The Orthobullets Podcast Foundations | Knee & Sports | Osteochondritis Dissecans
Aug 19, 2025
Delve into the complexities of osteochondritis dissecans, a common concern for young athletes. Discover the condition's pathology and how it affects knee health. Learn about effective diagnostic methods and treatment strategies tailored for this demographic. Real clinical scenarios bring the discussion to life, equipping listeners with practical insights for managing this condition in everyday practice.
AI Snips
Chapters
Transcript
Episode notes
OCD Involves Cartilage And Subchondral Bone
- Osteochondritis dissecans (OCD) affects both articular cartilage and subchondral bone with variable clinical patterns.
- MRI is usually required to determine lesion size, stability, and cartilage injury extent.
Typical Location And Pathway
- The knee is the most common site, typically the posterolateral aspect of the medial femoral condyle.
- Pathology progresses from cartilage softening to partial detachment and potential loose bodies.
Key Imaging And Initial Management
- Obtain weight-bearing AP, lateral, and a tunnel/notch view with the knee flexed 30–50 degrees for evaluation.
- Use restricted weight bearing and bracing for stable lesions in children with open physes.