Osteochondritis dissecans (OCD) occurs when a small piece of bone and cartilage in a part of a joint separates from the bone around it. The type of osteochondritis dissecans found in kids and teens is known as juvenile osteochondritis dissecans (JOCD). This condition is different than the OCD found in adult populations and requires different treatment plans. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. The condition can be mild, moderate or severe.
Condition
What Is Osteochondritis Dissecans?
Types of Osteochondritis Dissecans (OCD)
It is not entirely known why children develop Osteochondritis dissecans (OCD), but could be loss of blood supply to a piece of bone or overuse of a joint. There are three different types of OCD:
- Mild OCD: A piece of bone has begun to separate from the joint, but this piece is still firmly held in place by a covering of cartilage.
- Moderate OCD: The piece of bone separates more. The covering of cartilage may tear.
- Severe OCD: The piece of bone and covering of cartilage become loose and "float around" in the joint.
Signs and symptoms of Osteochondritis Dissecans (OCD)
- Soreness
- Swelling
- Stiffness
- Feeling that the joint is “locking up”
- Limping
Treatments We Offer
The goal of treatment for Osteochondritis dissecans (OCD) is to heal the separate piece of bone and cartilage back onto the joint. This healing takes time, often up to six months. Treatment can include:
- Rest and stop activity that causes pain. Avoid running and jumping.
- Ice the joint
- Take over-the-counter anti-inflammatory medication including ibuprofen and naproxen.
- Use crutches to lessen stress on the knee or ankle joint, or wear a brace or cast
- The doctor may recommend surgery in moderate to severe cases
Why Choose Children’s Wisconsin for Osteochondritis Dissecans (OCD) Care
Expert pediatric care: At Children’s Wisconsin our Orthopedics and Sports Medicine Programs specializes in all areas of orthopedic care, from upper extremity, trauma and fracture care, to sports medicine and concussion care. We treat all orthopedic conditions, from routine to serious. Kids are not just little adults, and require unique, individualized care for their developing little bodies. Our doctors are pediatric experts and every doctor specializes 100% in kids and teens.
Our Doctors
At Children's Wisconsin, our doctors are 100% committed to the health and well-being of kids. They care for every aspect of a child's health, including their physical, social, dental and mental well-being. We are a community of dedicated professionals who shares an unwavering passion to care for kids whenever and wherever they need us.