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Osteochondritis Dissecans
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Osteochondritis Dissecans |
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Osteochondritis dissecans (OCD) is where a portion of subchondral bone and articular cartilage undergoes separation from the underlying bone. This leaves a bone fragment that can be stable or unstable. It can lead to premature Osteoarthritis
Epidemiology
OCD is a rare cause of joint pain. In adults, men are more commonly affected than women, and the ankle is most commonly affected. In children OCD most commonly affects the knee, followed by the elbow and ankle.
Clinical Features
Pain is felt in the knee, elbow, or ankle either following a specific injury or following repetitive injury. Patients report that pain is worse with exercise. In more severe disease, especially in the presence of a loose body, there may be mechanical symptoms such as catching or locking.
Literature Review
- Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI Bookshelf
- Articles from all years: PubMed search, Google Scholar search.
- TRIP Database: clinical publications about evidence-based medicine.
- Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia I Feel Lucky, Orthobullets,