This guide will help you understand: how OCD develops; how the condition causes problems It can happen in association with ligament injuries, such as tearing of the ACL. Osteochondritis dissecans (OCD) is a bone and cartilage injury that affects the knee, ankle and elbow. Patients rely on our ankle specialists to provide advanced treatment options to help relieve pain from ankle injuries and restore mobility. Healthy joints move easily because of a smooth, slippery tissue called articular cartilage. Silicon Valley Orthopaedics takes a robust approach in providing treatment for osteochondral injuries. Minor events lead to bruising of the talus. Dr. Cohen warns that OCD is increasing in young athletes, especially in gymnasts. OCDs are typically caused by an injury, such as an ankle sprain or at times an ankle fracture. People with OCD report activity-related pain that develops gradually. However, the exact cause of osteochondral injuries is not yet fully understood. The Shoulder, Elbow, Wrist and Hand Center offers physician expertise with a dedication to advanced treatments for shoulder, elbow, wrist and hand conditions. For less severe injuries, Dr. Shani performs an arthroscopic technique of surgery to treat Talar OCD. If there is no improvement in the X-rays or symptoms, surgery is a good backup treatment. Top. In some cases of undiagnosed OCD ankle injuries, patients must undergo arthroscopic or open surgery to repair the damage. Occasionally, more extensive surgeries may need to be performed for cartilage repair. Dr. Douglas Buethe is a Board Certified dermatologist providing general dermatologic care for patients with conditions of the skin, scalp and hair. Knee Osteoarthritis. Symptoms of Ankle OCD. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. Osteochondral defect (OCD): Fractures and sprains in the ankle region cause damage to cartilage and bone in the area leading to OCD. A microfracture can then be performed by drilling holes into the underlying bone to fill the crater with a blood clot containing proteins and cells to restore a smooth surface. Mercy doctors and specialists have offices in Baltimore, Columbia, Overlea, Lutherville, Glen Burnie and Reisterstown. OCD most commonly affects the knee, although it can affect other joints such as the ankle or the elbow. Osteochondritis dissecans, often called OCD for short, is a condition that causes loosening of cartilage and its supporting bone. The length of time away from activities depends on the child’s symptoms and how the follow-up X-rays look. Normally, the soft cartilage cells of a young horse convert naturally to solid bone and the process is known as endochondral ossification. It can occur in all age groups. Depending on the amount of damage to the cartilage in the ankle joint, arthritis may develop and limit joint motion. Sometimes the lower end of the tibia or shin bone may also be affected. If the injury is more severe, large pieces of bone and cartilage can break off and lie loose in the ankle joint. Mercy Medical Center's downtown campus includes our Main Hospital - The Mary Catherine Bunting Center, McAuley Plaza and The Weinberg Center. This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL). The severity of the injury is best assessed using MRI. OCD is a type of osteochondrosis in which a lesion has formed within the cartilage layer itself, giving rise to secondary inflammation. OCD usually causes pain during and after sports. Symptoms. “Osteo” means bone and “chondral” refers to cartilage. Cartilage covers and protects the ends of your bones where they meet to form a joint. Enable Scroll Disable Scroll. 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