Overview

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. This bone and cartilage can then break loose, causing pain and possibly hinder joint motion.

Osteochondritis dissecans occurs most often in children and adolescents. It can cause symptoms either after an injury to a joint or after several months of activity, especially high-impact activity such as jumping and running, that affects the joint. The condition occurs most commonly in the knee, but also occurs in elbows, ankles and other joints.

Doctors stage osteochondritis dissecans according to the size of the injury, whether the fragment is partially or completely detached, and whether the fragment stays in place. If the loosened piece of cartilage and bone stays in place, you may have few or no symptoms. For young children whose bones are still developing, the injury might heal by itself.

Surgery might be necessary if the fragment comes loose and gets caught between the moving parts of your joint or if you have persistent pain.

Symptoms

Depending on the joint that's affected, signs and symptoms of osteochondritis dissecans might include:

  • Pain. This most common symptom of osteochondritis dissecans might be triggered by physical activity — walking up stairs, climbing a hill or playing sports.
  • Swelling and tenderness. The skin around your joint might be swollen and tender.
  • Joint popping or locking. Your joint might pop or stick in one position if a loose fragment gets caught between bones during movement.
  • Joint weakness. You might feel as though your joint is "giving way" or weakening.
  • Decreased range of motion. You might be unable to straighten the affected limb completely.

When to see a doctor

If you have persistent pain or soreness in your knee, elbow or another joint, see your doctor. Other signs and symptoms that should prompt a call or visit to your doctor include joint swelling or an inability to move a joint through its full range of motion.

Causes

The cause of osteochondritis dissecans is unknown. The reduced blood flow to the end of the affected bone might result from repetitive trauma — small, multiple episodes of minor, unrecognized injury that damage the bone. There might be a genetic component, making some people more inclined to develop the disorder.

Risk factors

Osteochondritis dissecans occurs most commonly in children and adolescents between the ages of 10 and 20 who are highly active in sports.

Complications

Osteochondritis dissecans can increase your risk of eventually developing osteoarthritis in that joint.

Prevention

Adolescents participating in organized sports might benefit from education on the risks to their joints associated with overuse. Learning the proper mechanics and techniques of their sport, using the proper protective gear, and participating in strength training and stability training exercises can help reduce the chance of injury.

July 09, 2015
References
  1. Osteochondritis dissecans. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00610. Accessed June 23, 2015.
  2. Hergenroeder AC, et al. Osteochondritis dissecans (OCD): Clinical manifestations and diagnosis. http://www.uptodate.com/home. Accessed June 23, 2015.
  3. Hergenroeder AC, et al. Management of osteochondritis dissecans (OCD). http://www.uptodate.com/home. Accessed June 23, 2015.
  4. Knee problems. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Knee_Problems/default.asp#15. Accessed June 23, 2015.
  5. Chambers HG, et al. American Academy of Orthopaedic Surgeons clinical practice guideline on: The diagnosis and treatment of osteochondritic dissecans. Rosemont, Ill.: American Academy of Orthopaedic Surgeons. http://www.aaos.org/research/guidelines/OCDGuideline.asp. Accessed June 23, 2015.
  6. A guide to safety for young athletes. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00307. Accessed June 23, 2015.