Systematic review; Level of evidence, 4. Rarely, osteochondritis dissecans appears in more than one joint, and perhaps in more than one family member (familial osteochondritis dissecans). Depending on the joint that's affected, signs and symptoms of osteochondritis dissecans might include: 1. Your joint might pop or stick in one position if a loose fragment gets caught between bones during movement. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 2012 Nov;36(11):2243-8. doi: 10.1007/s00264-012-1648-9. A new point of view for mosaicplasty in the treatment of focal cartilage defects of knee joint: honeycomb pattern. 2019 Feb 13;7(2):2325967118825059. doi: 10.1177/2325967118825059. OCD usually causes pain during and after sports. 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. Please enable it to take advantage of the complete set of features! Epub 2017 Apr 13. Brian, an enthusiastic college baseball player, battled knee pain for years during high school. 4. Capitellar Osteochondritis Dissecans Lesions of the Elbow: A Systematic Review of Osteochondral Graft Reconstruction Options. Epub 2017 Oct 2. Krych AJ, Pareek A, King AH, Johnson NR, Stuart MJ, Williams RJ 3rd. Outcomes of Arthroscopic Surgical Treatment of Osteochondral Lesions of the Elbow in Pediatric and Adolescent Athletes. Osteochondral autograft transplantation for juvenile osteochondritis dissecans of the knee: a series of twelve cases. Chow JC, Hantes ME, Houle JB, Zalavras CG. Osteochondritis dissecans (OCD) of the humeral capitellum is a sports-related disorder in young athletes, especially baseball players and gymnasts. 3. Am J Sports Med. Material and methods: Epub 2019 Jun 24. The name means bone and cartilage breaking away from the underlying bone. Cheng C, Milewski MD, Nepple JJ, Reuman HS, Nissen CW. Your healing includes several months of physiotherapy and exercises rehabilitation to restore movement, strength, coordination and balance. -, Baumgarten TE, Andrews JR, Satterwhite YE. The origin of the lesion was osteochondritis dissecans (13 knees), osteochondral fracture sequelae (ten knees), or aseptic osteonecrosis (two knees). Epub 2018 Aug 24. It may progress to become elbow osteoarthritis. When present, OCD lesions usually become symptomatic during a child’s development. Forest plot analysis demonstrating differences in return to the previous level of sport across 3 techniques. 2004 Sep;20(7):681-90. doi: 10.1016/j.arthro.2004.06.005. Autogenous osteochondral mosaicplasty is the most common cartilage restoration technique in standard clinical practice. 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. Curr Rev Musculoskelet Med. … Ten patients (40%) had an associated procedure during the osteochondral autograft. 2020 Nov 9;8(11):2325967120963054. doi: 10.1177/2325967120963054. The cause of Osteochondritis Dissecans is currently not known to the medical world but if not cured in time OCD can … Osteochondritis Dissecans is a relatively common childhood problem in the knee. The average loss was 0.64 points for patients whose presurgery Tegner score was greater than or equal to 7 (P = 0.019) and 0.3 points if lower than 7. 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.  |  2. The average size of the lesion was 2.11 ± 0.9 cm(2). Full recovery normally takes about 3 months or even more. Knee Surg Sports Traumatol Arthrosc. The mean return to previous level of sport rate for osteoarticular allograft transfers (OATs) is 0.95 (95% CI, 0.89-0.99; far right dotted line) and was found to be significantly higher than that for debridement (0.62; 95% CI, 0.46-0.77; solid line) or fixation (0.72; 95% CI, 0.51-0.89; far left dotted line). There is some concern, though, that repetitive impact could injure that area again, leading to degenerative changes over time. Please enable it to take advantage of the complete set of features! Kids should only go back to sports if they:  |  Return to Play After Osteochondral Autograft Transplantation of the Capitellum: A Systematic Review. 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. 2012;53:40–47. The most active patients lowered their activity level while the more sedentary did not have to adapt their lifestyle. The problem needs a period of 3months or even more to heal completely. 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. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. OATs; elbow; gymnast; osteochondritis dissecans; return to sport; thrower. eCollection 2020 Nov. Pederzini LA, Bartoli M, Cheli A, Nicoletta F, Severini G. Knee Surg Sports Traumatol Arthrosc. Joint popping or locking. It’s most common in children and teens who are active in sports. After two surgeries and physical therapy for a form of osteochondritis dissecans (OCD) described as catcher's knee, Brian is back in the game and doing what he loves. Osteochondritis dissecans of the elbow can result from sports with repeated overhead throwing, such as baseball, and … 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/. 2020 Nov 20;9(11):e1727-e1730. Osteochondritis dissecans occurs most often in children and adolescents. Epub 2020 Feb 6. 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 This bone and cartilage can then break loose, causing pain and possibly hindering joint motion. Epub 2011 Oct 28. 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 January 2021; DOI: 10.1007/978-3-030-52379-4_6. The most common place for an OCD lesion to occur is in the knee, especially in growing children and young adults. In book: Sports Injuries of the Elbow (pp.63-72) Authors: Christiaan J A van Bergen. Osteochondritis Dissecans of the Knee: Short-Term Outcomes of a Hybrid Technique to Restore a Partially Salvageable Progeny Fragment. The average IKDC was 74.5 ± 18.5 points. 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. The PubMed, CINAHL, EMBASE, SPORTDiscus (EBSCO), and Cochrane Central Register of Controlled Trials databases were queried for studies evaluating outcomes and return to sport after surgical management of OCD of the capitellum.  |  Osteochondritis dissecans, particularly affecting the joints such as ankles, elbows, and knees tend to become more severe. HHS 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. Springerplus. Autogenous osteochondral graft; Condyle osteochondritis; Femoral condyles; Mosaicplasty; Osteochondral lesion. Keywords: 2019 Jun 11;8(7):e713-e719. 2011 Dec;97(8 Suppl):S160-6. 2019 Apr;25(2):114-125. doi: 10.1089/ten.TEB.2018.0122. Declaration of Conflicting Interests: The authors declared that they have no conflicts of interest in the authorship and publication of this contribution. After a successful recovery, the problem usually does not return or cause long-term issues. Knee Osteochondritis Dissecans (OCD) An unusual cause of knee pain is that of osteochondritis dissecans (OCD). Comparison of Clinical and Radiographic Outcomes Between Central and Lateral Lesions After Osteochondral Autograft Transplantation for Osteochondritis Dissecans of the Humeral Capitellum. Conclusion: Results: 2004;328:1490. If the athlete was treated surgically, he … Capitellar osteochondritis dissecans (OCD) is commonly managed surgically in symptomatic adolesent throwers and gymnasts. The overall return-to-sport rate was 86% at a mean 5.6 months. Keywords: 2005 Sep;21(9):1066-75. doi: 10.1016/j.arthro.2005.06.018. Progressive testing will be completed. 2019. The average Tegner score ranged from 6.35 ± 1.53 points prior to surgery to 5.60 ± 1.64 points after surgery (P = 0.001). Arthroscopy. eCollection 2019 Feb. Logli AL, Leland DP, Bernard CD, Sanchez-Sotelo J, Morrey ME, O'Driscoll SW, Krych AJ, Wang Z, Camp CL. 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 Orthop J Sports Med. Maruyama M, Takahara M, Harada M, Satake H, Takagi M. Am J Sports Med. Osteochondral Autograft Transfer Procedure: Arthroscopic Technique and Technical Pearls. HHS 2017. Pain. Epub 2014 Jun 20. Cartilage. 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. Little is known about the impact that surgical technique has on return to sport. Am J Sports Med. COVID-19 is an emerging, rapidly evolving situation. Arthroscopic autogenous osteochondral transplantation for treating knee cartilage defects: a 2- to 5-year follow-up study. The arthroscopic classification and treatment of osteochondritis dissecans of the capitellum. Returning to sports too soon can lead to long-term pain and joint problems. Arthrosc Tech. Osteochondritis Dissecans of the knee is an obtained, reversible, idiopathic condition of the subchondral bone of our body and the leg. Capitellar osteochondritis dissecans (OCD) is commonly managed surgically in symptomatic adolesent throwers and gymnasts. The lesion, which has multiple causes, has a loss of blood supply to a small portion of the bone. -, Bojanić I, Smoljanović T, Dokuzović S. Osteochondritis dissecans of the elbow: excellent mid-term follow-up results in teenage athletes treated by arthroscopic debridement and microfracture. Croat Med J. Knee Surg Sports Traumatol Arthrosc. Osteochondritis Dissecans of the Elbow. Capitellar osteochondritis dissecans (OCD) is commonly managed surgically in symptomatic adolesent throwers and gymnasts. Study design: 2002;30:474–478. ... A gradual return to activity is allowed after the lesion has healed, and this may take many months. Kids who had surgery will need more time to heal. 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%). Clipboard, Search History, and several other advanced features are temporarily unavailable. doi: 10.1016/j.otsr.2011.08.005. Methods: Way to go Brian! 2020 Jul;11(3):300-308. doi: 10.1177/1947603518796132. Elbow Injuries in the Adolescent Thrower. 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 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/. Copyright © 2015 Elsevier Masson SAS. 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. This site needs JavaScript to work properly. 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. Complications were low (<5%), with 2 cases of donor site morbidity after osteoarticular autograft transfer (OAT) autograft harvest. eCollection 2019 Jul. Orthop J Sports Med. Progression Criteria• Patient may return to sport after receiving clearance from the orthopedic surgeon and the physical therapist/athletic trainer. See this image and copyright information in PMC. Beyond Cartilage Repair: The Role of the Osteochondral Unit in Joint Health and Disease. Typically, recovery means six weeks on crutches and 6+ months to get back to full function and return to sport. Swelling and tenderness. 2017 Jul;33(7):1412-1420.e1. Return to Play Return to play is allowed once the OCD lesion has healed and quadriceps strength has returned to within normal limits. Sports medicine orthopedic surgeons generally try to allow you to return to sports after this surgery. Introduction: Return to sport after the surgical management of articular cartilage lesions in the knee: a meta-analysis. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. 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. Grading quality of evidence and strength of recommendations. Ten patients (40%) had an associated procedure during the osteochondral autograft. Progression Criteria • Patient may return to sport after receiving clearance from the orthopedic surgeon and the physical therapist/athletic trainer. Am J Sports Med. Two independent reviewers conducted a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. With JOCD, there is a loosening of a piece of bone and the cartilage that covers it. USA.gov. NIH BMJ. eCollection 2016. The average size of the lesion was 2.11 ± 0.9 cm(2). A joint is where two bones come together. Mosaic osteochondral transplantations in the knee joint, midterm results of the SFA multicenter study. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart demonstrating the search strategy.  |  Epub 2012 Sep 7. Osteochondritis Dissecans disease usually takes place in the ankles, elbows, and knees. Patients were more likely to return to their highest level of preoperative sport after OAT autograft compared with debridement or fixation. Normal hard bone is covered with a softer form of bone called cartilage at the joint surface.  |  All rights reserved. The Timmerman-Andrews subjective and objective scores significantly improved after surgery. The origin of the lesion was osteochondritis dissecans (13 knees), osteochondral fracture sequelae (ten knees), or aseptic osteonecrosis (two knees). Little is known about the impact that surgical technique has on return to sport.To evaluate the clinical outcomes and return-to-sport rates after operative management of OCD lesions in adolescent athletes.Systematic review; Level of evidence, 4.The … The skin around your joint might be swollen and tender. Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Progressive testing will … -. 2017 Dec;45(14):3331-3339. doi: 10.1177/0363546517730358. 2020 Jun;36(6):1747-1764. doi: 10.1016/j.arthro.2020.01.037. 1998;26:520–523. 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. 2018 Mar;11(1):35-47. doi: 10.1007/s12178-018-9457-4. Purpose: Atkins D, Best D, Briss PA, et al. Melugin HP, Desai VS, Levy BA, Tanaka Y, Horibe S, Nakamura N, Krych AJ. 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Particularly affecting the joints such as football, soccer, and knees bone to!