Doctor insights on:
Medicine For Osteochondritis Dessicans
joint bone defect: Small area of bone necrosis (death) or area that did not properly develop. It happens in a joint. Most commonly in the knee, hip, elbow and ankle. Can happen incidentally or a result of trauma. Can break free and cause significant problems in that joint. Requires attention from orthopedic surgeon. ...Read more
Cartilage condition: Osteochondritis dissecans is a condition where the blood supply to the subchondral bone, or bone just below the cartilage in your knee or ankle, is compromised. This leads to necrosis or death of the bone. This can lead to a softening of the cartilage, or even the detachment of a fragment of cartilage and bone. An ortho surgeon can treat with activity modifications or sometimes surgery to help. ...Read more
Joint fragment: Osteochondritis dissecans (OD)joint condition in which piece of cartilage, along with a thin layer of the bone beneath it, comes loose from end of bone. OD occurs most often in young men, particularly after an injury. OD is mostly in knee but can occur in ankle and elbow. Fragment close to where detached, may have few or no symptoms, fracture may heal by itself. Surgical repair if loose fragment. ...Read more
OCD: Osteochondritis dissecans (ocd) should be managed by an orthopedist or sports medicine specialist. Conservative management for OCD involves 6 to 12 weeks of immobilization in a nonweightbearing cast. The prognosis for resolution of pain and movement-related symptoms for OCD of the talus is fair to good. Arthritis and decreased range of motion may occur in up to 75% of patients, depending on stage. ...Read more
Possibly Rest: For children who have osteochondritis dissecans (ocd), one of the first lines of treatment is rest and avoidance of sports. Some doctors even treat this with casting or bracing. However, there is growing evidence that the best treatment is surgical with drilling of the lesion to get it to heal or even fixation with pins or screws to prevent the piece from breaking free. ...Read more
AVASCULAR BONE: Ocd results from an area of bone in a joint 2 loose it's blood supply it is held in place by a fibrous union that moves microscopically and is painfull. It can breakloose and float around with the articular cartilage attached and health as it gets its nutriants from the joint fluid. It can cause wear, loacking and swelling of a joint and if large and in an important wt bearing part of a knee=surg. ...Read more
Fragment separation: Osteochondritis dissecans causes ankle pain and stiffness. OD affects all age groups and usually follows a twisting injury to ankle, ankle sprain. OD is segment of bone and cartilage with small fracture or separation of fragment, sometime into joint. Some believe may lose blood supply. Conservative with immobilization versus surgical therapy with detachment. ...Read more
It can be painful: Osteochondritis dissecans (ocd) occurs when there is a problem with the bone and cartilage becoming separated from the normal bone. It usually starts in children, but can persist into adulthood. If it is non displaced, there can be an achy feeling, but if it starts to detach or completely detaches, there can be symptoms of pain, clicking, locking, and swelling of the joint. ...Read more
No: Osteochondritis dissecans is a joint condition. It does not occur within a bone. ...Read more
Varies: Recovery will depend on several factors. Which joint is involved? Did a fragment need to be reattached, removed, or grafted? ...Read more
Risk of failure: If your surgeon recommended crutches, it is to unloaded the area of bone involved. By putting weight through the joint, you are risking a bad result and may have a poor outcome. ...Read more
Osteochondritis: Resting your joint. Avoid activities that put impact stress on your joint, such as jumping and running. You may need to use crutches for a time, especially if pain causes you to limp. Physical therapy. Most often, this therapy includes stretching and range-of-motion exercises, and strengthening exercises for the muscles that support the involved joint. Ultimately, surgery, if these don't work. ...Read more
I have had osteochondritis dissecans since I was 7 and I've had the bone removed but I am still in pain. Why?
No: Not going to solve this problem.Get a more detailed answer ›
Pain: On flextion and extention of the ankle joint. ...Read more
Advice 39 women, MRI on left knee osteochondritis dissecans, 2 bakers, cartiligious defect4.0 mm? O.S., did p/t, cortizone, (hydrocortisone) he sending me to neurlogist? Why
Not Sure: Unless you are having nerve type symptoms or numbness in your leg which may prompt an EMG or nerve conduction study, I am not certain why you would be referred to a neuorologist without furhter info. Your knee may require a scope to evaluate the chondral/cartilage defect better. It sounds small so may be amenable to debridement and microfracture. Probably next step. ...Read more
OCD.: Probably the osteochondritis dissecans (OCD), because it is a disease of the joint surface. Even optimally treated, OCD patients run the risk of developing arhtritis in the future. ...Read more
Charcot marie: Charcot marie syndrome is a genetic disease that affects nerves and is passed down through families. It has many factors and presents many defects to numerous to list here. There is no cure but symptoms can be managed. See your MD to start. ...Read more
My doctor says that my stage 2 &4 osteochondritis dissecans which was successfully treated with fragmetnt fixation is clinically healed. Am I cured?
For now: Time will tell if this piece stays stable and healthy. There is always potential that it could be a problem in the future. Depending on how smooth the transitions are from the fragment to the surrounding cartilage, there may or may not be future degenerative changes that occur. ...Read more
I dev. Osteochondritis dessicans in lateral chondyl femur as child. 1st surgery at 18, now 58, 5'7, 125 lbs., feel crippled by pain, swelling. Options?
Partial knee replace:
Unicompartmental knee replacement performs very well in the vast majority of patients who are appropriate candidates.
The advantages of partial knee replacement over total knee replacement include:
less pain after surgery
less blood loss
good luck. ...Read more
OCD: It varies, depending upon whether the piece is removed or repaired, weight-bearing or non-weight-bearing. It depends upon the size also of the scar--open or arthroscopic. ...Read more