NLM Osteochondritis dissecans is a problem that affects mainly young athletes, but occasionally the residual effects of an OCD lesion can be seen in an adult. Results: 2017 Jul;33(7):1412-1420.e1. 2016 Jul 26;5(1):1170. doi: 10.1186/s40064-016-2796-y. Orthop Traumatol Surg Res. Croat Med J. January 2021; DOI: 10.1007/978-3-030-52379-4_6. Epub 2020 Feb 6. Ollat D, Lebel B, Thaunat M, Jones D, Mainard L, Dubrana F, Versier G; French Arthroscopy Society. Introduction: Moreover, the healing or recovery period also depends on whether a person is one of the young children, old one, or adult. The Timmerman-Andrews subjective and objective scores significantly improved after surgery. Epub 2017 Apr 13. Progression Criteria• Patient may return to sport after receiving clearance from the orthopedic surgeon and the physical therapist/athletic trainer. Outcomes of an open autologous osteochondral plug graft for capitellar osteochondritis dissecans: time to return to sports. Osteochondral Autograft Transfer Procedure: Arthroscopic Technique and Technical Pearls. eCollection 2020 Nov. Allahabadi S, Bryant JK, Mittal A, Pandya NK. The average size of the lesion was 2.11 ± 0.9 cm(2). Epub 2014 Jun 20. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. 2019 Oct;27(10):3291-3296. doi: 10.1007/s00167-019-05568-2. Conclusion: Tissue Eng Part B Rev. The name means bone and cartilage breaking away from the underlying bone. eCollection 2020 Nov. Pederzini LA, Bartoli M, Cheli A, Nicoletta F, Severini G. Knee Surg Sports Traumatol Arthrosc. Cartilage. Full recovery normally takes about 3 months or even more. Matsuura T, Hashimoto Y, Nishino K, Nishida Y, Takahashi S, Shimada N. Am J Sports Med. Osteochondritis Dissecans disease usually takes place in the ankles, elbows, and knees. OATs; elbow; gymnast; osteochondritis dissecans; return to sport; thrower. … Hypothesis: This site needs JavaScript to work properly. 2017 Dec;45(14):3331-3339. doi: 10.1177/0363546517730358. In book: Sports Injuries of the Elbow (pp.63-72) Authors: Christiaan J A van Bergen. Methods: Am J Sports Med. Patient should have less than 15% difference in Biodex strength test, force plate jump and hop tests, and functional hop tests. Two independent reviewers conducted a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The most common place for an OCD lesion to occur is in the knee, especially in growing children and young adults. Return to the highest preoperative level of sport was most common after osteochondral autograft procedures (94%) compared with debridement and marrow stimulation procedures (71%) or OCD fixation surgery (64%). Studies reporting patient outcomes with return-to-sport data and minimum 6-month follow-up were included in the review.  |  Depending on the joint that's affected, signs and symptoms of osteochondritis dissecans might include: 1.  |  The skin around your joint might be swollen and tender. Osteochondritis dissecans occurs most often in children and adolescents. 2. Osteochondritis Dissecans is a relatively common childhood problem in the knee. Autogenous osteochondral mosaicplasty is the most common cartilage restoration technique in standard clinical practice. Predictive Role of Symptom Duration Before the Initial Clinical Presentation of Adolescents With Capitellar Osteochondritis Dissecans on Preoperative and Postoperative Measures: A Systematic Review. 2011 Dec;97(8 Suppl):S160-6. HHS 2020 Jul;11(3):300-308. doi: 10.1177/1947603518796132. Ten patients (40%) had an associated procedure during the osteochondral autograft. Osteochondral Autograft Transfer for Capitellar Chondral and Osteochondral Defects. Return to Sport After Operative Management of Osteochondritis Dissecans of the Capitellum Robert W. Westermann, MD, Kyle J. Hancock, MD, Joseph A. Buckwalter, MD, PhD, Benjamin Kopp, BS, Natalie Glass, PhD, and Brian R. Wolf, MD, MS Orthopaedic Journal of Sports Medicine20164:6 Little is known about the impact that surgical technique has on return to sport. The problem needs a period of 3months or even more to heal completely. With JOCD, there is a loosening of a piece of bone and the cartilage that covers it. 2020 Nov 9;8(11):2325967120963054. doi: 10.1177/2325967120963054. -. Capitellar osteochondritis dissecans (OCD) is commonly managed surgically in symptomatic adolesent throwers and gymnasts. 2018 Mar;11(1):35-47. doi: 10.1007/s12178-018-9457-4. In general, crutches are required for about 6 weeks after surgical treatment, followed by a 2- to 4-month course of physical therapy to regain strength and motion in the affected joint. Purpose: National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Elbow range of motion improved by 15.9° after surgery. COVID-19 is an emerging, rapidly evolving situation. 2019 Apr;25(2):114-125. doi: 10.1089/ten.TEB.2018.0122.  |  Outcomes of Arthroscopic Surgical Treatment of Osteochondral Lesions of the Elbow in Pediatric and Adolescent Athletes. Epub 2017 Oct 2. Kids with osteochondritis dissecans usually need at least a few months off from sports. Reasons for exclusion at this stage (*) were failure to report return-to-sport data (n = 3), nonoperative management only (n = 2), failure to report outcomes as a function of procedure when multiple procedures were performed in a manuscript (n = 4), average age >20 years (n = 1), and irrelevant topic (n = 3).  |  Osteochondritis dissecans of the knee is often the result of sports that involve high-impact landings, such as football, soccer, and gymnastics. Study design: Patients were more likely to return to their highest level of preoperative sport after OAT autograft compared with debridement or fixation. Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone. ... A gradual return to activity is allowed after the lesion has healed, and this may take many months. Capitellar osteochondritis dissecans (OCD) is commonly managed surgically in symptomatic adolesent throwers and gymnasts. Grading quality of evidence and strength of recommendations. Rarely, osteochondritis dissecans appears in more than one joint, and perhaps in more than one family member (familial osteochondritis dissecans). Sports medicine orthopedic surgeons generally try to allow you to return to sports after this surgery. Capitellar osteochondritis dissecans (OCD) is commonly managed surgically in symptomatic adolesent throwers and gymnasts. Please enable it to take advantage of the complete set of features! eCollection 2019 Feb. Logli AL, Leland DP, Bernard CD, Sanchez-Sotelo J, Morrey ME, O'Driscoll SW, Krych AJ, Wang Z, Camp CL. All patients were re-examined at a mean follow-up of 9 years (range, 6-15 years), with 84% satisfied or very satisfied with the procedure. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. Cheng C, Milewski MD, Nepple JJ, Reuman HS, Nissen CW. Epub 2012 Sep 7. The lesion involves the bone under the articular cartilage in part of the knee (almost always the lateral aspect of the medial femoral condyle) starting to die. Keywords: Kirsch JM, Thomas JR, Khan M, Townsend WA, Lawton JN, Bedi A. Arthroscopy. Clipboard, Search History, and several other advanced features are temporarily unavailable.  |  This most common symptom of osteochondritis dissecans might be triggered by physical activity — walking up stairs, climbing a hill or playing sports. Return to Play After Osteochondral Autograft Transplantation of the Capitellum: A Systematic Review. BMJ. Epub 2019 Jun 24. Osteochondritis dissecans (OCD) of the humeral capitellum is a sports-related disorder in young athletes, especially baseball players and gymnasts. Autogenous osteochondral graft; Condyle osteochondritis; Femoral condyles; Mosaicplasty; Osteochondral lesion. Way to go Brian! National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. The purpose of this study was to evaluate the return to sports 9 years after mosaicplasty of the femoral condyles. 3. Knee Surg Sports Traumatol Arthrosc. After initial review, 37 full-length articles met the criteria for review. As a result, the small piece of bone and the cartilage covering it begin to crack and loosen. A joint is where two bones come together. Pediatric Orthopaedic Society of North America (POSNA) 1 Tower Ln, Suite 2410 Oakbrook Terrace, IL 60181 p: (630) 478-0480 f: (630) 478-0481 e: posna@posna.org PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart demonstrating the search strategy. A prospective randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint in young athletes. Return to sports after autogenous osteochondral mosaicplasty of the femoral condyles: 25 cases at a mean follow-up of 9 years Author links open overlay panel J. 2017. OCD usually causes pain during and after sports. This site needs JavaScript to work properly. A high rate of return to sport was observed after operative management of capitellar OCD. Atkins D, Best D, Briss PA, et al. Comparison of Clinical and Radiographic Outcomes Between Central and Lateral Lesions After Osteochondral Autograft Transplantation for Osteochondritis Dissecans of the Humeral Capitellum. USA.gov. doi: 10.1016/j.eats.2019.03.006. Patients were allowed to begin throwing after 3 months and to return to sports after 6 months. A new point of view for mosaicplasty in the treatment of focal cartilage defects of knee joint: honeycomb pattern. Knee pain in children and adolescents has many origins. Your healing includes several months of physiotherapy and exercises rehabilitation to restore movement, strength, coordination and balance. Progressive testing will be completed. -, Cain EL, Dugas JR, Wolf RS, Andrews JR. Elbow Injuries in throwing athletes: a current concepts review. Knee Osteochondritis Dissecans (OCD) An unusual cause of knee pain is that of osteochondritis dissecans (OCD). 2004;328:1490. Osteochondritis Dissecans of the Knee: Short-Term Outcomes of a Hybrid Technique to Restore a Partially Salvageable Progeny Fragment. Please enable it to take advantage of the complete set of features! 2019 Jun 11;8(7):e713-e719. It occurs when a small piece of joint surface begins to crack and loosen. This study is based on a series of 25 patients with a mean age of 28.9 years (range, 16-44 years) who had stage 3 or 4 chondral lesions of the femoral condyles (according to the ICRS or ICRS-OCD scores).  |  Comeback Athlete: Playing Sports At 100% Again Post Knee Surgery Osteochondritis dissecans (OCD) can be an extremely painful and debilitating condition that develops in the joints. Encouraging mid-term outcomes for arthroscopic autologous osteochondral transplant (OAT) in capitellum osteochondritis dissecans (OCD). Osteochondritis dissecans is a joint condition that occurs when a piece of cartilage and the thin layer of bone beneath it, separates from the end of the bone.If the piece of cartilage and bone remain close to where they detached, they may not cause any symptoms. 2020 Nov 20;9(11):e1727-e1730. Progressive testing will … Mosaic osteochondral transplantations in the knee joint, midterm results of the SFA multicenter study. The results of the femoral condyle mosaic autografts are satisfactory, a mean of 9 years after surgery. 2002;30:474–478. Maruyama M, Takahara M, Harada M, Satake H, Takagi M. Am J Sports Med. The cause of Osteochondritis Dissecans is currently not known to the medical world but if not cured in time OCD can … Normal hard bone is covered with a softer form of bone called cartilage at the joint surface. Lepage SIM, Robson N, Gilmore H, Davis O, Hooper A, St John S, Kamesan V, Gelis P, Carvajal D, Hurtig M, Koch TG. Arthrosc Tech. 2017 Oct;25(10):3186-3196. doi: 10.1007/s00167-016-4262-3. Declaration of Conflicting Interests: The authors declared that they have no conflicts of interest in the authorship and publication of this contribution. Osteochondritis dissecans most often affects the knee, ankle and elbow. 2019 Feb 13;7(2):2325967118825059. doi: 10.1177/2325967118825059. The average IKDC was 74.5 ± 18.5 points. doi: 10.1016/j.arthro.2017.01.046. Conclusion: Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. It most commonly heals by itself, but in adults, or adolescents over the age of 14, it seems more likely to break off than to heal. 2004 Sep;20(7):681-90. doi: 10.1016/j.arthro.2004.06.005. USA.gov. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. A gradual return to sports may be possible after about 4 to 5 months. In this video, I discuss the pros and cons of sports and other physical activities after surgery for an OCD lesion. Epub 2011 Oct 28. The long-term results of an osteochondral autograft show that patients can regain their pre-injury activity level. Forest plot analysis demonstrating differences in return to the previous level of sport across 3 techniques. Your joint might pop or stick in one position if a loose fragment gets caught between bones during movement. Orthop J Sports Med. Arthroscopic autogenous osteochondral transplantation for treating knee cartilage defects: a 2- to 5-year follow-up study. Return to sport after the surgical management of articular cartilage lesions in the knee: a meta-analysis. 2003;31:621–635. 2019. Return to Sport After Operative Management of Osteochondritis Dissecans of the Capitellum: A Systematic Review and Meta-analysis A high rate of return to sport was observed after operative management of capitellar OCD. NIH The average Lysholm score was 87.3 ± 11.6 points. After review, 24 studies reporting outcomes in 492 patients (mean age ± SD, 14.3 ± 0.9 years) were analyzed. It’s most common in children and teens who are active in sports. 2020 Jun;36(6):1747-1764. doi: 10.1016/j.arthro.2020.01.037. Return to Sport After Operative Management of Osteochondritis Dissecans of the Capitellum By Robert W. Westermann, Kyle J. Hancock, Joseph A. Buckwalter, Benjamin Kopp, Natalie Glass and Brian R. Wolf Epub 2016 Aug 18. Arthroscopic surgery for isolated capitellar osteochondritis dissecans in adolescent baseball players: minimum three-year follow-up. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart demonstrating the search…, Forest plot analysis demonstrating differences…, Forest plot analysis demonstrating differences in return to the previous level of sport…, NLM Keywords: 2012 Nov;36(11):2243-8. doi: 10.1007/s00264-012-1648-9. NIH One to 3 osteochondral plug grafts, with a mean diameter of 7 mm (range, 5-9 mm), were harvested from the lateral femoral condyle and transplanted to the defects. To evaluate the clinical outcomes and return-to-sport rates after operative management of OCD lesions in adolescent athletes. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion. People who have this type of osteochondritis dissecans usually have a short stature and a tendency to develop osteoarthritis – a breakdown of bone and joint cartilage – early in life. Orthop J Sports Med. See this image and copyright information in PMC. Osteochondritis dissecans is a condition that develops in the joints of children and adolescents. The origin of the lesion was osteochondritis dissecans (13 knees), osteochondral fracture sequelae (ten knees), or aseptic osteonecrosis (two knees). Knee Surg Sports Traumatol Arthrosc. Arthroscopy. Material and methods: Beyond Cartilage Repair: The Role of the Osteochondral Unit in Joint Health and Disease. The most common indications for reoperation were repeat debridement/loose body removal. Curr Rev Musculoskelet Med. Brian, an enthusiastic college baseball player, battled knee pain for years during high school. 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