The OCD is comprised of bone and cartilage and can come loose and float around inside the joint. Osteochondral injuries, also called osteochondritis dissecans, are injuries to the talus bone, characterized by damage to the bone as well as the cartilage covering it. 1955 – Older age group: • 2 nd through 4 th decade • Average age 25 years – More on lateral side – More prone to develop OA. Patients rely on our ankle specialists to provide advanced treatment options to help relieve pain from ankle injuries and restore mobility. If the injury is more severe, large pieces of bone and cartilage can break off and lie loose in the ankle joint. Those that fail to respond may be candidates for v… While initial symptoms may be similar to a sprained ankle, persistent pain, swelling, and a catching sensation while using the ankle may indicate this more serious condition. Osteochondral defect (OCD): Fractures and sprains in the ankle region cause damage to cartilage and bone in the area leading to OCD. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. At East Ocean Podiatry in South Florida, our board-certified podiatrists, Dr. Dorfman and Dr. Sansone, are at the leading edge of podiatric treatments. These are termed Osteochondral defects, or an OCD. Without blood flow, the area of damaged bone actually dies. Causes of Ankle OCD. Ankle Osteochondritis Dissecans. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. The femoral condyle is the rounded end of the lower thighbone, or femur. Posteromedial lesions occur when the foot is plantarflexed during inversion, whereas anterolateral lesions occur when the foot is dorsiflexed. OCD is an abbreviation which can stand for either Osteochondritis Dissecans or Osteochondral Defect. 1. repetitive throwing / valgus stress and gymnastics / weight bearing on upper extremity 1.1. valgus stress / compressive force on the vulnerable chondroepiphysis of the radiocapitellar joint in skeletally immature patients is supported as the aetiology for OCD of the capitellum 8 2. ankle sprain/instability 2.1. Osteochondritis Dissecans (OCD), Osteochondral Fracture of the Ankle Osteochondritis Dissecans is also known as an osteochondral bone defect. In the image, the ankle on the right indicates bone oedema. There are also possible links to hereditary conditions, poor blood supply to the injured area and compression trauma. Silicon Valley Orthopaedics takes a robust approach in providing treatment for osteochondral injuries. The predominant symptom of osteochondral injury is pain, which may be localized to the ankle joint. OCD most often occurs in the knee joint, although it can also occur in other joints including the ankle and the elbow. These foot/ankle injuries often occur when repetitive strain is a factor. Return to sports rate after microfracture is reported to be 76%, though most patients may not be able to achieve the pre-injury level. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. 2013 Sep;37(9):1697-706. doi: 10.1007/s00264-013-2076-1. Oftentimes these fractures occur when a person suffers a severe ankle sprain, but they can also occur if the foot is struck by a strong force. Healthy joints move easily because of a smooth, slippery tissue called articular cartilage. The Institute for Foot and Ankle Reconstruction is part of The Orthopedic Specialty Hospital at Mercy Medical Center. A sprain is an injury to the ligaments connecting the ankle bones. Treatment depends on the severity of the osteochondral injury. Results: A total of 104 patients with chronic ankle instability were included in this study. OCD is often diagnosed with the help of an X-ray because it can easily reveal that a fragment has chipped off of the larger bone. The most common surgical treatment is arthroscopy of the ankle. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. 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. The top rated team of doctors and surgeons at The Institute for Foot and Ankle Reconstruction at Mercy Medical Center in Baltimore, Maryland, is recognized as one of the region’s best programs for foot and ankle reconstruction and injury. Among them, 33 patients had cartilage injury on the talus (OCD group), and the other 71 patients had no cartilage injury (control group). cartilage injury with associated subchondral fracture but without detachment Our office offers the latest advancements in technology to help our young patients find relief from chronic ankle pain. X-rays of the ankle are routinely obtained but may not identify an OCD in almost 50% of cases. During his workup, an MRI shows a 1x1 cm lateral talar osteochondral defect (OCD). Often, a CT scan or MRI may be needed to confirm the diagnosis and determine the location and size of the damage. a loss of blood supply to one or more bones in the ankle, which may result in a fracture or break within the ankle joint. Top. A microfracture can then be performed by drilling holes into the underlying bone to fill the crater with a blood clot containing proteins and cells to restore a smooth surface. Symptoms of an osteochondral injury of the talus include: A foot and ankle specialist can diagnose an osteochondral injury of the talus by taking a medical history and conducting a physical exam. If there are symptoms, they may include: A physical exam can rule out other problems, but an X-ray will usually secure the diagnosis. Knee Osteoarthritis. OCD usually starts before a foal is a yearling and, without intervention, can lead to several bone and joint problems later in life. The defects cause deep ankle pain associated with weightbearing. The ankle bone, (the talus) can develop tears in the cartilage lining of the joint, which then also form cysts in the bone underneath. Treatment depends on many factors. This guide will help you understand: how OCD develops; how the condition causes problems The length of time away from activities depends on the child’s symptoms and how the follow-up X-rays look. This is usually due to an injury such as a sprain. Osteochondral Defects/Injuries Treated by Mercy's Ankle Surgeons The surgeons at The Institute for Foot and Ankle Reconstruction at Mercy in Baltimore provide expertise in the diagnosis and treatment of osteochondral defects. It occurs most often in the knee and next most often in the ankle. An osteochondral injury is an injury to the articular surface or lining of the ankle joint. An osteochondral lesion is an injury to the cartilage and underlying bone of the talus or tibia within the ankle joint. Epub 2013 Aug 28. There is often a history of multiple ankle problems that do not have a clear cause or diagnosis. What are the symptoms of a cartilage injury? It affects the articular cartilage (the smooth covering of the ends of bones) and subchondral bone (bone underneath the cartilage), which becomes separated from the rest of the bone. Mercy offers emergency care on the Downtown Baltimore campus 24 hours a day, 7 days a week (410-332-9477) with access to a trained emergency medicine team, diagnostic services and consultations with specialists. In the talus, 96% of lateral lesions and 62% of … As a result, the small piece of bone and the cartilage covering it … However, the exact cause of osteochondral injuries is not yet fully understood. Scroll through the coronal images. Knee replacement surgery is offered at Mercy Medical Center in Baltimore. Ankle Osteochondral Defect (OCD) The ankle joint is an articulation of the end of the tibia and fibula (shin bones) with the talus (heel bone). Surgery is usually required to repair Talar OCD. Most often, there are no symptoms of talus OCD. Low-grade lesions are managed with initial weight bearing modifications and therapeutic interventions. Which joints are most commonly affected by OCD? OCDs are typically caused by an injury, such as an ankle sprain or at times an ankle fracture. If the cartilage does not heal properly following the injury, it softens and begins to break off. Osteoarthritis is the most common form of arthritis and can be found in many joints, but the knee is commonly affected. It can occur in all age groups. Dr. Shani removes or repairs damaged articular cartilage and removes bone cysts that have formed. Lateral talar lesions are more common than medial lesions. In case of an Emergency, Dial 911 and follow the instructions of the EMS (Emergency Medical Services) team. Hours vary by floor, please check with the nursing staff or call 410-332-9555. These often cause swelling and pain, and can be associated with catching or sharp intermittent pain in the ankle. Unless the injury is extensive, it may take months, a year or even longer for symptoms to develop. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. Small instruments are then inserted into the joint to clean out inflammation and debris. OCD is an abbreviation which can stand for either Osteochondritis Dissecans or Osteochondral Defect. An MRI is often done to assess the nature of the OCD and the risk for it to come loose. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. Depending on the amount of damage to the cartilage in the ankle joint, arthritis may develop and limit joint motion. General visiting hours at Mercy are 11:00 am to 8:30 pm. Initial x-rays are taken to check the alignment of the foot and ankle, as well as look for any bone damage. I'm 26 and have about 5 chronic injuries. The Shoulder, Elbow, Wrist and Hand Center offers physician expertise with a dedication to advanced treatments for shoulder, elbow, wrist and hand conditions. However, it can also occur from chronic overload due to malalignment or instability of the ankle … After a long journey and years of living with a chronic disease, a patient gets back on his feet - literally. An osteochondral ankle defect is a lesion of the talar cartilage and subchondral bone mostly caused by a single or multiple traumatic events, leading to partial or complete detachment of the fragment. On images it is easy to see the extent of damage to the surface of the cartilage. I've always been prone to injury, since I was a teenager. Ankle pain can also be caused by a fracture of one of the bones in the ankle. Authors Thanos Badekas 1 , Maria Takvorian, Nikolaos Souras. This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL). It is often associated with a traumatic injury, such as a severe ankle sprain. The predominant symptom of an osteochondral injury is pain, which may be localized to the ankle joint. Symptoms of Ankle OCD. Although sprains and contusions frequently occur, it is critical that the unique aspects of the pediatric skeleton and its associated vulnerability are considered. Surgery. The treatment for an osteochondral defect of the talus is extremely varied and depends on the size of the defect and the extent of bone and cartilage loss. Ankle arthroscopy can help locate and remove the loose bodies. These can range from bone grafting to more sophisticated treatments in which portions of the talus have to be replaced using large grafts obtained from the patient’s knee or from a cadaver. Mercy doctors and specialists have offices in Baltimore, Columbia, Overlea, Lutherville, Glen Burnie and Reisterstown. Osteochondritis dissecans of the ankle tends to have a low level of chronic persistent pain, a variable amount of swelling which is often intermittent and not severe. The presence of an osteochondral lesion may initially go undetected and may manifest many months after the initial ankle injury. A 2020 TOP DOC The knee, ankle and elbow are the most commonly affected joints. "Many young athletes are performing and practicing at levels that put their bodies at risk for over-use injuries, like OCD." Choi et al. Mercy Medical Center's downtown campus includes our Main Hospital - The Mary Catherine Bunting Center, McAuley Plaza and The Weinberg Center. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. Titans tight end Delanie Walker is set to undergo surgery on his season-ending ankle injury, and Lions defensive end Ezekiel Ansah suffered a shoulder injury. It can occur in all age groups. Impaired function, limited range of motion, stiffness, catching, locking an… The natural causes of osteochondral injuries are still not clear.. A condition known as osteochondritis dissecans is characterized by damage and separation of a piece of bone and cartilage within the joint,from the underlying bone. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. Normally, the soft cartilage cells of a young horse convert naturally to solid bone and the process is known as endochondral ossification. It can occur in all age groups. This guide will help you understand We know that this latter situation can lead to early arthritis. 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