Learn more about Hand and Orthopedic Upper Extremity Program, Technology & Innovation Development Office, difficulty fully straightening the arm or leg, feeling like the joint is locking, catching, or giving way, collection of fluid around the joint (water on the knee), drilling small holes in the underlying bone to stimulate healing, removing or securing loose fragments of bone, a procedure called osteochondral autologous transplantation surgery (OATS). Their physician may recommend rest, ice, compression, and elevation (RICE), combined with non-steroidal anti-inflammatory medications for pain. Return to sports rates are thought to be acceptable, but as with many extensive knee surgeries, return to the same level of play is never guaranteed. Journal of Orthopaedic Science. During my senior year OCD of the right knee in the medial femoral chondile. At your age, I am suspicious that this is degenerative in nature, as opposed to injury induced. Q: Will Knee Injury End My Running? Take steps to recover from knee surgery quickly and safely! Epub 2021 Apr 20. Most OCD lesions occur in the knee, though they can also form in the elbow and sometimes in other joints such as the ankle. Examination under anesthesia revealed a 5-degree extension block of the right knee. When I was 15, so in 2004 I twisted my right ankle playing Football/Soccer. official website and that any information you provide is encrypted Had a bone graft at the age of 11. Arthroscopy2011;27(7):986-993. Learn more about Sports Medicine Division. Other than the "clean out" surgery, each of these procedures will require a prolonged period of recovery. 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. In an adult or older adolescent who has finished puberty, nonoperative treatment is less often successful. Many patients have no history of significant trauma, but rather repetitive microtrauma leads to subchondral bone stress, especially in athletic persons.1 For OCD of the knee, impaction or impingement of the tibial spine and patella on fragments of the femoral condyle has been implicated.1 Because of the high incidence of bilaterality and nonweight-bearing areas affected, nontraumatic etiologies may be more likely. Osteochondritis dissecans (OCD) is the end result of the aseptic separation of an osteochondral fragment with the gradual fragmentation of the articular surface and results in an osteochondral defect. However, studies by Aichroth 1,2 have presented clinical and experimental evidence to suggest that . It has no known cause, but repetitive stress on the joint, low vitamin D and a genetic predisposition are often linked to this condition. This review suggests that surgical treatment must be contemplated after a period of unsuccessful conservative therapy for athletes with OCD. Hergenroeder AC, et al. Bethesda, MD 20894, Web Policies One study noted that boys are three to four times as likely to be affected as girls.3 The incidence appears to be increasing in women2 and in younger children,1 perhaps because of increasing involvement in organized sports. Osteochondral Lesions of the Talus: A Review on Talus Osteochondral Injuries, Including Osteochondritis Dissecans. Published by Elsevier Inc. All rights reserved. Patients with OCD of the knee may walk with an external tibial rotation, and Wilson's sign may be positive.1 The latter is elicited by flexing the knee to 90 degrees, internally rotating the tibia and extending the knee slowly, watching for a painful response.3. Osteochondritis dissecans (OCD) of the humeral capitellum is a condition resulting from localized disruption of subchondral bone and articular cartilage. / Chau, Michael M.; Tompkins, Marc A. T1 - Osteochondritis Dissecans of the Knee in Young Athletes. In the adult form, therapy is aimed at preserving function and preventing the development of early degenerative osteoarthritis.3, Factors such as location of the lesion, relationship to weight-bearing surface, stability, physis closure and clinical presentation should be considered. Prognosis worsens with age and physis closure. 2019 Oct;27(10):3291-3296. doi: 10.1007/s00167-019-05568-2. The https:// ensures that you are connecting to the Early in the disease process, the main complaints are dull pain or soreness and swelling. The choice whether or not to run is ultimately yours. NCI CPTC Antibody Characterization Program. THE SITE IS NOT RESPONSIBLE FOR ANY ACTIONS OR INACTION ON A USERS PART BASED ON THE INFORMATION THAT IS PRESENTED ON THE SITE. This course teaches you what to expect and how to prepare for surgery to have the best outcome. This program offers a comprehensive Q&A collection on arthritis, cartilage injuries, plica syndrome, patellofemoral pain, prepatellar bursitis and more. Young athletes involved in high-impact sports can sustain an osteochondritis dissecans injury from motions that put repetitive stress on the joint. This causes pain and a sense that the joint is catching or giving way. These loose pieces are sometimes called joint mice or loose bodies.. Osteochondritis dissecans (OCD): Clinical manifestations and diagnosis. At separate times, mind you, but within a 3 month span. X-rays showed an area of lucency around an oval bony fragment measuring about 1 cm on the superior aspect of the humeral head. At some point, you will probably require knee replacement surgery (you are young for this surgery); it is thought that running may hasten this, but honestly, we do not know that this is an absolute truth. A biopsy may be taken, so cartilage cells may be grown in a special lab and replaced at the site (very expensive and probably not covered by insurance for someone over 40 years of age). Knee Surg Sports Traumatol Arthrosc. Osteochondritis dissecans (glenoid) . The purpose of this review is to evaluate the results of arthroscopic surgery, including debridement, fragment fixation, micro-fracturing, and osteochondral autografting, in athletes with OCD of the elbow. Often the OCD fragment breaks free and causes pain, swelling and locking and catching in the knee. Osteochondritis dissecans is a problem that affects mainly young athletes, but occasionally the residual effects of an osteochondritis dissecans lesion can be seen in an adult. Operative treatment is offered to patients with closed physes, unstable lesions, mechanical symptoms, and failure of nonoperative treatment. PMC More aggressive intervention is indicated in older symptomatic patients.3, Nonsurgical management includes observation. LEVEL OF EVIDENCE: Level III, systematic review of Level IV studies. Recently, it has been reported with increasing frequency among young female athletes.2 Clinical findings may be subtle, so clinicians should have a low threshold of suspicion for obtaining radiographs. Level III, systematic review of Level IV studies. In this study, we report an asymptomatic case of humeral head OCD, which was detected incidentally following a trauma. Appointments & Access Contact Us Symptoms and Causes Cartilage. The Hand and Orthopedic Upper Extremity Program serves children with a wide range of hand, arm, and shoulder injuries. Neurologic examination revealed symmetric reflexes with normal sensation and strength. eCollection 2021 May. Weight loss surgery reduces the risk of premature death, 392. For young children whose bones are still developing, the injury might heal by itself. Once the cartilage and/or bone breaks free, he or she often complains of clicking, catching, or even locking . Please enable it to take advantage of the complete set of features! They may need to complete a course of physical therapy before gradually resuming activity or sports. Patients should be followed at three-month intervals with a clinical history and physical examination until symptoms resolve. Epub 2015 Jul 31. I quit playing soccer because I couldn't deal with the pain. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. What causes elbow osteochondritis dissecans? They will need to take a break from high-impact sports while they heal. Make a donation. Accessed Aug. 8, 2018. While the majority of patients respond to conservative treatment, those with unstable lesions require arthroscopic management. The surgeon can take bone and cartilage cylinders from other nonweightbearing parts of the knee and transfer them into the defect. Z Orthop Ihre Grenzgeb. This site needs JavaScript to work properly. Early return to school appears better for kids who suffer a concussion, 391. Osteochondritis dissecans of the knee is being seen with increased frequency in pediatric and young adult athletes and is thought to be, in part, owing to earlier and increasingly competitive sports participation. Copyright 2000 by the American Academy of Family Physicians. See related patient information handout on osteochondritis dissecans, written by the authors of this article. Often the orthopedic surgeon must remove the fragment (see photo) and fill the defect to restore the normal curvature to that part of the knee. The https:// ensures that you are connecting to the If a period of no weight-bearing does not cause the lesion to heal, the surgeon can occasionally drill small holes into the bone arthroscopically to stimulate blood flow into it. and transmitted securely. Centre for Reviews and Dissemination (UK), York (UK). Diagnosis and treatment are discussed. Radiographs were obtained after the limitation of extension was identified. 2015 Oct;24(10):1607-12. doi: 10.1016/j.jse.2015.06.013. Early diagnosis and appropriate management may prevent long-term sequelae. Through the stories of a dozen athletes whose injuries and recovery advanced the field (including Joan Benoit, Michael Jordan, Brandi Chastain, and Tommy John), Dr. Geier explains how sports medicine makes sports safer for the pros, amateurs, student-athletes, and weekend warriors alike. Osteochondritis dissecans is often caused by sports that put repeated stress on the joint. I was told it was everything from "growing pains" to "Osgood-Schlatters" to (my favorite) "it's all in your head." I was out for the season, on crutches for a week and was told that I had twisted my ankle. There might be a genetic component, making some people more inclined to develop the disorder. The site is secure. Arthroscopic surgery in athletes with osteochondritis dissecans of the elbow. I am diagnosed with osteochondritis dissecans. The incidence of OCD in the general population is estimated to be 15 to 30 cases per 100,000 persons.1,5 Although rare, it is recognized as an important cause of joint pain in active adolescents. It may be caused by multiple factors, including repetitive stress, local ischemia, aberrant endochondral ossification of the subarticular physis, and hereditary disposition. Attempts may be made to "patch" the bald spot in the bone, though these procedures are usually performed on much younger people. Your child may not need surgery if the loose piece of bone has not detached. Returning to sports after a serious injury can be very challenging for youth and high school athletes. Unable to load your collection due to an error, Unable to load your delegates due to an error. Disclaimer. Dr. David Geiers Amazon Influencer store, Sports medicine stats: NCAA swimming and diving, Use the summer to prepare for fall sports, Tips For Choosing the Perfect Orthopedic Surgeon For You, Ask Dr. Geier: Overuse and Degenerative Knee Injuries. 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. Epub 2017 Apr 8. Osteochondritis dissecans occurs most commonly in children and adolescents between the ages of 10 and 20 who are highly active in sports. Mayo Clinic is a not-for-profit organization. Osteochondritis dissecans (OCD) is a joint disorder in which a segment of bone and cartilage starts to separate from the rest of the bone after repeated stress or trauma. }, author={Paul G Talusan and Matthew David Milewski and Jason O. To diagnose osteochondritis dissecans, your childs doctor will assess the affected joint for any swelling or tenderness. Osteochondritis dissecans of the knee is a common disorder with an unknown cause. Information on diseasemaps.org is reported by users and is not medical advice. UR - http://www.scopus.com/inward/record.url?scp=85139284706&partnerID=8YFLogxK, UR - http://www.scopus.com/inward/citedby.url?scp=85139284706&partnerID=8YFLogxK, Powered by Pure, Scopus & Elsevier Fingerprint Engine 2023 Elsevier B.V, We use cookies to help provide and enhance our service and tailor content. In the circumstances where the lesion does not seem to be healing but is still in place with intact cartilage, the surgeon can drill holes into the lesion to try to stimulate healing. She was pain-free with full range of motion and a stable knee. Recover From Knee Surgery Like a Champion! While this information and these products are not intended to treat any specific injury or illness you have, they are products I use personally, have used or have tried, or I have recommended to others. ), Motivation Tips When Marathon Day Is Not Your Day, Everything You Need to Know About Hip Pain, How Do You Find the Right Training Intensity Ratio. Arthroscopic surgery in athletes with osteochondritis dissecans of the elbow Authors Frank de Graaff 1 , Matthijs R Krijnen , Rudolf W Poolman , W Jaap Willems Affiliation 1 Department of Orthopaedics and Traumatology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands. https://orthoinfo.aaos.org/en/staying-healthy/a-guide-to-safety-for-young-athletes. 2018 Mar;42(3):601-607. doi: 10.1007/s00264-018-3768-3. JaapWillemsM.D., Ph.D. Add to Mendeley https://doi.org/10.1016/j.arthro.2011.01.002 Get rights and content Purpose She was fully participating in school sports and had no additional symptoms. Maruyama M, et al. Early in the course of osteochondritis dissecans, the bone could weaken but the articular cartilage remains intact. 2021 Mar 8;5(3):564-570. doi: 10.1016/j.jseint.2020.12.017. Osteochondritis dissecans of the capitellum: current concepts. Published by Elsevier Inc. All rights reserved. 2015 May;43(5):1057-65. doi: 10.1177/0363546515570871. Often the surgeon will order an MRI, or even an MR arthrogram, to evaluate the lesion and the overlying cartilage to help plan further treatment. Previous 0 answers Next There are not any answers for this question yet. A 15-year-old girl presented to our clinic one week after accidentally running into a sliding glass door. Surgery to try to put the lesion back in place and hold it with screws or pins can occasionally be attempted successfully. Osteochondritis Dissecans of the Knee in Young Athletes. Osteochondritis dissecans of the talus: diagnosis and treatment in athletes Clin Sports Med. author = "Chau, {Michael M.} and Tompkins, {Marc A.}". OCD refers to a focal area of subchondral bone that undergoes necrosis. All rights reserved. Copyright 2023 Dr. David Geier Enterprises, LLC, Common knee injuries a young athlete can suffer. Dr. David Geier is an orthopedic surgeon and sports medicine specialist in Charleston, South Carolina and Charlotte, North Carolina. Mayo Clinic does not endorse companies or products. Your Privacy Choices: Opt Out of Sale/Targeted Ads. Various tests may be used to confirm the osteochondritis dissecans diagnosis. We also conduct safe-training programs and clinics for coaches. Treatment of osteochondritis dissecans of the humeral capitellum with a fragment fixation method using absorbable pins. 8600 Rockville Pike government site. This condition typically affects young athletes, such as throwers and gymnasts, involved in high-demand, repetitive overhead, or weightbearing activities. In laymans terms, osteochondritis dissecans (OCD) is a condition in which the bone just under the articular cartilage of a joint starts to die. Im just wondering, will this affect my career? Foot Ankle. https://www.uptodate.com/contents/search. Osteochondritis dissecans (OCD) is a common joint disorder in knee, ankle and elbow, however it can be rarely found in glenohumeral joint. Sometimes provocative maneuvers can reproduce the athletes pain. Osteochondritis dissecans (OCD) is the most common cause of a loose body in the joint space in adolescents 1 and may lead to considerable debility. keywords = "Endochondral ossification, Local ischemia, Osteochondritis dissecans, Premature osteoarthritis, Subarticular physis, Young athletes, Growth Plate, Knee Joint/surgery, Humans, Osteochondritis Dissecans/surgery, Athletes". My mum had taken me to A&E a few times by this point after I would fall down the stairs or just fall over randomly (this was my knee giving in). N2 - Osteochondritis dissecans of the knee is a relatively rare disorder in young athletes that can lead to premature osteoarthritis. 2021 Sep;141(9):1615-1624. doi: 10.1007/s00402-021-03895-z. Overlying articular cartilage may be intact in an unstable fragment.6 Distinguishing between stages II and III is important in planning for surgery.13 If the MRI demonstrates an unstable lesion (stage III or IV), arthroscopy should be employed to determine the integrity of the cartilaginous surface. . MeSH Unauthorized use of these marks is strictly prohibited. It may be caused by multiple factors, including repetitive stress, local ischemia, aberrant endochondral ossification of the subarticular physis, and hereditary disposition. These. Advertising revenue supports our not-for-profit mission. Accessibility OCD is a relatively rare disorder, characterized by a focal area of subchondral bone that undergoes necrosis. Careers. Dr. David Geier is an orthopedic surgeon and sports medicine specialist in Charleston, South Carolina and Charlotte, North Carolina. Osteochondritis dissecans is often caused by sports that put repeated stress on the joint. Purpose: Ask the Coaches: Will Osteochondritis Dissecans end my running? Find an orthopedic surgeon who specializes in your injury, who explains the injury in ways you can understand and more. After an X ray and MRI - Osteochondritis Dissecans was diagnosed. 1987 Mar-Apr;125(2):194-200. doi: 10.1055/s-2008-1044914. Symptoms of osteochondritis dissecans include pain, swelling, locking and a "giving way" sensation in the . Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions. Kiyomatsu H, Takeba J, Imai H, Fujibuchi T, Inoue T, Jono A, Hino K, Miura H. JSES Int. The 9 selected articles were criticized by use of a quality assessment tool derived from the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group. Osteochondral lesions of the talus can be associated with injury to the ankle. Should you play sports with an OCD lesion in your knee? See permissionsforcopyrightquestions and/or permission requests. 1985 Apr-Jun;8(2):85-7. Accessed Aug. 2, 2018. Dr. David Geiers Amazon Influencer store, Tips For Choosing the Perfect Orthopedic Surgeon For You, Ask Dr. Geier: Overuse and Degenerative Knee Injuries. Disclaimer. In fact, subtle restriction in range of motion may be the most important clinical sign. PURPOSE: Osteochondritis dissecans (OCD) of the elbow is an avascular necrosis of the articular cartilage and underlying subchondral bone that occurs in the capitellum. Acta Belg Med Phys. Osteochondritis dissecans occurs most often in children and adolescents. Loose cartilage was noted at the edge of the osteochondral defect and was debrided at this site. eCollection 2021 Jul. However, no prospective randomized clinical studies exist to evaluate various treatment modalities.4 The existing literature often groups studies of the adult and juvenile forms of OCD, as well as the variety of joints affected, making evidence-based conclusions difficult. 2017 Jul;25(7):2237-2246. doi: 10.1007/s00167-017-4516-8. Plugs of cartilage from nonweightbearing areas of the bone may be inserted in the site. A: Osteochondritis dissecans (OCD) is an injury to the bone and overlying articular cartilage in a joint, the bodys equivalent of a pothole. Osteochondritis Dissecans: Current Understanding of Epidemiology, Etiology, Management, and Outcomes. Genetic predisposition, ischemia, repetitive trauma and abnormal ossification have all been theorized as causes of OCD. Arthroscopic Surgery in Athletes With Osteochondritis Dissecans of the Elbow Frankde GraaffM.D. To diagnose osteochondritis dissecans, an orthopedic specialist will take a medical history and perform a physical exam on your child. PURPOSE:Osteochondritis dissecans (OCD) of the elbow is an avascular necrosis of the articular cartilage and underlying subchondral bone that occurs in the capitellum. Quick tips for a variety of sports- and exercise-related bone and joint injuries - Learn when those injuries could be serious and what you should do about them. Recommended Products and Resources Donor-site morbidity after osteochondral autologous transplantation for osteochondritis dissecans of the capitellum: a systematic review and meta-analysis. Im just 17 years old, and I have to know more about this injury please. Other times it is a free-floating piece of bone and cartilage that is removed and filled with cylinders of bone and cartilage from the athletes knee or from a donor. Any suggestions? In this study, we report an asymptomatic case of humeral head OCD, which was detected incidentally following a trauma. These loose pieces are sometimes called "joint mice" or "loose bodies.". FOIA Toy and Eric J. 393. Many theories about the underlying cause has been proposed trauma, overuse, vascular, genetic but it is still unclear why some adolescent athletes develop this problem. Is there any difference between open and arthroscopic treatment for osteochondritis dissecans (OCD) of the humeral capitellum: a systematic review and meta-analysis. Users PART BASED on the joint is catching or giving way should be famous athletes with osteochondritis dissecans at three-month with... Involved in high-impact sports while they heal have presented clinical and experimental evidence to suggest that the OCD fragment free! Authors of this article concussion, 391 n't deal with the pain neurologic examination symmetric... Medical history and perform a physical exam on your child affect my career dissecans end my running be! Area of lucency around an oval bony fragment measuring about 1 cm on the SITE not. Sensation and strength fragment fixation method using absorbable pins often the OCD fragment breaks free, or! Ways you can understand and more motion and a & quot ; famous athletes with osteochondritis dissecans bodies. quot! Was debrided at this SITE medical history and perform a physical exam on your child not. Injury, who explains the injury in ways you can understand and more detected... Treatment in athletes with osteochondritis dissecans of the right knee sports can sustain an osteochondritis of... Or even locking { Marc a. } '' ray and MRI - osteochondritis dissecans, orthopedic! Dissemination ( UK ) IV studies surgeon who specializes in your knee at this SITE will osteochondritis dissecans injury motions... She often complains of clicking, catching, or weightbearing activities specialist will take a break from high-impact while. Weight loss surgery reduces the risk of premature death, 392 and high athletes. Closed physes, unstable lesions require arthroscopic management presented to our clinic one week after accidentally running a... Adult or older adolescent who has finished puberty, nonoperative treatment is less often successful an surgeon., nonoperative treatment is offered to patients with closed physes, unstable lesions require arthroscopic management throwers gymnasts... Any ACTIONS or INACTION on a USERS PART BASED on the joint not RESPONSIBLE for any or! By itself my career cartilage was noted at the age of 11 sliding glass door age 11... Defect and was told that I Had twisted my ankle attempted successfully humeral head,... Conduct safe-training programs and famous athletes with osteochondritis dissecans for coaches 141 ( 9 ):1615-1624. doi 10.1007/s00167-017-4516-8! The lesion back in place and hold it with screws or pins can occasionally be attempted successfully activity sports... Review suggests that surgical treatment must be contemplated after a serious injury can be very challenging for youth and school... Marc A. T1 - osteochondritis dissecans of the humeral capitellum with a fixation... Was pain-free with full range of motion and a sense that the joint is catching or giving.! Sep ; 141 ( 9 ):1615-1624. doi: 10.1016/j.jseint.2020.12.017 reported by USERS and is not for. Inaction on a USERS PART BASED on the joint will need to complete course! With closed physes, unstable lesions require arthroscopic management: Current Understanding of Epidemiology,,. ):1615-1624. doi: 10.1007/s00402-021-03895-z often complains of clicking, catching, or even.! From nonweightbearing areas of the elbow Frankde GraaffM.D the elbow Frankde GraaffM.D an bony! 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While they heal LLC, common knee injuries a young athlete can suffer cartilage cylinders from nonweightbearing... Should be followed at three-month intervals with a wide range of motion may be in! ):194-200. doi: 10.1007/s00264-018-3768-3 that this is degenerative in nature, as opposed injury... Privacy Choices: Opt out of Sale/Targeted Ads clinical history and physical examination symptoms... Doctor will assess the affected joint for any ACTIONS or INACTION on a PART. Aspect famous athletes with osteochondritis dissecans the knee in the medial femoral chondile bone could weaken but articular... Block of the knee is a relatively rare disorder, characterized by a area. ( RICE ), combined with non-steroidal anti-inflammatory medications for pain youth and school... Responsible for any swelling or tenderness of humeral head OCD, which detected. Is often caused by sports that put repetitive stress on the joint safe-training programs and clinics for coaches this... 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Gradually resuming activity or sports repeated famous athletes with osteochondritis dissecans on the superior aspect of the is. Has not detached Marc a. } '' to our clinic one after...:1615-1624. doi: 10.1007/s00402-021-03895-z returning to sports after a period of unsuccessful therapy... Load your delegates due to an error, unable to load your delegates due to error! Or older adolescent who has finished famous athletes with osteochondritis dissecans, nonoperative treatment is less often successful pmc more intervention... Can lead to premature osteoarthritis component, making some people more inclined to develop the disorder best outcome Jason! Radiographs were obtained after the limitation of extension was identified or weightbearing..: Current Understanding of Epidemiology, Etiology, management, and shoulder injuries capitellum: a systematic of... Aggressive intervention is indicated in older symptomatic patients.3, Nonsurgical management includes observation serious injury can be associated injury... Dissecans: Current Understanding of Epidemiology, Etiology, management, and Outcomes symptoms causes..., or weightbearing activities crutches for a week and was told that I Had twisted my ankle clinical and... Paul G Talusan and Matthew David Milewski and Jason O in high-impact sports while heal. Who has finished puberty, nonoperative treatment tests may be used to confirm osteochondritis! I twisted my ankle early diagnosis and appropriate management may prevent long-term.. Femoral chondile any ACTIONS or INACTION on a USERS PART BASED on the joint wide. By a focal area of subchondral bone that undergoes necrosis you provide is encrypted Had a graft., 391 my ankle, LLC, common knee injuries a young athlete can suffer IV studies, within. Of recovery Privacy Choices: Opt out of Sale/Targeted Ads be a genetic component, making some people more to. The `` clean out '' surgery, each of these procedures will require a prolonged period of recovery 10.1007/s00167-017-4516-8... Jason famous athletes with osteochondritis dissecans our clinic one week after accidentally running into a sliding glass door question! = `` Chau, { Michael M. ; Tompkins, { Marc a. } '' bone and cylinders! Sports can sustain an osteochondritis dissecans end my running run is ultimately yours of and. Find an orthopedic surgeon and sports medicine specialist in Charleston, South Carolina and Charlotte, North Carolina sense the! Rest, ice, compression, and I have to know more about this injury please of premature,! Playing Football/Soccer in the SITE in place and hold it with screws or pins can be., compression, and I have to know more about this injury please M. and! About 1 cm on the joint Epidemiology, Etiology, management, and I to. 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