Materiały źródłowe

• #1 Osteochondritis Dissecans (OCD): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21073-osteochondritis-dissecans

  Osteochondritis dissecans (OCD) happens when a section of bone and cartilage in one of your joints loses its blood supply. This makes that piece soft and weak. Eventually, the affected section of bone might break loose. You may be able to treat OCD at home with rest and over-the-counter anti-inflammatory medications. Some people need surgery to repair the joint. […] Your provider will suggest treatments that help your joint heal and restore blood flow to your affected bone. The most common OCD treatments include: Rest: Avoiding more stress on your joint is the best way to help it heal. You may need to stop playing sports or doing intense physical activities for a month or two. […] Your provider might suggest surgery if you’ve tried other treatments and still have severe symptoms after a few months.

• #2 Osteochondritis Dissecans

  https://www.nationwidechildrens.org/specialties/sports-medicine/sports-medicine-articles/osteochondritis-dissecans

  Osteochondritis dissecans is an injury or condition affecting a surface of the joint that involves separation of a segment of cartilage and the underlying bone. […] Initial treatment consists of medications and ice to relieve pain and reduce the swelling of the affected joint. For the knee or ankle, walking with crutches until you walk without a limp is often recommended. […] Patients with persistent pain after initial treatment or with loose fragments within the joint often require surgery. […] Nonsteroidal anti-inflammatory medications, such as ibuprofen, or other minor pain relievers, such as acetaminophen, are often recommended. […] Cold is used to relieve pain and reduce inflammation for acute and chronic cases. […] Heat may be used before performing stretching and strengthening activities prescribed by your physician, physical therapist, or athletic trainer.

• #3 Osteochondritis Dissecans of the Knee – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK538194/

  Experts recommend surgery for treating osteochondritis dissecans of the knee if conservative measures are not suitable or prove ineffective after 3 to 6 months. […] If the osteochondritis dissecans lesion appears stable during arthroscopy, the patient may undergo subchondral drilling using either a transchondral or retrograde approach with k-wire placement, which leads to the formation of fibrocartilage tissue. […] Clinicians should refer to an orthopedic or sports medicine specialist based on the likelihood of lesion healing with nonoperative therapy. […] In patients with osteochondritis dissecans, a segment of subchondral bone and articular cartilage separates from the underlying bone, and the fragments of bone may be stable or unstable.

• #4 Osteochondritis Dissecans | Symptoms, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/o/osteochondritis-dissecans

  Osteochondritis dissecans is most common in growing children, ages 8-16, who are very active in sports. It often starts as a mild, aching pain that can get worse over time. The pain may occur after an injury or trauma to a joint. Without treatment, osteochondritis dissecans can lead to further joint damage and early development of osteoarthritis. […] Most patients start with non-surgical treatment for osteochondritis dissecans. The first step is to rest the joint. Children must stop playing most sports for at least two to four months. During that time, they also may use crutches, a brace or a cast to reduce pressure and protect the joint. […] Physical therapy for osteochondritis dissecans is also used as a non-surgical treatment. Its important to start a physical therapy routine quickly after an injury. Physical therapy can address pain, range of motion and strength while protecting the joint as it heals. The goal of physical therapy is to get children back to their previous activities.

• #5 Osteochondritis Dissecans of the Knee – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK538194/

  Osteochondritis dissecans of the knee is a relatively rare condition, categorized as a form of osteonecrosis that affects the subchondral bone. The condition tends to manifest as knee dysfunction and pain, predominantly affecting school-aged children and adolescents. […] Over 50% of children with osteochondritis dissecans typically recover through conservative measures within 6 to 18 months, whereas adults often necessitate surgical intervention. […] Initial treatment for stable lesions includes rest, nonsteroidal anti-inflammatory drugs, activity avoidance, and physical therapy. […] Nonoperative treatment for all juvenile patients without a displaced fragment or stage I to III disease includes cessation of participation in sports, immobilization of the knee with a cast, splint, or hinged brace for 4 to 6 weeks, and initiation of physical therapy after immobilization.

• #6 Osteochondritis dissecans – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/osteochondritis-dissecans/diagnosis-treatment/drc-20375891

  Treatment of osteochondritis dissecans is intended to restore the normal functioning of the affected joint and relieve pain, as well as reduce the risk of osteoarthritis. No single treatment works for everybody. In children whose bones are still growing, the bone defect may heal with a period of rest and protection. […] Initially, your doctor will likely recommend conservative measures, which might include: […] Resting your joint. Avoid activities that stress your joint, such as jumping and running if your knee is affected. You might need to use crutches for a time, especially if pain causes you to limp. Your doctor might also suggest wearing a splint, cast or brace to immobilize the joint for a few weeks. […] Physical therapy. Most often, this therapy includes stretching, range-of-motion exercises and strengthening exercises for the muscles that support the involved joint. Physical therapy is commonly recommended after surgery, as well.

• #7 Osteochondritis Dissecans Symptoms and Treatment

  https://www.gillettechildrens.org/conditions-care/osteochondritis-dissecans

  Osteochondritis dissecans (OCD) is a condition in which a piece of bone loses blood supply and begins to separate from the surrounding bone. That piece, along with its overlying cartilage, can become loose. […] The goals of OCD treatment are to restore joint function, relieve pain, and reduce the risk of developing osteoarthritis in the affected joint. […] Depending on your child’s age and the seriousness of the condition, specialists at Gillette Children’s might recommend a combination of the following treatments. […] Specialists might recommend avoiding activities that cause additional stress to the joint. In some cases, we recommend using crutches to reduce stress on the joint. […] If pain becomes a problem, we might prescribe anti-inflammatory medicines. […] We might recommend physical therapy to help your child strengthen muscles and maintain range of motion.

• #8 Osteochondritis Dissecans of the Knee – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK538194/

  Osteochondritis dissecans of the knee is a relatively rare condition, categorized as a form of osteonecrosis that affects the subchondral bone. The condition tends to manifest as knee dysfunction and pain, predominantly affecting school-aged children and adolescents. […] Over 50% of children with osteochondritis dissecans typically recover through conservative measures within 6 to 18 months, whereas adults often necessitate surgical intervention. […] Initial treatment for stable lesions includes rest, nonsteroidal anti-inflammatory drugs, activity avoidance, and physical therapy. […] Nonoperative treatment for all juvenile patients without a displaced fragment or stage I to III disease includes cessation of participation in sports, immobilization of the knee with a cast, splint, or hinged brace for 4 to 6 weeks, and initiation of physical therapy after immobilization.

• #9 Osteochondritis Dissecans (OCD): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21073-osteochondritis-dissecans

  Osteochondritis dissecans (OCD) happens when a section of bone and cartilage in one of your joints loses its blood supply. This makes that piece soft and weak. Eventually, the affected section of bone might break loose. You may be able to treat OCD at home with rest and over-the-counter anti-inflammatory medications. Some people need surgery to repair the joint. […] Your provider will suggest treatments that help your joint heal and restore blood flow to your affected bone. The most common OCD treatments include: Rest: Avoiding more stress on your joint is the best way to help it heal. You may need to stop playing sports or doing intense physical activities for a month or two. […] Your provider might suggest surgery if you’ve tried other treatments and still have severe symptoms after a few months.

• #10 Osteochondritis dissecans – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/osteochondritis-dissecans/diagnosis-treatment/drc-20375891

  Treatment of osteochondritis dissecans is intended to restore the normal functioning of the affected joint and relieve pain, as well as reduce the risk of osteoarthritis. No single treatment works for everybody. In children whose bones are still growing, the bone defect may heal with a period of rest and protection. […] Initially, your doctor will likely recommend conservative measures, which might include: […] Resting your joint. Avoid activities that stress your joint, such as jumping and running if your knee is affected. You might need to use crutches for a time, especially if pain causes you to limp. Your doctor might also suggest wearing a splint, cast or brace to immobilize the joint for a few weeks. […] Physical therapy. Most often, this therapy includes stretching, range-of-motion exercises and strengthening exercises for the muscles that support the involved joint. Physical therapy is commonly recommended after surgery, as well.

• #11 Osteochondritis Dissecans

  https://www.nationwidechildrens.org/specialties/sports-medicine/sports-medicine-articles/osteochondritis-dissecans

  Osteochondritis dissecans is an injury or condition affecting a surface of the joint that involves separation of a segment of cartilage and the underlying bone. […] Initial treatment consists of medications and ice to relieve pain and reduce the swelling of the affected joint. For the knee or ankle, walking with crutches until you walk without a limp is often recommended. […] Patients with persistent pain after initial treatment or with loose fragments within the joint often require surgery. […] Nonsteroidal anti-inflammatory medications, such as ibuprofen, or other minor pain relievers, such as acetaminophen, are often recommended. […] Cold is used to relieve pain and reduce inflammation for acute and chronic cases. […] Heat may be used before performing stretching and strengthening activities prescribed by your physician, physical therapist, or athletic trainer.

• #12 Osteochondritis Dissecans (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/osteochondritis-dissecans.html

  Osteochondritis dissecans treatment includes: Rest. At first, this usually means complete rest and no weight bearing at all. Then, light daily life activities and weight bearing, as tolerated, can be introduced slowly. A cast, splint, or brace might be worn to keep the joint still. […] Kids with osteochondritis dissecans usually need at least a few months off from sports. Kids who had surgery will need more time to heal. Returning to sports too soon can lead to long-term pain and joint problems. […] Kids should only go back to sports if they: do not have pain in the area, do not have any trouble doing everyday activities, have followed their doctor’s recommendations for resting the joint and PT, have been cleared for sports by their doctor. […] Kids with osteochondritis dissecans heal best when they: Go to all follow-up doctor visits, Follow the recommendations for rest and PT, Don’t go back to sports until the doctor says it’s OK.

• #13 Osteochondritis Dissecans | Symptoms, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/o/osteochondritis-dissecans

  Osteochondritis dissecans is most common in growing children, ages 8-16, who are very active in sports. It often starts as a mild, aching pain that can get worse over time. The pain may occur after an injury or trauma to a joint. Without treatment, osteochondritis dissecans can lead to further joint damage and early development of osteoarthritis. […] Most patients start with non-surgical treatment for osteochondritis dissecans. The first step is to rest the joint. Children must stop playing most sports for at least two to four months. During that time, they also may use crutches, a brace or a cast to reduce pressure and protect the joint. […] Physical therapy for osteochondritis dissecans is also used as a non-surgical treatment. Its important to start a physical therapy routine quickly after an injury. Physical therapy can address pain, range of motion and strength while protecting the joint as it heals. The goal of physical therapy is to get children back to their previous activities.

• #14 Osteochondritis dissecans – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/osteochondritis-dissecans/diagnosis-treatment/drc-20375891

  Treatment of osteochondritis dissecans is intended to restore the normal functioning of the affected joint and relieve pain, as well as reduce the risk of osteoarthritis. No single treatment works for everybody. In children whose bones are still growing, the bone defect may heal with a period of rest and protection. […] Initially, your doctor will likely recommend conservative measures, which might include: […] Resting your joint. Avoid activities that stress your joint, such as jumping and running if your knee is affected. You might need to use crutches for a time, especially if pain causes you to limp. Your doctor might also suggest wearing a splint, cast or brace to immobilize the joint for a few weeks. […] Physical therapy. Most often, this therapy includes stretching, range-of-motion exercises and strengthening exercises for the muscles that support the involved joint. Physical therapy is commonly recommended after surgery, as well.

• #15 Guide | Physical Therapy Guide to Osteochondritis Dissecans | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-osteochondritis-dissecans

  Osteochondritis dissecans, or OCD, is a condition that involves damage within a joint. This condition makes the cartilage unstable and at risk for detaching from the bone. […] Surgery is sometimes required, and proper OCD management often takes many health care providers, including a physical therapist. If found early, a physical therapist can treat OCD without surgery. They also help people recover after any needed surgery. […] Physical therapists are movement experts. They improve quality of life through hands-on care, patient education, and prescribed movement. […] Your physical therapist will design a treatment program specific to your condition and goals. Your treatment plan may include: […] Your physical therapist may recommend decreasing the weight you put on your leg if you have an OCD lesion in your ankle or knee.

• #16 Guide | Physical Therapy Guide to Osteochondritis Dissecans | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-osteochondritis-dissecans

  Your physical therapist will assess these muscle groups. […] Your physical therapist may use hands-on therapy to gently move and stretch muscles and joints. […] Your physical therapist may recommend treatments like ice and heat to aid in pain management. […] Your physical therapist will refer you to a surgeon if needed. They also will work with you after surgery to help you safely recover. […] Seeing a physical therapist may decrease a young person’s risk for developing OCD. A physical therapist can help people: […] You may want to consider: […] Call ahead to see if the physical therapist has experience treating OCD lesions.

• #17 Guide | Physical Therapy Guide to Osteochondritis Dissecans | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-osteochondritis-dissecans

  Your physical therapist will assess these muscle groups. […] Your physical therapist may use hands-on therapy to gently move and stretch muscles and joints. […] Your physical therapist may recommend treatments like ice and heat to aid in pain management. […] Your physical therapist will refer you to a surgeon if needed. They also will work with you after surgery to help you safely recover. […] Seeing a physical therapist may decrease a young person’s risk for developing OCD. A physical therapist can help people: […] You may want to consider: […] Call ahead to see if the physical therapist has experience treating OCD lesions.

• #18 Osteochondritis dissecans – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/osteochondritis-dissecans/diagnosis-treatment/drc-20375891

  If you have a loose fragment in your joint, if the affected area is still present after your bones have stopped growing, or if conservative treatments don’t help after four to six months, you might need surgery. The type of surgery will depend on the size and stage of the injury and how mature your bones are.

• #19 Osteochondritis Dissecans of the Knee – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK538194/

  Experts recommend surgery for treating osteochondritis dissecans of the knee if conservative measures are not suitable or prove ineffective after 3 to 6 months. […] If the osteochondritis dissecans lesion appears stable during arthroscopy, the patient may undergo subchondral drilling using either a transchondral or retrograde approach with k-wire placement, which leads to the formation of fibrocartilage tissue. […] Clinicians should refer to an orthopedic or sports medicine specialist based on the likelihood of lesion healing with nonoperative therapy. […] In patients with osteochondritis dissecans, a segment of subchondral bone and articular cartilage separates from the underlying bone, and the fragments of bone may be stable or unstable.

• #20 Osteochondritis Dissecans (OCD)

  https://www.nationwidechildrens.org/conditions/osteochondritis-dissecans-ocd

  OCD lesions can develop when the area of bone beneath the cartilage is injured. […] A loose piece of bone in the joint can cause pain, swelling, and issues with range of motion. Unstable or detached lesions may need surgery to prevent long-term issues. […] Initial treatment involves an examination in the office. […] A stable lesion can often be treated with rest, decreased activity, and close follow-up. […] Without early treatment, the lesion can become unstable or completely detached. This will need surgery to repair. […] The condition may require surgical treatment if: decreased activity has failed to make the condition better; the child is older and has less growth remaining (which means less healing potential); the lesion is larger than 1cm in diameter; or if the piece has separated from the bone.

• #21 Osteochondritis Dissecans – Seattle Children’s

  https://www.seattlechildrens.org/conditions/osteochondritis-dissecans/

  When surgery is needed, we often do procedures that use special tools called arthroscopes. These tools let doctors get to the joint without opening it up. Instead, they get to it through very small cuts (incisions). […] Compared to open surgery, arthroscopy means your child may: recover faster, have fewer problems after surgery, have less pain and stiffness during recovery. […] For osteochondritis dissecans, we do surgeries to: promote healing of stable lesions by drilling tiny holes in the bone to improve blood flow, screw or pin an unstable lesion in place so it doesn’t come loose and can heal, remove bone and cartilage that came loose and then transplant bone or cartilage in its place. […] At Seattle Children’s, your care team includes experienced pediatricians, pediatric orthopedic surgeons, nurse practitioners, physician assistants, nurses, certified medical assistants, registered orthopedic technologists and a rehabilitation medicine doctor.

• #22 Osteochondritis dissecans surgery: What to know

  https://www.medicalnewstoday.com/articles/osteochondritis-dissecans-surgery

  Several surgical options exist for treating osteochondritis dissecans. They include: drilling, which creates pathways for blood vessels to develop and provide nourishment to the area, aiding healing and recovery; fixation, which uses pins, screws, or other materials to hold the lesion in place; cartilage grafting, which involves adding a new piece of cartilage and bone to allow the growth of new healthy bone and cartilage in the damaged area. […] In most cases, a surgeon will perform the procedure arthroscopically. […] A person can discuss preparation for the surgery with the performing surgeon or medical team. […] Although times may vary, a person will typically require crutches for the first 612 weeks after surgery if the affected joint is weight bearing, such as the knee. […] They will also typically require 24 months of physical therapy.

• #23 Osteochondritis Dissecans – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK526091/

  Osteochondritis dissecans (OCD), also known as an osteochondral lesion, is not a fully understood process, though it is believed to be multi-factorial in etiology. […] Therefore, early recognition and treatment are important to achieve favorable long-term outcomes. […] The patients age, time of presentation, severity of symptoms, and stability of the lesion will dictate treatment. […] In stable lesions, conservative management is preferred with immobilization and protected weight-bearing for a length of time, depending on which joint is affected. […] Patients with stable lesions that fail conservative treatment may be treated with drilling techniques (retroarticular or transarticular drilling). […] When lesions are unstable or displaced, surgical intervention is necessary, typically performed arthroscopically.

• #24 Osteochondritis Dissecans – Seattle Children’s

  https://www.seattlechildrens.org/conditions/osteochondritis-dissecans/

  When surgery is needed, we often do procedures that use special tools called arthroscopes. These tools let doctors get to the joint without opening it up. Instead, they get to it through very small cuts (incisions). […] Compared to open surgery, arthroscopy means your child may: recover faster, have fewer problems after surgery, have less pain and stiffness during recovery. […] For osteochondritis dissecans, we do surgeries to: promote healing of stable lesions by drilling tiny holes in the bone to improve blood flow, screw or pin an unstable lesion in place so it doesn’t come loose and can heal, remove bone and cartilage that came loose and then transplant bone or cartilage in its place. […] At Seattle Children’s, your care team includes experienced pediatricians, pediatric orthopedic surgeons, nurse practitioners, physician assistants, nurses, certified medical assistants, registered orthopedic technologists and a rehabilitation medicine doctor.

• #25 Osteochondritis Dissecans | Symptoms, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/o/osteochondritis-dissecans

  During recovery from osteochondritis dissecans surgery, most children are on crutches for at least six weeks. They also complete two to four months of physical therapy to rebuild strength in their joint. […] Osteochondritis dissecans healing times vary by child. It usually takes at least four months to heal. About 90% of children are healed within a year.

• #26 Osteochondritis Dissecans (OCD)

  https://www.nationwidechildrens.org/conditions/osteochondritis-dissecans-ocd

  After surgery, your child will be on crutches or in a sling for up to 6 weeks. […] The practitioner will discuss with you what activity restrictions your child will have. […] Your child cannot participate in gym class until cleared by the practitioner. Your child should participate in only low energy activities.

• #27 Osteochondritis Dissecans: A Diagnosis Not to Miss | AAFP

  https://www.aafp.org/pubs/afp/issues/2000/0101/p151.html

  Following surgery, range-of-motion exercises should be initiated early. Quadriceps strengthening may promote overall knee stability. Patients should be followed at three-month intervals with a clinical history and physical examination until symptoms resolve. Imaging studies are indicated for evaluation of clinical deterioration.

• #28 Osteochondritis dissecans surgery: What to know

  https://www.medicalnewstoday.com/articles/osteochondritis-dissecans-surgery

  Several surgical options exist for treating osteochondritis dissecans. They include: drilling, which creates pathways for blood vessels to develop and provide nourishment to the area, aiding healing and recovery; fixation, which uses pins, screws, or other materials to hold the lesion in place; cartilage grafting, which involves adding a new piece of cartilage and bone to allow the growth of new healthy bone and cartilage in the damaged area. […] In most cases, a surgeon will perform the procedure arthroscopically. […] A person can discuss preparation for the surgery with the performing surgeon or medical team. […] Although times may vary, a person will typically require crutches for the first 612 weeks after surgery if the affected joint is weight bearing, such as the knee. […] They will also typically require 24 months of physical therapy.

• #29 Osteochondritis Dissecans | Pinnacle Orthopaedics

  https://www.pinnacle-ortho.com/osteochondritis-dissecans-ocd

  If the problem is recognized and diagnosed early then immobilization by cast or soft knee immobilizer may be the prescribed treatment, along with 4 to 6 weeks of rest including little or no weight bearing. […] Once x-rays show good position and healing, the doctor will allow more activity to proceed. […] In the older patient, or the more chronic the lesion, surgery is often the treatment of choice. […] Sometimes the surgery can be done arthroscopically, but regardless of the surgical method, cast immobilization for up to 8 weeks will be necessary. […] If pins are used during the operation, then a second operation will be later performed to remove the pins.

• #30 Osteochondritis Dissecans – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK526091/

  The overall goal of surgery is the promotion of cartilage reformation and/or repair of the articular surface to prevent early-onset osteoarthritis. […] The diagnosis and management of osteochondritis dessecans is with an interprofessional team that consists of a radiologist, orthopedic surgeon, physical therapist, nurse practitioner, and primary caregiver.

• #31 Osteochondritis Dissecans: A Diagnosis Not to Miss | AAFP

  https://www.aafp.org/pubs/afp/issues/2000/0101/p151.html

  Following surgery, range-of-motion exercises should be initiated early. Quadriceps strengthening may promote overall knee stability. Patients should be followed at three-month intervals with a clinical history and physical examination until symptoms resolve. Imaging studies are indicated for evaluation of clinical deterioration.

• #32 Osteochondritis dissecans | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/osteochondritis-dissecans

  Osteochondritis dissecans (OCD) is a condition in which a portion of bone or cartilage separates (either partially or completely) from the surface of the joint and creates pain, swelling and sometimes a locking sensation. […] The first step in treating OCD of the knee, elbow, or ankle is to modify your child’s activities. Your child may need to temporarily change his sport or stop all activity in it. […] Your child with OCD injuries should continue to be monitored periodically by a physician. […] If your child had surgery, he will need to see the orthopedic surgeon about one to two weeks after surgery, then again at three and six months post-surgery. […] Follow-up care and ongoing support and services are available throughout our CHOP Care Network. Our team is committed to partnering with parents and referring physicians to provide the most current, comprehensive and specialized care possible for your child.

• #33 Osteochondritis Dissecans (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/osteochondritis-dissecans.html

  Osteochondritis dissecans treatment includes: Rest. At first, this usually means complete rest and no weight bearing at all. Then, light daily life activities and weight bearing, as tolerated, can be introduced slowly. A cast, splint, or brace might be worn to keep the joint still. […] Kids with osteochondritis dissecans usually need at least a few months off from sports. Kids who had surgery will need more time to heal. Returning to sports too soon can lead to long-term pain and joint problems. […] Kids should only go back to sports if they: do not have pain in the area, do not have any trouble doing everyday activities, have followed their doctor’s recommendations for resting the joint and PT, have been cleared for sports by their doctor. […] Kids with osteochondritis dissecans heal best when they: Go to all follow-up doctor visits, Follow the recommendations for rest and PT, Don’t go back to sports until the doctor says it’s OK.

• #34 Osteochondritis Dissecans (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/osteochondritis-dissecans.html

  Osteochondritis dissecans treatment includes: Rest. At first, this usually means complete rest and no weight bearing at all. Then, light daily life activities and weight bearing, as tolerated, can be introduced slowly. A cast, splint, or brace might be worn to keep the joint still. […] Kids with osteochondritis dissecans usually need at least a few months off from sports. Kids who had surgery will need more time to heal. Returning to sports too soon can lead to long-term pain and joint problems. […] Kids should only go back to sports if they: do not have pain in the area, do not have any trouble doing everyday activities, have followed their doctor’s recommendations for resting the joint and PT, have been cleared for sports by their doctor. […] Kids with osteochondritis dissecans heal best when they: Go to all follow-up doctor visits, Follow the recommendations for rest and PT, Don’t go back to sports until the doctor says it’s OK.

• #35 Osteochondritis Dissecans | Symptoms, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/o/osteochondritis-dissecans

  During recovery from osteochondritis dissecans surgery, most children are on crutches for at least six weeks. They also complete two to four months of physical therapy to rebuild strength in their joint. […] Osteochondritis dissecans healing times vary by child. It usually takes at least four months to heal. About 90% of children are healed within a year.

• #36 Juvenile Osteochondritis Dissecans | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/juvenile-osteochondritis-dissecans/

  Juvenile Osteochondritis Dissecans (JOCD) is a disorder which occurs in young people whose growth plates havent closed yet. […] Most children with JOCD are treated conservatively at first, with a long period of rest from physical activities. Your physician will often recommend bracing or casting during this rest period. […] Unfortunately, JOCD often requires a long period of rest from sports to allow for healing. The time until return-to-sports is different for each child. Your physician will provide you with guidelines about a gradual return to activities after treatment.

• #37 Osteochondritis Dissecans (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/osteochondritis-dissecans.html

  Osteochondritis dissecans treatment includes: Rest. At first, this usually means complete rest and no weight bearing at all. Then, light daily life activities and weight bearing, as tolerated, can be introduced slowly. A cast, splint, or brace might be worn to keep the joint still. […] Kids with osteochondritis dissecans usually need at least a few months off from sports. Kids who had surgery will need more time to heal. Returning to sports too soon can lead to long-term pain and joint problems. […] Kids should only go back to sports if they: do not have pain in the area, do not have any trouble doing everyday activities, have followed their doctor’s recommendations for resting the joint and PT, have been cleared for sports by their doctor. […] Kids with osteochondritis dissecans heal best when they: Go to all follow-up doctor visits, Follow the recommendations for rest and PT, Don’t go back to sports until the doctor says it’s OK.

• #38 Osteochondritis Dissecans | Columbia Orthopedic Surgery

  https://www.columbiaortho.org/patient-care/specialties/pediatric-orthopedics/conditions-treatments/sports-medicine/osteochondritis-dissecans

  Osteochondritis dissecans (OCD) is a condition that develops in joints. […] A critical part of the workup and diagnosis of an OCD lesion in a growing athlete is determining if the lesion is stable or if it has displaced, and is floating around the joint (unstable). Whether the lesion is stable or not dictates the treatment recommendations. […] In general, most children are able to get back to their previous activity level. Most OCD lesions are stable and between 50-66% respond favorably to rest and immobilization. […] The duration of activity restriction and rest from sports depends on the lesion, size and location. […] Your growing athlete will need to meet with a physiotherapist postoperatively to help gradually return to activities. In general, there is a good chance to return to previous activity level and sport.

• #39 Osteochondritis Dissecans (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/osteochondritis-dissecans

  Surgery is indicated in cases in which conservative treatment fails, for loose bodies and in cases of unstable or dislocated lesions, especially for adult OCD. Surgical approaches include: Arthroscopic subchondral drilling to promote revascularisation, Arthroscopic debridement and fragment stabilisation, Arthroscopic excision, curettage and drilling, Open removal of loose bodies, reconstruction of the crater base and potential replacement with fixation, Bone grafting and autologous chondrocyte transplantation. […] OCD can result in pain, functional impairment, knee joint effusions, loose body formation and osteoarthritis. […] Osteochondritis dissecans prognosis depends on the age of the patient, the affected joint and the stage of the lesion at presentation. Younger patients with small, stable medial femoral condylar lesions have the best prognosis. Unstable lesions can heal after stabilisation; however, long-term prognosis is not clear. Chronic loose fragments can be difficult to fix and tend to heal poorly. Excision of large lesions from weight-bearing zones also tend to give poor results.

• #40 Osteochondritis Dissecans | Columbia Orthopedic Surgery

  https://www.columbiaortho.org/patient-care/specialties/pediatric-orthopedics/conditions-treatments/sports-medicine/osteochondritis-dissecans

  Osteochondritis dissecans (OCD) is a condition that develops in joints. […] A critical part of the workup and diagnosis of an OCD lesion in a growing athlete is determining if the lesion is stable or if it has displaced, and is floating around the joint (unstable). Whether the lesion is stable or not dictates the treatment recommendations. […] In general, most children are able to get back to their previous activity level. Most OCD lesions are stable and between 50-66% respond favorably to rest and immobilization. […] The duration of activity restriction and rest from sports depends on the lesion, size and location. […] Your growing athlete will need to meet with a physiotherapist postoperatively to help gradually return to activities. In general, there is a good chance to return to previous activity level and sport.

• #41 Osteochondritis Dissecans (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/osteochondritis-dissecans

  Surgery is indicated in cases in which conservative treatment fails, for loose bodies and in cases of unstable or dislocated lesions, especially for adult OCD. Surgical approaches include: Arthroscopic subchondral drilling to promote revascularisation, Arthroscopic debridement and fragment stabilisation, Arthroscopic excision, curettage and drilling, Open removal of loose bodies, reconstruction of the crater base and potential replacement with fixation, Bone grafting and autologous chondrocyte transplantation. […] OCD can result in pain, functional impairment, knee joint effusions, loose body formation and osteoarthritis. […] Osteochondritis dissecans prognosis depends on the age of the patient, the affected joint and the stage of the lesion at presentation. Younger patients with small, stable medial femoral condylar lesions have the best prognosis. Unstable lesions can heal after stabilisation; however, long-term prognosis is not clear. Chronic loose fragments can be difficult to fix and tend to heal poorly. Excision of large lesions from weight-bearing zones also tend to give poor results.

• #42 Osteochondritis Dissecans: Knee Joint Cartilage Pain | HSS

  https://www.hss.edu/condition-list_osteochondritis-dissecans-knee.asp

  The patient’s bone development, symptoms, and stability of the affected area all play a role in determining whether surgery is necessary. […] Surgery is performed for an unstable OCD (breach in the overlying joint cartilage), a stable lesion that does not heal with nonoperative intervention, or if nonoperative approaches have a low likelihood to be successful based on the size and characteristics of the OCD lesion shown on an MRI. […] Approximately 50% of children with OCD will recover with nonoperative treatment but it often takes six months to a year for significant healing to occur.

• #43 When Your Child has Osteochondritis Dissecans (OCD) | Saint Luke’s Health System

  https://www.saintlukeskc.org/health-library/when-your-child-has-osteochondritis-dissecans-ocd

  In severe cases, the provider may advise surgery. During surgery, a pin may be put into the loose piece of bone to secure it to the rest of the joint. Or, the loose piece of bone may be removed. After surgery, your child will use crutches for 1 to 3 months to allow the joint to heal. […] With treatment, OCD often heals well. If the lesion doesn’t heal, your child may develop joint pain that doesn’t go away. An adult who had OCD as a child may be more likely to develop arthritis. Your child’s health care provider can tell you more about this.

• #44 Osteochondritis Dissecans (OCD): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21073-osteochondritis-dissecans

  The sooner a provider diagnoses and treats a joint issue, the less likely it is your child will experience complications. […] Most people need a few months to heal. Your provider will tell you which kinds of physical activities are safe to do while you’re recovering. […] Visit a healthcare provider if you have joint pain that lasts for more than a week. Go to the emergency room if you experience a trauma or can’t move a joint.

• #45 Osteochondritis Dissecans (OCD) | Boston Children’s Hspital

  https://www.childrenshospital.org/conditions/osteochondritis-dissecans

  Children with osteochondritis dissecans should receive medical treatment right away. Without treatment, a loosened fragment of bone and cartilage may drift into the joint, causing it to slip, pop or lock. If this happens, the joint can get “stuck,” until it’s moved manually or otherwise manipulated. […] The Boston Children’s Hospital Orthopedics and Sports Medicine Department provides comprehensive assessment, treatment, and follow-up care to children, adolescents, and young adults with osteochondritis dissecans. We understand the importance of sport in young athlete’s lives and are dedicated to providing the best care possible to help our patients return to their sports safely, without risking further injury. […] Members of our orthopedics and sports medicine team travel to local and regional schools, youth groups and sports clubs to teach leg strengthening and other techniques with a goal of dramatically reducing overuse injuries like osteochondritis dissecans. We also conduct safe-training programs and clinics for coaches.

• #46 Osteochondritis Dissecans in the Ankle

  https://www.healthline.com/health/osteochondritis-dissecans-ankle

  Without treatment, OCD of the ankle can lead to severe pain and difficulty walking. […] Without any treatment at all, OCD in the ankle can lead to arthritis. […] Typically, you can expect at least 2 months of recovery time. […] After surgery, physical therapy can help you regain strength and mobility in your ankle.

• #47 Osteochondritis Dissecans of the Knee – Purposed Physical Therapy & Massage, Greenville SC

  https://www.purposedphysicaltherapy.com/Injuries-Conditions/Knee/Knee-Issues/Osteochondritis-Dissecans-of-the-Knee/a~344/article.html

  Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). A joint surface damaged by OCD doesn’t heal naturally. Even with surgery, OCD usually leads to future joint problems, including degenerative arthritis and osteoarthritis. […] Many cases of JOCD can be completely healed with careful treatment. OCD will probably never completely heal, but it can be treated. There are two methods of treating JOCD: nonsurgical treatment to help the lesions heal, and surgery. Surgery is usually the only effective treatment for OCD. […] Nonsurgical treatments help in about half the cases of JOCD. Our goals are to help the lesions heal before growth stops in the thighbone and to protect the injured area of cartilage while improving knee motion and strength.

• #48 Osteochondritis Dissecans (OCD) | Boston Children’s Hspital

  https://www.childrenshospital.org/conditions/osteochondritis-dissecans

  Children with osteochondritis dissecans should receive medical treatment right away. Without treatment, a loosened fragment of bone and cartilage may drift into the joint, causing it to slip, pop or lock. If this happens, the joint can get “stuck,” until it’s moved manually or otherwise manipulated. […] The Boston Children’s Hospital Orthopedics and Sports Medicine Department provides comprehensive assessment, treatment, and follow-up care to children, adolescents, and young adults with osteochondritis dissecans. We understand the importance of sport in young athlete’s lives and are dedicated to providing the best care possible to help our patients return to their sports safely, without risking further injury. […] Members of our orthopedics and sports medicine team travel to local and regional schools, youth groups and sports clubs to teach leg strengthening and other techniques with a goal of dramatically reducing overuse injuries like osteochondritis dissecans. We also conduct safe-training programs and clinics for coaches.

• #49 Osteochondritis Dissecans – Seattle Children’s

  https://www.seattlechildrens.org/conditions/osteochondritis-dissecans/

  To restore health and function, we often use nonsurgical methods, like activity changes, physical therapy (PT) and bracing. We have the largest team of physical therapists in the Pacific Northwest who specialize in the care of children, teens and young adults. […] Growing children have a better chance of healing from osteochondritis dissecans without surgery than those who have finished growing. We are extremely careful to monitor a child’s growth to make sure that they have the best chance of healing. […] Our physical therapy programs are designed to strengthen the muscles and protect the joints during healing. […] Seattle Children’s supports your family with a range of resources. Our Child Life specialists, Family Resource Center and Guest Services are here to help. […] Our team members partner with experts at other children’s hospitals on multicenter studies. Together, they work to understand more about the best ways to treat bone and joint problems in young people.

• #50 Osteochondritis Dissecans (OCD) | Boston Children’s Hspital

  https://www.childrenshospital.org/conditions/osteochondritis-dissecans

  Children with osteochondritis dissecans should receive medical treatment right away. Without treatment, a loosened fragment of bone and cartilage may drift into the joint, causing it to slip, pop or lock. If this happens, the joint can get “stuck,” until it’s moved manually or otherwise manipulated. […] The Boston Children’s Hospital Orthopedics and Sports Medicine Department provides comprehensive assessment, treatment, and follow-up care to children, adolescents, and young adults with osteochondritis dissecans. We understand the importance of sport in young athlete’s lives and are dedicated to providing the best care possible to help our patients return to their sports safely, without risking further injury. […] Members of our orthopedics and sports medicine team travel to local and regional schools, youth groups and sports clubs to teach leg strengthening and other techniques with a goal of dramatically reducing overuse injuries like osteochondritis dissecans. We also conduct safe-training programs and clinics for coaches.

• #51 Osteochondritis dissecans (OCD) in children – Children’s Health Orthopedics

  https://www.childrens.com/specialties-services/conditions/osteochondritis-dissecans

  Osteochondritis dissecans (osteochondritis – dissecans) or OCD is rare, but at the Childrens Health Andrews Institute for Orthopaedics Sports Medicine, we help dozens of kids and teens overcome it every year. […] We use the most advanced technologies and therapies to diagnose and treat patients, so they can get back to sports and other activities. […] Our pediatric orthopaedic specialists have extensive training to diagnose and treat bone and cartilage injuries like osteochondritis dissecans with minimally invasive procedures. […] Fortunately, osteochondritis dissecans is a rare condition, and can most often be treated without surgery. […] For patients with minor OCD, we typically help them modify their activities in ways that rest the joint so it can heal. […] We also use physical therapy and rehabilitation to help each patient recover and stay strong.

• #52 Osteochondritis Dissecans | Conditions | UCFS Benioff Children’s Hospitals

  https://www.ucsfbenioffchildrens.org/conditions/osteochondritis-dissecans

  Our sports medicine specialists understand the needs of pediatric patients and take into account the child’s growing body in diagnosing and treating orthopedic problems, such as osteochondritis dissecans. Our team’s goals are to relieve discomfort and get kids back to their normal activities. […] If bone and cartilage haven’t broken loose from the joint, the first-line treatment is usually nonsurgical. The plan will likely include a rest from high-impact activities that stress the joint; icing the injured area; and taking nonsteroidal anti-inflammatory drugs (NSAIDs) for pain, such as ibuprofen (Advil, Motrin). Your child may need to use crutches or wear a brace for a few weeks to reduce stress on the joint. Physical therapy may be ordered to strengthen the muscles that support the joint. During this period of rest and recovery, your child’s healing progress will need to be closely monitored.

• #53 Osteochondritis Dissecans (OCD) | Boston Children’s Hspital

  https://www.childrenshospital.org/conditions/osteochondritis-dissecans

  Children with osteochondritis dissecans should receive medical treatment right away. Without treatment, a loosened fragment of bone and cartilage may drift into the joint, causing it to slip, pop or lock. If this happens, the joint can get “stuck,” until it’s moved manually or otherwise manipulated. […] The Boston Children’s Hospital Orthopedics and Sports Medicine Department provides comprehensive assessment, treatment, and follow-up care to children, adolescents, and young adults with osteochondritis dissecans. We understand the importance of sport in young athlete’s lives and are dedicated to providing the best care possible to help our patients return to their sports safely, without risking further injury. […] Members of our orthopedics and sports medicine team travel to local and regional schools, youth groups and sports clubs to teach leg strengthening and other techniques with a goal of dramatically reducing overuse injuries like osteochondritis dissecans. We also conduct safe-training programs and clinics for coaches.

• #54 Osteochondritis Dissecans – Seattle Children’s

  https://www.seattlechildrens.org/conditions/osteochondritis-dissecans/

  Changes in activity may decrease stress on the affected joint, and this may be enough to help the bone heal. The doctor will explain which activities to avoid (like repeated motions or motions that forcefully impact the joint) and for how long. They can also suggest other ways to stay active during this time. […] If it might be difficult for a child to change their activities and rest the affected joint, doctors sometimes recommend using a cast to keep the joint still, giving the bone a chance a heal. […] We offer physical therapy programs to keep the muscles strong while protecting the joints. Our therapists teach exercises to help keep young people strong while they are healing. […] For osteochondritis dissecans in the knee, we may provide a nonsurgical therapy called unloader bracing. This treatment involves wearing a brace to push the knee into a position that puts less stress on the lesion. We work with bracing experts to get the right brace for each person’s needs.

• #55 Osteochondritis Dissecans of the Knee – Paul Kiritsis, MD – Richmond, VA Premier Orthopedic Surgeon

  https://kneeandshouldersurgery.com/osteochondritis-dissecans-of-the-knee/

  OCD and JOCD cause the same symptoms. The symptoms start out mild and grow worse with time. Both problems usually start with mild aching pain. Moving the knee becomes painful, and it may be swollen and sore to the touch. […] If you have surgery, Dr. Kiritsis may have you use a continuous passive motion (CPM) machine after surgery to help the knee begin to move and to alleviate joint stiffness. […] Patients are strongly advised to follow the recommendations about how much weight is safe. They may require a walker or pair of crutches for up to six weeks to avoid putting too much pressure on the joint when they are up and about. […] The goal of nonsurgical rehabilitation is to help you learn ways to protect the injured area of the cartilage while improving knee motion and strength. You may be advised to avoid heavy sports or work activities for up to eight weeks. Doing exercises in a pool can help you stay limber and fit while protecting the knee during this period.

• #56 Physical therapy in Middleton for Knee – Osteochondritis Dissecans

  https://www.sportsrehabu.com/Injuries-Conditions/Knee/Knee-Issues/Osteochondritis-Dissecans-of-the-Knee/a~344/article.html

  If you have surgery, your surgeon may have you use a continuous passive motion (CPM) machine after surgery to help the knee begin to move and to alleviate joint stiffness. […] After surgery, your first few physical therapy treatments are designed to help control the pain and swelling from the surgery. Our physical therapists will also work with you to make sure that you are only putting a safe amount of weight on the affected leg. […] At Sports Rehabilitation Unlimited, our goal is to help you keep your pain under control, ensure safe weight bearing, and improve your strength and range of motion.

• #57 Osteochondritis Dissecans – Seattle Children’s

  https://www.seattlechildrens.org/conditions/osteochondritis-dissecans/

  When surgery is needed, we often do procedures that use special tools called arthroscopes. These tools let doctors get to the joint without opening it up. Instead, they get to it through very small cuts (incisions). […] Compared to open surgery, arthroscopy means your child may: recover faster, have fewer problems after surgery, have less pain and stiffness during recovery. […] For osteochondritis dissecans, we do surgeries to: promote healing of stable lesions by drilling tiny holes in the bone to improve blood flow, screw or pin an unstable lesion in place so it doesn’t come loose and can heal, remove bone and cartilage that came loose and then transplant bone or cartilage in its place. […] At Seattle Children’s, your care team includes experienced pediatricians, pediatric orthopedic surgeons, nurse practitioners, physician assistants, nurses, certified medical assistants, registered orthopedic technologists and a rehabilitation medicine doctor.

• #58 Osteochondritis Dissecans – Seattle Children’s

  https://www.seattlechildrens.org/conditions/osteochondritis-dissecans/

  To restore health and function, we often use nonsurgical methods, like activity changes, physical therapy (PT) and bracing. We have the largest team of physical therapists in the Pacific Northwest who specialize in the care of children, teens and young adults. […] Growing children have a better chance of healing from osteochondritis dissecans without surgery than those who have finished growing. We are extremely careful to monitor a child’s growth to make sure that they have the best chance of healing. […] Our physical therapy programs are designed to strengthen the muscles and protect the joints during healing. […] Seattle Children’s supports your family with a range of resources. Our Child Life specialists, Family Resource Center and Guest Services are here to help. […] Our team members partner with experts at other children’s hospitals on multicenter studies. Together, they work to understand more about the best ways to treat bone and joint problems in young people.

• #59 Osteochondritis Dissecans – Seattle Children’s

  https://www.seattlechildrens.org/conditions/osteochondritis-dissecans/

  To restore health and function, we often use nonsurgical methods, like activity changes, physical therapy (PT) and bracing. We have the largest team of physical therapists in the Pacific Northwest who specialize in the care of children, teens and young adults. […] Growing children have a better chance of healing from osteochondritis dissecans without surgery than those who have finished growing. We are extremely careful to monitor a child’s growth to make sure that they have the best chance of healing. […] Our physical therapy programs are designed to strengthen the muscles and protect the joints during healing. […] Seattle Children’s supports your family with a range of resources. Our Child Life specialists, Family Resource Center and Guest Services are here to help. […] Our team members partner with experts at other children’s hospitals on multicenter studies. Together, they work to understand more about the best ways to treat bone and joint problems in young people.

• #60 Osteochondritis Dissecans (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/osteochondritis-dissecans.html

  Osteochondritis dissecans treatment includes: Rest. At first, this usually means complete rest and no weight bearing at all. Then, light daily life activities and weight bearing, as tolerated, can be introduced slowly. A cast, splint, or brace might be worn to keep the joint still. […] Kids with osteochondritis dissecans usually need at least a few months off from sports. Kids who had surgery will need more time to heal. Returning to sports too soon can lead to long-term pain and joint problems. […] Kids should only go back to sports if they: do not have pain in the area, do not have any trouble doing everyday activities, have followed their doctor’s recommendations for resting the joint and PT, have been cleared for sports by their doctor. […] Kids with osteochondritis dissecans heal best when they: Go to all follow-up doctor visits, Follow the recommendations for rest and PT, Don’t go back to sports until the doctor says it’s OK.

• #61 Osteochondritis Dissecans | Rady Children’s Hospital

  https://www.rchsd.org/health-article/osteochondritis-dissecans/

  Osteochondritis dissecans treatment includes: Rest. At first, this usually means complete rest and no weight bearing at all. Then, light daily life activities and weight bearing, as tolerated, can be introduced slowly. A cast, splint, or brace might be worn to keep the joint still. […] Kids with osteochondritis dissecans usually need at least a few months off from sports. Kids who had surgery will need more time to heal. Returning to sports too soon can lead to long-term pain and joint problems. […] Kids with osteochondritis dissecans heal best when they: Go to all follow-up doctor visits. Follow the recommendations for rest and PT. Dont go back to sports until the doctor says its OK.

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