Course Lecture Pearls: Advanced Knee-Articular Cartilage-OCD Treatment_ Take Home Pearls to Guide your Treatment-Faculty Lecture

OCD Treatment_ Take Home Pearls to Guide your Treatment-Faculty Lecture_ Steven E. Rokito, MD

Video Transcription

Video Summary

Dr. Steve Burkito discusses osteochondritis dissecans (OCD), a condition where subchondral bone and overlying cartilage separate from underlying bone, primarily affecting the knee, ankle, and elbow. OCD is diverse, occurring in juveniles with open growth plates or adults as delayed onset. Diagnosis relies on imaging, especially X-rays and MRI to assess lesion stability. Treatment depends on lesion stability and patient age: stable juvenile lesions often respond to conservative management; unstable or adult lesions may require surgery, including drilling, fixation, or restorative techniques like osteochondral grafts. Successful outcomes hinge on accurate evaluation, appropriate intervention, and post-op rehabilitation.

Keywords

osteochondritis dissecans

subchondral bone

cartilage separation

knee ankle elbow

MRI diagnosis