Encouraging mid-term outcomes for arthroscopic autologous osteochondral transplant (OAT) in capitellum osteochondritis dissecans (OCD). Knee Osteochondritis Dissecans (OCD) An unusual cause of knee pain is that of osteochondritis dissecans (OCD). A high rate of return to sport was observed after operative management of capitellar OCD. Return to sports after autogenous osteochondral mosaicplasty of the femoral condyles: 25 cases at a mean follow-up of 9 years Author links open overlay panel J. Returning to sports too soon can lead to long-term pain and joint problems. If the athlete was treated surgically, he … In this video, I discuss the pros and cons of sports and other physical activities after surgery for an OCD lesion. Systematic review; Level of evidence, 4. Am J Sports Med. Kids should only go back to sports if they: The average Tegner score ranged from 6.35 ± 1.53 points prior to surgery to 5.60 ± 1.64 points after surgery (P = 0.001). Patient should have less than 15% difference in Biodex strength test, force plate jump and hop tests, and functional hop tests. Normal hard bone is covered with a softer form of bone called cartilage at the joint surface. After review, 24 studies reporting outcomes in 492 patients (mean age ± SD, 14.3 ± 0.9 years) were analyzed. Please enable it to take advantage of the complete set of features! Capitellar Osteochondritis Dissecans Lesions of the Elbow: A Systematic Review of Osteochondral Graft Reconstruction Options. Osteochondritis Dissecans disease usually takes place in the ankles, elbows, and knees. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. USA.gov. Pediatric Orthopaedic Society of North America (POSNA) 1 Tower Ln, Suite 2410 Oakbrook Terrace, IL 60181 p: (630) 478-0480 f: (630) 478-0481 e: posna@posna.org Osteochondritis dissecans of the knee is often the result of sports that involve high-impact landings, such as football, soccer, and gymnastics. doi: 10.1016/j.eats.2019.03.006. Although many theories have been proposed, such as ischemia, genetic factors, and microtrauma, the etiology of OCD remains unclear [1] . Patients were allowed to begin throwing after 3 months and to return to sports after 6 months. Sasaki K, Matsumoto T, Matsushita T, Kubo S, Ishida K, Tei K, Akisue T, Kurosaka M, Kuroda R. Int Orthop. Way to go Brian! 2018 Mar;11(1):35-47. doi: 10.1007/s12178-018-9457-4. The overall return-to-sport rate was 86% at a mean 5.6 months. Am J Sports Med. Swelling and tenderness. See this image and copyright information in PMC. The lesion, which has multiple causes, has a loss of blood supply to a small portion of the bone. After initial review, 37 full-length articles met the criteria for review. Epub 2018 Aug 24. Hypothesis: Curr Rev Musculoskelet Med. Progressive testing will … Arthroscopy. The arthroscopic classification and treatment of osteochondritis dissecans of the capitellum. 2002;30:474–478. Ten patients (40%) had an associated procedure during the osteochondral autograft. Knee Surg Sports Traumatol Arthrosc. Return to Sport After Operative Management of Osteochondritis Dissecans of the Capitellum: A Systematic Review and Meta-analysis A high rate of return to sport was observed after operative management of capitellar OCD. Capitellar osteochondritis dissecans (OCD) is commonly managed surgically in symptomatic adolesent throwers and gymnasts. Keywords: The problem needs a period of 3months or even more to heal completely. 2017. The origin of the lesion was osteochondritis dissecans (13 knees), osteochondral fracture sequelae (ten knees), or aseptic osteonecrosis (two knees). Little is known about the impact that surgical technique has on return to sport.To evaluate the clinical outcomes and return-to-sport rates after operative management of OCD lesions in adolescent athletes.Systematic review; Level of evidence, 4.The … doi: 10.1016/j.eats.2020.07.022. The skin around your joint might be swollen and tender. After two surgeries and physical therapy for a form of osteochondritis dissecans (OCD) described as catcher's knee, Brian is back in the game and doing what he loves. eCollection 2019 Feb. Logli AL, Leland DP, Bernard CD, Sanchez-Sotelo J, Morrey ME, O'Driscoll SW, Krych AJ, Wang Z, Camp CL. The average size of the lesion was 2.11 ± 0.9 cm(2). Predictive Role of Symptom Duration Before the Initial Clinical Presentation of Adolescents With Capitellar Osteochondritis Dissecans on Preoperative and Postoperative Measures: A Systematic Review. Studies reporting patient outcomes with return-to-sport data and minimum 6-month follow-up were included in the review. 2017 Oct;25(10):3186-3196. doi: 10.1007/s00167-016-4262-3. 2019 Feb 13;7(2):2325967118825059. doi: 10.1177/2325967118825059. Knee Surg Sports Traumatol Arthrosc. Methods: There is some concern, though, that repetitive impact could injure that area again, leading to degenerative changes over time. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. | OATs; elbow; gymnast; osteochondritis dissecans; return to sport; thrower. Purpose: Epub 2017 Oct 2. Significant improvements in elbow range of motion and patient outcomes are seen with low complication rates after OCD surgery. Osteochondritis dissecans (OCD) of the humeral capitellum is a sports-related disorder in young athletes, especially baseball players and gymnasts. Arthroscopy. eCollection 2020 Nov. Pederzini LA, Bartoli M, Cheli A, Nicoletta F, Severini G. Knee Surg Sports Traumatol Arthrosc. ... A gradual return to activity is allowed after the lesion has healed, and this may take many months. Ten patients (40%) had an associated procedure during the osteochondral autograft. January 2021; DOI: 10.1007/978-3-030-52379-4_6. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart demonstrating the search…, Forest plot analysis demonstrating differences…, Forest plot analysis demonstrating differences in return to the previous level of sport…, NLM Osteochondritis dissecans occurs most often in children and adolescents. 2003;31:621–635. Return to Play After Osteochondral Autograft Transplantation of the Capitellum: A Systematic Review. The condition happens most often in … Comeback Athlete: Playing Sports At 100% Again Post Knee Surgery Osteochondritis dissecans (OCD) can be an extremely painful and debilitating condition that develops in the joints. The PubMed, CINAHL, EMBASE, SPORTDiscus (EBSCO), and Cochrane Central Register of Controlled Trials databases were queried for studies evaluating outcomes and return to sport after surgical management of OCD of the capitellum. Juvenile Osteochondritis Dissecans (JOCD) is a disorder which occurs in young people whose growth plates haven’t closed yet. -, Byrd JT, Jones KS. The origin of the lesion was osteochondritis dissecans (13 knees), osteochondral fracture sequelae (ten knees), or aseptic osteonecrosis (two knees). Return to Play Return to play is allowed once the OCD lesion has healed and quadriceps strength has returned to within normal limits. 2011 Dec;97(8 Suppl):S160-6. This site needs JavaScript to work properly. Comparison of Clinical and Radiographic Outcomes Between Central and Lateral Lesions After Osteochondral Autograft Transplantation for Osteochondritis Dissecans of the Humeral Capitellum. One of these conditions is Osteochondritis dissecans (OCD) which develops in joints. Joint popping or locking. The average IKDC was 74.5 ± 18.5 points. Rarely, osteochondritis dissecans appears in more than one joint, and perhaps in more than one family member (familial osteochondritis dissecans). Gudas R, Kalesinskas RJ, Kimtys V, Stankevicius E, Toliusis V, Bernotavicius G, Smailys A. Arthroscopy. Declaration of Conflicting Interests: The authors declared that they have no conflicts of interest in the authorship and publication of this contribution. eCollection 2020 Nov. Allahabadi S, Bryant JK, Mittal A, Pandya NK. NIH Cartilage. Autogenous osteochondral mosaicplasty is the most common cartilage restoration technique in standard clinical practice. Epub 2011 Oct 28. 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