Osteochondral lesions, also known as osteochondritis dissecans, are areas of damaged bone and cartilage on the surface of the ankle bone (the talus), usually caused by an ankle injury. 50-75% will heal without fragmentation. Select all / Deselect all. Osteochondritis Dissecans: Diagnosis and Treatment Options for Athletes: An Issue of Clinics in Sports Medicine, E-Book. Both of the weak … Many theories about the underlying cause has been proposed – trauma, overuse, vascular, genetic – but it is still unclear why some adolescent athletes develop this problem. Robertson W, Kelly BT, Green DW. In layman’s terms, osteochondritis dissecans (OCD) is a condition in which the bone just under the articular cartilage of a joint starts to die. Once the diagnosis has been confirmed, treatment may be surgical or non-surgical, depending on the nature of the OLT, presence of other injuries, and patient characteristics. Osteochondritis dissecans of the talus involving the subtalar joint: a case report. Osteochondritis dissecans; A large flap lesion in the femur head typical of late stage Osteochondritis dissecans. Mögliche Ursachen können Mikro- oder Makrotraumata sowie Ischämie oder Störungen der … : Pronunciation / ˌ ɒ s t i. oʊ k ɒ n ˈ d r aɪ t ɪ s ˈ d ɪ s ɪ k æ n z / PMID: 24698042. by Matthew D Milewski, MD. Receive an update when the latest issues in this journal are published. Curr Opin Pediatr 2003; 15:38. Tell readers what you thought … Treatments of Osteochondritis dissecans . The specific reason that these loose pieces emerge is unknown, which has made it difficult to prevent them and to effectively treat them. Males are typically affected twice as often as females, with a higher incidence occurring in young athletes. It is less common in girls, but the upper age cutoff for might be lower. Osteochondritis dissecans is a condition that occurs in the joints (the place where the end of one bone meets the end of another bone) when a lack of blood to the joint causes the bone inside to soften. Osteochondritis Dissecans: Diagnosis and Treatment Options for Athletes: An Issue of Clinics in Sports Medicine, E-Book (The Clinics: Orthopedics 33) (English Edition) eBook: Milewski, Matthew D: … Osteochondritis dissecans of the distal femur and patella. In a meta-analysis of the literature, 96% of lateral lesions and 62% of medial lesions were associated with direct trauma. Osteochondritis Dissecans is a relatively common childhood problem in the knee. In book: Sports Injuries of the Elbow (pp.63-72) Authors: Christiaan J A van Bergen. Osteochondritis dissecans of the knee in children. Talusan PG, Milewski MD, Toy JO, Wall EJ Clin Sports Med 2014 Apr;33(2):267-84. doi: 10.1016/j.csm.2014.01.003. Unfallchirurg 115:1099–1108; quiz 1109–1110 Diagnosis and treatment. Osteochondritis dissecans of the talus (203413004) ... Osteochondritis dissecans of the talus: diagnosis and treatment in athletes. 33 - N° 2 - p. 267-284 - Osteochondritis Dissecans of the Talus : Diagnosis and Treatment in Athletes - EM|consulte Schnelle Lieferung, auch auf Rechnung - lehmanns.de Unfallchirurg 115:1099–1108; quiz 1109–1110 CrossRef Google Scholar This results in a small piece of the bone dying and separating from the larger bone. Osteochondritis Dissecans: Diagnosis and Treatment Options for Athletes. The ankle is the third most frequently affected site, after the knee and elbow, and it accounts for 4% of all OCD cases (1, 2). See osteochondral injury staging and osteochondritis dissecans surgical staging. Retrograde Percutaneous Drilling for Osteochondritis Dissecans of the Head of the Talus: Case Report and Review of the Literature Author links open overlay panel Laura Corominas MD, PhD 1 Ignacio Sanpera Jr. MD, PhD 1 Karim Masrouha MD 2 Julia Sanpera-Iglesias MD 3 If you suffer an ankle sprain (or any kind of trauma to the ankle) and the cartilage fails to heal properly, bits of cartilage may break off and float around in the space between the bones in your ankle. Osteochondritis dissecans of the talus: diagnosis and treatment in athletes. Bradley JP(1), Petrie RS. Osteochondral injuries occur in an estimated 6.5% of all ankle sprains. The name means bone and cartilage breaking away from the underlying bone. 4 Osteochondritis dissecans can be asymptomatic, but common symptoms include pain as well as mechanical symptoms such as locking or catching when cartilage detaches from the underlying defective subchondral bone. Osteochondritis Dissecans of the Elbow. Radiographic features Plain radiograph. Operative diagnostic arthroscopy. Non-surgical treatment . Clin Sports Med 1997; 16:157. Volume 33, Issue 2, Pages 181-388 (April 2014) Download full issue. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. The incidence of osteochondritis dissecans of the talus is approximately 0.09%, and it most commonly affects those in the second decade of life. Treatment: Nonoperative . Die Osteochondrosis dissecans wird im ICD10 den Chondropathien zugeordnet. Purchase Osteochondritis Dissecans: Diagnosis and Treatment Options for Athletes: An Issue of Clinics in Sports Medicine, Volume 33-2 - 1st Edition. Talusan PG, Milewski MD, Toy JO, Wall EJ. Because clinical findings are often subtle, diagnosis requires a high index of suspicion. Obedian RS, Grelsamer RP. Download PDFs Export citations. This issue of Clinics in Sports Medicine will include the diagnosis and treatment of Osteochondritis Dissecans in athletes. Osteochondritis dissecans (OCD) refers to loose bodies found in joints. This bone piece, along with cartilage that covers and protects the bone, can then crack and break loose. Diagnosis and treatment. Next vol/issue. This clinical practice guideline is based on a series of systematic reviews of published studies in the available literature on the diagnosis and treatment of osteochondritis dissecans of the knee. This issue of Clinics in Sports Medicine will include the diagnosis and treatment of Osteochondritis Dissecans in athletes. Print Book & … Osteochondritis Dissecans: Diagnosis and Treatment Options for Athletes: An Issue of Clinics in Sports Medicine (ISBN 978-0-323-29014-2) bestellen. There is an increasing prevalence of this condition in athletic teenage girls. The Clinics: Orthopedics (Book Volume 33-2) Share your thoughts Complete your review. Actions for selected articles. 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. Tol JL, Struijs PA, Bossuyt PM, et al. Osteochondritis dissecans occurs in approximately 15 to 29 per 100,000 patients. 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. Osteochondritis dissecans (OCD) of the humeral capitellum is a critical elbow injury in adolescent overhead throwing athletes. Edited by Matthew D. Milewski, Carl W. Nissen. No single treatment works for everybody. Several potential causes of OCD have been put forward, including genetic predisposition, vascular deficiency, and inflammation. Osteochondritis dissecans is the most common cause of a loose body in the joint space in adolescent patients. 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