At Shoreline Orthopaedics, our orthopaedic surgeons use a truly collaborative approach so our patients have the benefit of multiple expert opinions, without having to go elsewhere to obtain them.
Shoreline Orthopaedics provides more comprehensive services, state-of-the-art options, technologies and techniques than anyone else in the area.
The following information is provided to help you understand what you can expect from us regarding policies and procedures, and also what is expected of you before and after treatment or procedures.
Joints are formed where the ends of the bones meet. There are many joints in the body, including the ankle, shoulder and knee. Healthy joints move easily because a smooth, slippery tissue called articular cartilage covers and protects the ends of the bones, where they touch.
Osteochondritis dissecans (OCD) is a joint condition that occurs when a small segment of bone separates from its surrounding region due to a lack of blood supply. As a result, the bone segment and cartilage covering it begin to crack and loosen. OCD develops most often in children and adolescents, frequently in the knee, at the end of the femur (thighbone).
Initial symptoms are pain and swelling of a joint, most commonly brought on by sports or other physical activities. In advanced cases, OCD may cause joint catching or locking.
Rest and avoiding sports or other vigorous activities often provides relief from pain and swelling. If symptoms do not subside after a reasonable amount of time, your doctor may recommend the use of crutches. Splinting or casting of the affected leg or other joint may be prescribed for a short period of time.
Your physician may recommend surgery if nonsurgical treatment fails to provide relief of symptoms. Surgery may also be necessary if the lesion is separated or detached from the surrounding bone and cartilage and is moving around within the joint; or if the lesion is larger than 1 centimeter in diameter, especially in older teens.
Depending upon the individual case, surgical techniques for treating OCD vary and may include:
With any surgery there are some risks, and these vary from person to person. Complications are typically minor, treatable and unlikely to affect your final outcome. Your orthopaedic surgeon will speak to you prior to surgery to explain any potential risks and complications that may be associated with your procedure.
A gradual return to sports may be possible after about 4 to 5 months.
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