put your child at the center of everything that we do. It’s personalized care, uniquely sized for your child. You’ll see it in our child-friendly designs throughout the hospital, our farm-to-fork approach to dining, our playrooms and teen rooms and our team that feels like family. UC Davis Children’s Hospital is Sacramento’s only nationally ranked, comprehensive hospital for children, serving infants, children, adolescents and young adults with primary, subspecialty and critical care.
UC Davis Children’s Hospital: https://children.ucdavis.edu
Children’s Surgery Center: https://h...
published: 21 May 2014
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Osteochondritis Dissecans / Douglas Cutter, MD, CAQSM
Watch as Dr. Douglas Cutter, from HCA Virginia Sports Medicine, discusses Osteochondritis Dissecans, and what that means for an athlete's long-term prognosis. Learn more at http://hcavasportsmed.com or http://hcavafantasyguide.com, or call 804-560-6500 to schedule an appointment.
published: 30 Jul 2015
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Abnormal alignment of lower extremity associated with osteochondritis dissecans
Read the article: https://doi.org/10.1177/0363546520905567
Brown, et al. "Osteochondritis Dissecans Lesion Location Is Highly Concordant With Mechanical Axis Deviation" The American Journal of Sports Medicine (2020). doi:10.1177/0363546520905567
Video produced by https://www.researchsquare.com
published: 25 Mar 2020
6:51
Osteochondritis Dissecans Of The Knee - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describes osteochondritis dissecans of the knee - Wilson's test.
Follow me on twitter:
https://twitter.com/#!/DrEbrah...
Dr. Ebraheim’s educational animated video describes osteochondritis dissecans of the knee - Wilson's test.
Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC
https://wn.com/Osteochondritis_Dissecans_Of_The_Knee_Everything_You_Need_To_Know_Dr._Nabil_Ebraheim
Dr. Ebraheim’s educational animated video describes osteochondritis dissecans of the knee - Wilson's test.
Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC
- published: 31 Jul 2020
- views: 41262
3:01
Osteochondritis dissecans
Osteochondral defect affecting the lateral aspect of the medial femoral condyle.
Osteochondral defect affecting the lateral aspect of the medial femoral condyle.
https://wn.com/Osteochondritis_Dissecans
Osteochondral defect affecting the lateral aspect of the medial femoral condyle.
- published: 02 Feb 2021
- views: 3471
57:04
Osteochondritis Dissecans | National Fellow Online Lecture Series
Peter Fabricant, MD, MPH, shares a lecture on Osteochondritis Dissecans as part of the AMSSM National Fellow Online Lecture Series. The session was moderated by...
Peter Fabricant, MD, MPH, shares a lecture on Osteochondritis Dissecans as part of the AMSSM National Fellow Online Lecture Series. The session was moderated by James Robinson, MD.
https://wn.com/Osteochondritis_Dissecans_|_National_Fellow_Online_Lecture_Series
Peter Fabricant, MD, MPH, shares a lecture on Osteochondritis Dissecans as part of the AMSSM National Fellow Online Lecture Series. The session was moderated by James Robinson, MD.
- published: 27 Jan 2022
- views: 3684
2:02
Johns Hopkins All Children’s Sports Medicine - Osteochondritis Dissecans
Hello my name is Dr. Drew Warnick, and I am the surgical director of AllSports Medicine at All Children's Hospital. I am a pediatric orthopaedic surgeon with sp...
Hello my name is Dr. Drew Warnick, and I am the surgical director of AllSports Medicine at All Children's Hospital. I am a pediatric orthopaedic surgeon with special training in pediatric and adolescent sports medicine.
In this video, we are going to discuss osteochondritis dissecans.
What is OCD?
Osteochondritis dissecans is a condition that develops in the joints of children and adolescents. It occurs when a small piece of joint surface begins to crack and loosen. This small segment of joint surface can then separate from its surrounding region. The most common joints affected by Osteochondritis dissecans are the knee, ankle, and elbow. The condition usually affects just one joint, but some children can develop Osteochondritis dissecans in multiple joints.
What Causes OCD?
It is not known exactly what causes the disruption to the blood supply and the resulting Osteochondritis dissecans lesion. It is likely caused by repetitive trauma or stresses to the bone over time.
What happens if you have OCD?
Osteochondritis dissecans causes pain and swelling of the joint. Symptoms are often brought on by physical activity and sports. When the joint surface has separated, symptoms such as locking and catching can occur.
How do I know if I have an OCD?
At AllSports Medicine, we will examine you with specific tests to help diagnose Osteochondritis Dissecans. X-rays will show an Osteochondritis dissecans lesion and An MRI can help determine the extent to which the overlying cartilage is affected.
What are my treatment options?
At Allsports Medicine, we will develop a treatment plan for osteochondritis dissecans.
In some cases, Osteochondritis dissecans lesions in children and adolescents may heal on their own with activity restriction.
Surgery may be needed if nonsurgical methods have failed to relieve pain and the lesion has not healed.
There are many different surgical techniques for treating osteochondritis dissecans lesions, depending on the individual case. These techniques can involve drilling into the lesion, or holding the lesion in place with bio-absorbable screws to create new pathways for blood vessels to nourish and heal the affected area.
Recovery?
Most patients have activity restrictions after surgery and need physical therapy. A gradual return to activity is allowed after the lesion has healed, and this may take many months.
https://wn.com/Johns_Hopkins_All_Children’S_Sports_Medicine_Osteochondritis_Dissecans
Hello my name is Dr. Drew Warnick, and I am the surgical director of AllSports Medicine at All Children's Hospital. I am a pediatric orthopaedic surgeon with special training in pediatric and adolescent sports medicine.
In this video, we are going to discuss osteochondritis dissecans.
What is OCD?
Osteochondritis dissecans is a condition that develops in the joints of children and adolescents. It occurs when a small piece of joint surface begins to crack and loosen. This small segment of joint surface can then separate from its surrounding region. The most common joints affected by Osteochondritis dissecans are the knee, ankle, and elbow. The condition usually affects just one joint, but some children can develop Osteochondritis dissecans in multiple joints.
What Causes OCD?
It is not known exactly what causes the disruption to the blood supply and the resulting Osteochondritis dissecans lesion. It is likely caused by repetitive trauma or stresses to the bone over time.
What happens if you have OCD?
Osteochondritis dissecans causes pain and swelling of the joint. Symptoms are often brought on by physical activity and sports. When the joint surface has separated, symptoms such as locking and catching can occur.
How do I know if I have an OCD?
At AllSports Medicine, we will examine you with specific tests to help diagnose Osteochondritis Dissecans. X-rays will show an Osteochondritis dissecans lesion and An MRI can help determine the extent to which the overlying cartilage is affected.
What are my treatment options?
At Allsports Medicine, we will develop a treatment plan for osteochondritis dissecans.
In some cases, Osteochondritis dissecans lesions in children and adolescents may heal on their own with activity restriction.
Surgery may be needed if nonsurgical methods have failed to relieve pain and the lesion has not healed.
There are many different surgical techniques for treating osteochondritis dissecans lesions, depending on the individual case. These techniques can involve drilling into the lesion, or holding the lesion in place with bio-absorbable screws to create new pathways for blood vessels to nourish and heal the affected area.
Recovery?
Most patients have activity restrictions after surgery and need physical therapy. A gradual return to activity is allowed after the lesion has healed, and this may take many months.
- published: 15 Mar 2013
- views: 12544
4:23
Osteochondritis dissecans (OCD): Signs, symptoms and current treatments
Osteochondritis dissecans is a fairly uncommon injury or condition, usually affecting the knee, but occasionally the elbow. It mainly affects children and teena...
Osteochondritis dissecans is a fairly uncommon injury or condition, usually affecting the knee, but occasionally the elbow. It mainly affects children and teenagers, but you sometimes see it in adults. In this video, I discuss what it is, the common signs and symptoms, and when it requires surgery.
If you have knee, hip, shoulder, or other joint pain and you want to get significantly better in the next 30 days, without cortisone shots, physical therapy, or surgery, click this link and share your injury information in the description box to learn more.
https://www.drdavidgeier.com/work-with-me/contact/
Dr. David Geier is a triple-board certified orthopedic surgeon, sports medicine specialist, and anti-aging and regenerative medicine expert. Dr. Geier helps you feel, look, and perform your best regardless of age or injury.
Dr. Geier believes that the best way to return to peak performance after a bone or joint injury is to get the injury to heal without surgery. Instead of invasive surgeries with long recoveries and unpredictable results, he uses innovative treatments, medications, and injections. The goal of this approach is not just to decrease your pain, but also to heal your injury and prevent it from coming back. But it’s not just about your injury and recovery. It’s about getting you back to what you love to do – your favorite sport, exercising every day, or even just playing with your kids and getting through your work day without pain. He aims to help you optimize your performance through improved strength, energy, endurance, speed, muscle and more. He wants to help you overcome your injury but also recharge your entire body so that you feel like you’re back in your twenties.
The contents of DRDAVIDGEIER.COM (“Site”), and any posts on social media from Dr. David Geier or Dr. David Geier Enterprises, LLC, such as text, graphics, images, audio, and other materials (“Content”) are for informational purposes only. THE SITE MAY OFFER HEALTH, FITNESS, NUTRITIONAL AND OTHER SUCH INFORMATION, BUT SUCH INFORMATION IS DESIGNED FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. THE CONTENT DOES NOT AND IS NOT INTENDED TO CONVEY MEDICAL ADVICE AND DOES NOT CONSTITUTE THE PRACTICE OF MEDICINE. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. THE SITE IS NOT RESPONSIBLE FOR ANY ACTIONS OR INACTION ON A USER’S PART BASED ON THE INFORMATION THAT IS PRESENTED ON THE SITE.
By reading and viewing the information on this Site and in any products, courses or programs promoted on the Site, you acknowledge and agree that neither Dr. Geier nor any other officer, director, member, owner, employee or representative of Dr. David Geier Enterprises, LLC (“Author”) is giving you any medical advice; and you further acknowledge and agree that Dr. Geier is unable to conduct the extensive analysis that he would need in order to give you a medical diagnosis or treatment. The information provided on this Site and in these courses or programs is for informational and educational purposes. It is not a diagnosis or treatment of any medical issues that you may have, and should not be considered a substitute for in-person evaluation by a doctor or healthcare provider to address your individual needs. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this Site.
If you think you may have a medical emergency, call your doctor or 911 immediately. Reliance on any information provided on this site is solely at your own risk. Author does not make any warranty as to the results that can be obtained from use of the Site; and does not make any warranty as to the reliability, accuracy, timeliness, usefulness, adequacy or suitability of the information contained on the Site or service/merchandise provided through the Site. Author does not assume and hereby disclaims any liability to any party for any injury, loss, damage, or disruption rising out of the use of this Site or caused by errors and omissions, whether such errors or omissions result from negligence, accident or any other cause.
https://wn.com/Osteochondritis_Dissecans_(Ocd)_Signs,_Symptoms_And_Current_Treatments
Osteochondritis dissecans is a fairly uncommon injury or condition, usually affecting the knee, but occasionally the elbow. It mainly affects children and teenagers, but you sometimes see it in adults. In this video, I discuss what it is, the common signs and symptoms, and when it requires surgery.
If you have knee, hip, shoulder, or other joint pain and you want to get significantly better in the next 30 days, without cortisone shots, physical therapy, or surgery, click this link and share your injury information in the description box to learn more.
https://www.drdavidgeier.com/work-with-me/contact/
Dr. David Geier is a triple-board certified orthopedic surgeon, sports medicine specialist, and anti-aging and regenerative medicine expert. Dr. Geier helps you feel, look, and perform your best regardless of age or injury.
Dr. Geier believes that the best way to return to peak performance after a bone or joint injury is to get the injury to heal without surgery. Instead of invasive surgeries with long recoveries and unpredictable results, he uses innovative treatments, medications, and injections. The goal of this approach is not just to decrease your pain, but also to heal your injury and prevent it from coming back. But it’s not just about your injury and recovery. It’s about getting you back to what you love to do – your favorite sport, exercising every day, or even just playing with your kids and getting through your work day without pain. He aims to help you optimize your performance through improved strength, energy, endurance, speed, muscle and more. He wants to help you overcome your injury but also recharge your entire body so that you feel like you’re back in your twenties.
The contents of DRDAVIDGEIER.COM (“Site”), and any posts on social media from Dr. David Geier or Dr. David Geier Enterprises, LLC, such as text, graphics, images, audio, and other materials (“Content”) are for informational purposes only. THE SITE MAY OFFER HEALTH, FITNESS, NUTRITIONAL AND OTHER SUCH INFORMATION, BUT SUCH INFORMATION IS DESIGNED FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. THE CONTENT DOES NOT AND IS NOT INTENDED TO CONVEY MEDICAL ADVICE AND DOES NOT CONSTITUTE THE PRACTICE OF MEDICINE. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. THE SITE IS NOT RESPONSIBLE FOR ANY ACTIONS OR INACTION ON A USER’S PART BASED ON THE INFORMATION THAT IS PRESENTED ON THE SITE.
By reading and viewing the information on this Site and in any products, courses or programs promoted on the Site, you acknowledge and agree that neither Dr. Geier nor any other officer, director, member, owner, employee or representative of Dr. David Geier Enterprises, LLC (“Author”) is giving you any medical advice; and you further acknowledge and agree that Dr. Geier is unable to conduct the extensive analysis that he would need in order to give you a medical diagnosis or treatment. The information provided on this Site and in these courses or programs is for informational and educational purposes. It is not a diagnosis or treatment of any medical issues that you may have, and should not be considered a substitute for in-person evaluation by a doctor or healthcare provider to address your individual needs. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this Site.
If you think you may have a medical emergency, call your doctor or 911 immediately. Reliance on any information provided on this site is solely at your own risk. Author does not make any warranty as to the results that can be obtained from use of the Site; and does not make any warranty as to the reliability, accuracy, timeliness, usefulness, adequacy or suitability of the information contained on the Site or service/merchandise provided through the Site. Author does not assume and hereby disclaims any liability to any party for any injury, loss, damage, or disruption rising out of the use of this Site or caused by errors and omissions, whether such errors or omissions result from negligence, accident or any other cause.
- published: 21 Oct 2023
- views: 1579
2:07
Osteochondritis dissecans of the knee
Osteochondritis dissecans (OCD) is a common cause of knee pain in children and young adults that may spontaneously heal. Though the etiology is unknown, it is t...
Osteochondritis dissecans (OCD) is a common cause of knee pain in children and young adults that may spontaneously heal. Though the etiology is unknown, it is thought to represent avascular necrosis of subchondral bone resulting from repeated microtraumas associated and shear forces that disrupt the blood supply. It typically involves the inner aspect of the medial femoral condyle.
https://wn.com/Osteochondritis_Dissecans_Of_The_Knee
Osteochondritis dissecans (OCD) is a common cause of knee pain in children and young adults that may spontaneously heal. Though the etiology is unknown, it is thought to represent avascular necrosis of subchondral bone resulting from repeated microtraumas associated and shear forces that disrupt the blood supply. It typically involves the inner aspect of the medial femoral condyle.
- published: 13 Jan 2020
- views: 1273
5:30
Knee Osteochondritis Dissecans , Wilson's Test - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describes the condition of Osteochondritis Dissecans of the knee joint.
Osteochondritis Dissecans is a condition th...
Dr. Ebraheim’s educational animated video describes the condition of Osteochondritis Dissecans of the knee joint.
Osteochondritis Dissecans is a condition that affects the articular cartilage and the subchondral bone of the knee. The lesion usually occurs in the knee on the lateral and posterior aspect of the medial femoral condyle. (70% of lesion are in the posterolateral aspect of the knee)
Distribution of OCD lesion around the knee
•Medial femoral condyle 85%.
•Lateral femoral condyle 13%
•Patella 1%
•Trochlea 1%
The chances of the lesion occurring at the lateral condyle and patellar aspect of the knee is rare. Lateral condylar and patellar lesions will have a bad prognosis.
The mechanism and causes of injury for OCD lesions:
May be multifactorial (vascular?). It is usually caused by repetitive overloading causing fragmentation and separation of bony fragments. It occurs in juveniles with an open epiphysis usually during the ages 10-15 years. Prognosis is usually very good. It can also occur in adults with a less favorable prognosis.
Four stages:
•Stage I: depressed OCD: intact cartilage. Small areas of compressed subchondral bone.
•Stage II: partially detached fragment.
•Stage III: completely detached bit non-displaced. Most common type.
•Stage VI: completely detached & displaced: displaced fragment can be a loose body.
Symptoms and physical exam:
•Activity related vague pain
•Poorly localized tenderness
•Effusion
•Swelling and stiffness with or without mechanical symptoms
•Mechanical symptoms indicates an advanced problem.
Wilson’s test0
The Wilson's test is a test used to detect the presence of Osteochondritis Dissecans of the knee. Ask the patient to sit on a table with his legs dangling over the edge. The patient’s knee should be flexed at 90-degree angle. Grasp the patient’s leg and internally rotate the tibia. Instruct the patient to extend the leg until pain is felt. The test is positive when the patient reports pain in the knee about 30 degrees from full extension. When rotating the leg back in its normal position the pain disappears. Internal rotation causes impingement of the tibial eminence on the OCD lesion of the medial femoral condyle which causes pain. External rotation moves the eminence away from the lesion, which relieves the pain.
Imaging
•X-rays: weight bearing AP & lateral view radiographs. Tunnel view (intercondylar notch view).
•MRI: check the size of lesion, signal intensity surrounding the lesion and any presence of loose bodies.
Prognosis
•Age: prognosis correlates with age. Younger the age, better the prognosis.
•Location: lesions in the lateral femoral epicondyle and patella have a worse prognosis.
•MRI findings: synovial fluid appearing behind the lesion on MRI correlates with a aworse prognosis. A fluid signal on MRI behind the lesion indicates that the fragment is unstable and is less likely to heal.
•Adult has worse prognosis.
Treatment
•Non-operative treatment: observation, limitation of activity, crutches, trial of non-weight bearing for six weeks and close follow-up.
Indication of nonoperative treatment: stable lesions in children with open physes. The majority will heal as long as the physes is open (good prognosis).
•Operative treatment: indicated if the fragment is detached, unstable or loose in patients where the physes has already closed, is near closing or if there is failure of the non-operative treatment. Surgical treatment usually includes arthroscopy and removal o loose fragment or fixation of unstable lesion or micro-fracture which is drilling of the lesion. Arthroscopic drilling of the subchondral bone is done in children who approach skeletal maturity. Drilling of the lesion has a high success rate especially if the lesion is stable.
Become a friend on facebook:
http://www.facebook.com/drebraheim
Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC
Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund:
https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Background music provided as a free download from YouTube Audio Library.
Song Title: Every Step
https://wn.com/Knee_Osteochondritis_Dissecans_,_Wilson's_Test_Everything_You_Need_To_Know_Dr._Nabil_Ebraheim
Dr. Ebraheim’s educational animated video describes the condition of Osteochondritis Dissecans of the knee joint.
Osteochondritis Dissecans is a condition that affects the articular cartilage and the subchondral bone of the knee. The lesion usually occurs in the knee on the lateral and posterior aspect of the medial femoral condyle. (70% of lesion are in the posterolateral aspect of the knee)
Distribution of OCD lesion around the knee
•Medial femoral condyle 85%.
•Lateral femoral condyle 13%
•Patella 1%
•Trochlea 1%
The chances of the lesion occurring at the lateral condyle and patellar aspect of the knee is rare. Lateral condylar and patellar lesions will have a bad prognosis.
The mechanism and causes of injury for OCD lesions:
May be multifactorial (vascular?). It is usually caused by repetitive overloading causing fragmentation and separation of bony fragments. It occurs in juveniles with an open epiphysis usually during the ages 10-15 years. Prognosis is usually very good. It can also occur in adults with a less favorable prognosis.
Four stages:
•Stage I: depressed OCD: intact cartilage. Small areas of compressed subchondral bone.
•Stage II: partially detached fragment.
•Stage III: completely detached bit non-displaced. Most common type.
•Stage VI: completely detached & displaced: displaced fragment can be a loose body.
Symptoms and physical exam:
•Activity related vague pain
•Poorly localized tenderness
•Effusion
•Swelling and stiffness with or without mechanical symptoms
•Mechanical symptoms indicates an advanced problem.
Wilson’s test0
The Wilson's test is a test used to detect the presence of Osteochondritis Dissecans of the knee. Ask the patient to sit on a table with his legs dangling over the edge. The patient’s knee should be flexed at 90-degree angle. Grasp the patient’s leg and internally rotate the tibia. Instruct the patient to extend the leg until pain is felt. The test is positive when the patient reports pain in the knee about 30 degrees from full extension. When rotating the leg back in its normal position the pain disappears. Internal rotation causes impingement of the tibial eminence on the OCD lesion of the medial femoral condyle which causes pain. External rotation moves the eminence away from the lesion, which relieves the pain.
Imaging
•X-rays: weight bearing AP & lateral view radiographs. Tunnel view (intercondylar notch view).
•MRI: check the size of lesion, signal intensity surrounding the lesion and any presence of loose bodies.
Prognosis
•Age: prognosis correlates with age. Younger the age, better the prognosis.
•Location: lesions in the lateral femoral epicondyle and patella have a worse prognosis.
•MRI findings: synovial fluid appearing behind the lesion on MRI correlates with a aworse prognosis. A fluid signal on MRI behind the lesion indicates that the fragment is unstable and is less likely to heal.
•Adult has worse prognosis.
Treatment
•Non-operative treatment: observation, limitation of activity, crutches, trial of non-weight bearing for six weeks and close follow-up.
Indication of nonoperative treatment: stable lesions in children with open physes. The majority will heal as long as the physes is open (good prognosis).
•Operative treatment: indicated if the fragment is detached, unstable or loose in patients where the physes has already closed, is near closing or if there is failure of the non-operative treatment. Surgical treatment usually includes arthroscopy and removal o loose fragment or fixation of unstable lesion or micro-fracture which is drilling of the lesion. Arthroscopic drilling of the subchondral bone is done in children who approach skeletal maturity. Drilling of the lesion has a high success rate especially if the lesion is stable.
Become a friend on facebook:
http://www.facebook.com/drebraheim
Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC
Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund:
https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Background music provided as a free download from YouTube Audio Library.
Song Title: Every Step
- published: 11 Dec 2014
- views: 86608
2:25
Patient with Osteochondritis Dissecans Returns to Sports - UC Davis Children's Hospital
10-year-old Ian Ljohki was diagnosed with osteochondritis dissecans lesions, but after going through therapy at UC Davis Sports Medicine Clinic, he's returned t...
10-year-old Ian Ljohki was diagnosed with osteochondritis dissecans lesions, but after going through therapy at UC Davis Sports Medicine Clinic, he's returned to baseball.
——
At UC Davis Children’s Hospital, we put your child at the center of everything that we do. It’s personalized care, uniquely sized for your child. You’ll see it in our child-friendly designs throughout the hospital, our farm-to-fork approach to dining, our playrooms and teen rooms and our team that feels like family. UC Davis Children’s Hospital is Sacramento’s only nationally ranked, comprehensive hospital for children, serving infants, children, adolescents and young adults with primary, subspecialty and critical care.
UC Davis Children’s Hospital: https://children.ucdavis.edu
Children’s Surgery Center: https://health.ucdavis.edu/children/services/childrens-surgery-center/
Child Life and Creative Arts Therapy: https://health.ucdavis.edu/children/services/child-life/
Fetal Care and Treatment Center: https://health.ucdavis.edu/children/services/fetal-care-treatment-center/
See the latest news from UC Davis Health: https://health.ucdavis.edu/newsroom
Kids Considered podcast: https://www.youtube.com/playlist?list=PLM7qvIv8N9Rtl7F3ziKi_A-dm0eKSvQBt
Facebook: https://www.facebook.com/UCDavisChildrensHospital
Instagram: https://www.instagram.com/ucdavischildren
Twitter/X: https://twitter.com/UCDavisChildren
——
https://wn.com/Patient_With_Osteochondritis_Dissecans_Returns_To_Sports_Uc_Davis_Children's_Hospital
10-year-old Ian Ljohki was diagnosed with osteochondritis dissecans lesions, but after going through therapy at UC Davis Sports Medicine Clinic, he's returned to baseball.
——
At UC Davis Children’s Hospital, we put your child at the center of everything that we do. It’s personalized care, uniquely sized for your child. You’ll see it in our child-friendly designs throughout the hospital, our farm-to-fork approach to dining, our playrooms and teen rooms and our team that feels like family. UC Davis Children’s Hospital is Sacramento’s only nationally ranked, comprehensive hospital for children, serving infants, children, adolescents and young adults with primary, subspecialty and critical care.
UC Davis Children’s Hospital: https://children.ucdavis.edu
Children’s Surgery Center: https://health.ucdavis.edu/children/services/childrens-surgery-center/
Child Life and Creative Arts Therapy: https://health.ucdavis.edu/children/services/child-life/
Fetal Care and Treatment Center: https://health.ucdavis.edu/children/services/fetal-care-treatment-center/
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- published: 21 May 2014
- views: 6725
0:47
Osteochondritis Dissecans / Douglas Cutter, MD, CAQSM
Watch as Dr. Douglas Cutter, from HCA Virginia Sports Medicine, discusses Osteochondritis Dissecans, and what that means for an athlete's long-term prognosis. L...
Watch as Dr. Douglas Cutter, from HCA Virginia Sports Medicine, discusses Osteochondritis Dissecans, and what that means for an athlete's long-term prognosis. Learn more at http://hcavasportsmed.com or http://hcavafantasyguide.com, or call 804-560-6500 to schedule an appointment.
https://wn.com/Osteochondritis_Dissecans_Douglas_Cutter,_Md,_Caqsm
Watch as Dr. Douglas Cutter, from HCA Virginia Sports Medicine, discusses Osteochondritis Dissecans, and what that means for an athlete's long-term prognosis. Learn more at http://hcavasportsmed.com or http://hcavafantasyguide.com, or call 804-560-6500 to schedule an appointment.
- published: 30 Jul 2015
- views: 1023
1:59
Abnormal alignment of lower extremity associated with osteochondritis dissecans
Read the article: https://doi.org/10.1177/0363546520905567
Brown, et al. "Osteochondritis Dissecans Lesion Location Is Highly Concordant With Mechanical Axis D...
Read the article: https://doi.org/10.1177/0363546520905567
Brown, et al. "Osteochondritis Dissecans Lesion Location Is Highly Concordant With Mechanical Axis Deviation" The American Journal of Sports Medicine (2020). doi:10.1177/0363546520905567
Video produced by https://www.researchsquare.com
https://wn.com/Abnormal_Alignment_Of_Lower_Extremity_Associated_With_Osteochondritis_Dissecans
Read the article: https://doi.org/10.1177/0363546520905567
Brown, et al. "Osteochondritis Dissecans Lesion Location Is Highly Concordant With Mechanical Axis Deviation" The American Journal of Sports Medicine (2020). doi:10.1177/0363546520905567
Video produced by https://www.researchsquare.com
- published: 25 Mar 2020
- views: 1955