Management of osteochondritis dissecans (OCD)
- Albert C Hergenroeder, MD
Albert C Hergenroeder, MD
- Section Editor — Pediatric Sports Medicine; Adolescent Sports Medicine
- Professor & Chief of Pediatrics, Adolescent Medicine and Sports Medicine
- Baylor College of Medicine
- Brian S Harvey, DO
Brian S Harvey, DO
- Pediatrics and Sports Medicine
- Salina Pediatric Care
- Salina Regional Health Center
- Section Editor
- Richard G Bachur, MD
Richard G Bachur, MD
- Section Editor — Pediatric Trauma
- Professor of Pediatrics and Emergency Medicine
- Harvard Medical School
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — Adult and Pediatric Emergency Medicine
- Senior Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
Osteochondritis dissecans (OCD) refers to osteonecrosis of subchondral bone and most often occurs in the knee, elbow, or ankle of school-age and adolescent children where it causes pain. Plain radiographs are frequently diagnostic. Sports medicine and orthopedic specialists usually determine the staging and stability of OCD lesions by magnetic resonance imaging. Initial treatment of stable lesions typically consists of rest, nonsteroidal antiinflammatory drugs, avoidance of high intensity activities, and physical therapy. Patients who are skeletally immature frequently do well with nonoperative therapy. Patients who have large lesions or develop intraarticular foreign bodies usually need surgery.
This topic will discuss the management of OCD. The clinical manifestations and diagnosis of OCD and other causes of knee, elbow, or ankle pain in the young athlete are discussed separately:
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