Edit concept Question Editor Create issue ticket

Osteochondral Loose Body

Loose Body Joint


Presentation

  • We report a 34-year-old man who presented with ulnar wrist pain, painful click, and locking during forearm rotation following a motorcycle accident.[ncbi.nlm.nih.gov]
  • Clinical Presentation of Loose Bodies in Joint Loose bodies in the joint can hinder the joint moment as they get caught in movements. by getting caught in flexion and extension movements..[boneandspine.com]
  • A patient with a symptomatic loose body in the hip and documented degenerative changes presents a treatment dilemma.[arthritisresearch.us]
  • If enhancing granulation tissue is present, then the fragment is assumed to be separated and unstable by some authors 4,.[radsource.us]
  • Loose bodies Free loose bodies- single or multiple  Fixed loose bodies  Presentation-Intermittent catching & Pain -Recurrent effusion -Limitation of motion -Feeling of instability  3.[slideshare.net]
Pain
  • We report a 34-year-old man who presented with ulnar wrist pain, painful click, and locking during forearm rotation following a motorcycle accident.[ncbi.nlm.nih.gov]
  • The patient complains of painful movements or feeling of something moving in the knee. The joint may get locked or blocked causing e pain or loss of motion. Imaging Xray would reveal the loose body.[boneandspine.com]
  • Register Subscribe Help Subscribe Register Login Current Issue Archive Subspecialty Basic Science Education and Training Elbow Ethics Foot and Ankle Hand and Wrist Hip Infection Knee Oncology Pain Management Pediatrics Rehabilitation Shoulder Spine Sports[journals.lww.com]
  • Utilize the very latest approaches in hip surgery including hip resurfacing, hip preservation surgery, and treatment of hip pain in the young adult; and get the latest information on metal-on-metal hips so you can better manage patients with these devices[books.google.com]
  • The most awesome images on the Internet Knee Pain- good for me to know! Struggling with knee pain from running for over 5 months now and my doctor just keeps sending me back to physio.[pinterest.fr]
Inflammation
  • Other causes include fractures, trauma, bone and cartilage inflammation and benign tumors of the synovial membrane.[shouldersandknees.com]
  • There are many home remedies, whi Hip and Knee Inflammations anatomy poster Hip and Knee Inflammations anatomy poster shows skeletal hip, knee, additional hip joint capsule, acetabulum Home Remedies For Knee Pain - Natural Treatments & Cure For Knee Pain[pinterest.fr]
  • Conditions that result in chronic synovial inflammation (detailed in Chapter 14), such Figure 11.5.[arthritisresearch.us]
  • […] impingement Bony impingement Arthrofibrosis Instability Arthroscopic-assisted fracture fixation Synovitis Loose bodies Intra-articular bands (see the images below) Tendinitis Osteophytes Osteochondral defects (see the image below) Arthrodesis Synovial inflammation[ctfootandanklesurgery.com]
  • There were no signs of infection or inflammation. 2 loose bodies could be palpated on the anterior aspect of the ankle joint, which were freely mobile. Terminal 10-degree dorsiflexion was restricted on affected side as compared to normal side.[ispub.com]
Asymptomatic
  • The patient remained asymptomatic without recurrence or DRUJ instability 2 years postoperatively.[ncbi.nlm.nih.gov]
  • In case of the mobile loose body, wait and watch could be applied to wait for the loose body to move out of joint and become asymptomatic. Intra-articular fractures need to fix anatomically.[boneandspine.com]
  • Patients may be entirely asymptomatic or complain of pain, clicking and locking, depending on the location and mobility of the fragment as well as any associated secondary degenerative disease, and symptoms from the underlying cause.[radiopaedia.org]
  • Old, asymptomatic OCD may be an incidental finding in a patient with another cause for the symptoms.[emedicine.medscape.com]
  • It has been theorised that the adult onset of OCD may simply be a delayed onset of previously asymptomatic juvenile OCD that has failed to heal and presented later with loosening and joint degeneration.[thekneedoc.co.uk]
Falling
  • These pedunculated synovial folds may detach and fall into the joint as a loose body. Conditions that result in chronic synovial inflammation (detailed in Chapter 14), such Figure 11.5.[arthritisresearch.us]
  • Probably the most important layer to ensure that the cartilage does not “fall off” the bone is the calcified cartilage layer. This is a layer which is basically a transition zone between bone and the underlying cartilage.[drrobertlaprademd.com]
  • This is a 46yo female with pain and popping following a fall. Osteochondral fractures of the posterior capitellum and anterior aspect of the radial head are demonstrated.[radsource.us]
  • The villi will outgrow their blood supply, become necrotic and fall into the joint or bursa. They are called rice bodies because when you open up the joint, they just look like rice. Here another case.[radiologyassistant.nl]
  • We speculate that with a fall from height with an abducted and externally rotated arm his humeral head had likely migrated superiorly and impacted on the glenoid creating the large chondral loose body from the superior glenoid articular cartilage, which[jocr.co.in]
Disability
  • Computerised Tomography (CT) can detect any bony fragments, pinpoint their location and determine whether they have settled in the joint space. [11] Outcome Measures An outcome measure appropriate for this injury is the DASH questionnaire which measures disabilities[physio-pedia.com]
Fracture
  • For practical purposes, the differential diagnosis usually rests between osteoarthritis loose bodies, synovial chondromata and loose bodies associated with osteochondritis dissecans or osteochondral fracture.[boneandspine.com]
  • Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty[mdedge.com]
  • In osteochondral fractures, information on the posttraumatic damage to other intra-articular structures, such as ligaments or menisci, cannot be obtained by US.[ncbi.nlm.nih.gov]
  • See how to proceed better than ever before with 45 surgical videos demonstrating hip revision, patellar tendon allograft preparation, open reduction internal fixation clavicle fracture, total shoulder arthroplasty, total elbow arthroplasty, and more -[books.google.com]
  • CT scan: This is rarely used but can give details about the loose body when fracture or bone fragments are expected.[stoneclinic.com]
Osteophyte
  • […] meniscus Osteocartilaginous loose bodies Osteochondral fractures of femoral condyles and patella Pathological Detachment of portion of articular surface from osteochondritis dessicans Synovial chondromatosis Pigmented vilonodular synovitis A detachment of osteophytes[boneandspine.com]
  • Anterior osteophytes form over the anterior lip of the distal tibia and corresponding area of articulation on the dorsum of the neck of the talus. These osteophytes or spurs occur because of repetitive and forceful dorsiflexion.[ctfootandanklesurgery.com]
  • Arthroscopically, the borders of the osteophyte are exposed with a 3.5mm soft tissue resector, then the bony spurs themselves are removed with burrs.[ankle-arthroscopy.co.uk]
  • Loose Bodies Causes-Degenerative chondral/osteophytes -Osteochondral fragmenttraumatic -Meniscal fragment -Fibrosed synovial villi -Broken implants/instruments -Bone cement residue Diagnosis - Clinical - X-rays if calcified or metal - MRI 4.[slideshare.net]
  • Osteoarthritis can be a cause of loose bodies – presumably osteophytes (bony spurs around the margins of the joint) break off and can become loose inside the hip.[roberthowells.com.au]
Osteochondral Loose Body
  • Histological examination showed an osteochondral loose body. The patient remained asymptomatic without recurrence or DRUJ instability 2 years postoperatively.[ncbi.nlm.nih.gov]
  • loose body of the knee joint.[journals.lww.com]
  • loose body Cartilaginous tissue enclosed by synovial tissue Differential diagnosis Cartilaginous loose bodies: more common but associated with arthritis Chondrosarcoma : not within a joint, no characteristic clustering pattern, marked myxoid change,[pathologyoutlines.com]
  • Diagnosis Right knee osteochondral defect with possible osteochondral loose body in the interchondylar notch.[ucsfhealth.org]
Joint Effusion
  • Additional findings, including mobility of loose bodies, presence of joint effusion, and synovial proliferation, can also be assessed with US.[ncbi.nlm.nih.gov]
  • Upon physical examination of a patient with elbow OCD, joint effusion, crepitus, and generalized tenderness may be noted.[emedicine.medscape.com]
  • The radiograph shows joint effusion (red arrows) and a coronoid fracture (yellow arrow). Continue with the MR-images. Now here is the MR. Study the images and then continue reading...[radiologyassistant.nl]
Hip Pain
  • Utilize the very latest approaches in hip surgery including hip resurfacing, hip preservation surgery, and treatment of hip pain in the young adult; and get the latest information on metal-on-metal hips so you can better manage patients with these devices[books.google.com]
  • Fibrous loose bodies have been reported in other synovial joints, and have been identified in the hip more recently dur ing diagnostic arthroscopy for intractable hip pain.15 These radiolucent loose bodies result from hyalinized reactions of the synovium[arthritisresearch.us]

Workup

  • CT-scans are increasingly used in the preoperative workup. A CT-classification was therefore introduced in 1993, resembling the above classification, with stage V representing a radiolucent defect [ 27 ].[em-consulte.com]

Treatment

  • Conservative treatment with a splint and oral analgesics for 3 months failed. During DRUJ arthroscopy, osteoarthritic changes were found, and the loose body was resected using DRUJ arthroscopy.[ncbi.nlm.nih.gov]
  • Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout.[books.google.com]
  • Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty[mdedge.com]
  • The causative disease like tuberculosis would require medical treatment. Physical therapy and anti-inflammatory drugs can be used to help with the symptoms and to keep the joint flexible.[boneandspine.com]

Prognosis

  • […] are not likely to heal; - bad prognosis if frag detaches, leaving defect in wt bearing region; - classification: (from Clanton and DeLee (1982)) - I : depressed osteochondral fracture; - II : osteochondral fragment attached by an osseous bridge; - III[wheelessonline.com]
  • Natural History & Prognosis The literature on this condition contains no randomised controlled clinical trials for either surgical or non-surgical interventions for OCD of the knee.[thekneedoc.co.uk]
  • The overall prognosis is usually dependent upon the extent of underlying degeneration rather than the presence or absence of a loose body.[arthritisresearch.us]
  • Prognosis worsens with age and physis closure. Therefore, the goal of management of juvenile OCD is to promote resolution of the lesion before physis closure.[aafp.org]
  • Therefore, the size, width and depth, of the cartilage fissure is an important thing to assess because it can ultimately determine the prognosis of being able to return back to normal activities or if one would need to adapt their activities going forward[drrobertlaprademd.com]

Etiology

  • Etiology The true etiology of osteochondritis dissecans has been the source of enthusiastic debate for decades. The etiology has been described as traumatic, ischemic, idiopathic, and hereditary.[emedicine.medscape.com]
  • Etiology A wide range of conditions can lead to the development of intra-articular loose bodies: osteochondral fractures osteochondritis dissecans pigmented villonodular synovitis (PVNS) osteoarthritis or severe degenerative disease intra-articular fracture[radiopaedia.org]
  • It is a general term used to characterize the pathology encountered at the joint surface with no consideration of etiology.[radsource.us]
  • Definition / general Also called synovial chondrometaplasia, synovial osteochondromatosis Mean age 41 years, range 17 - 64 years, 2/3 male ( Hum Pathol 1998;29:683 ) Primary disease is uncommon, unknown etiology, aggressive ( Hum Pathol 1979;10:439 )[pathologyoutlines.com]
  • […] condyle; - is usually unilateral (74%) - relatively common source of loss bodies in the knee or even an incongruous joint if the separated fragment is large; - twice as common in males; - classically occurs below the age of 18 (range: 6 to 53 years) - etiology[wheelessonline.com]

Epidemiology

  • Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty[mdedge.com]
  • Most OCD lesions of the elbow involve the capitellum, typically the central or lateral portion, but also the radial head, the olecranon of the ulna and the trochlea humeri. [2] Epidemiology / Aetiology Ostechondritis of the humeral capitellum is secondary[physio-pedia.com]
  • Epidemiology Frequency Prevalence In the United States, the overall prevalence of osteochondritis dissecans is not known. However, in the femoral condyles, OCD has a prevalence of approximately 6 cases per 10,000 men and 3 cases per 10,000 women.[emedicine.medscape.com]
  • […] are two main types of OCD: the adult form, which occurs after the physis closes, and the juvenile form, which occurs in patients with an open epiphyseal plate. 3 Many researchers believe that the adult form is undiagnosed persistent juvenile OCD. 4 Epidemiology[aafp.org]
  • Epidemiology With the increased awareness and newer diagnostic techniques, the incidence of OD seems to increase [ 27 ].[em-consulte.com]
Sex distribution
Age distribution

Pathophysiology

  • History, pathophysiology and current treatment concepts. - Clinical Manifestations and Exam: - vague complaints: poorly localized pain, pain w/ exercise & effussion; - loose bodies may cause locking; - on exam, forcible compression of affected side of[wheelessonline.com]
  • Our understanding of the pathophysiology of OCD has not advanced much over the past 100 years.[aafp.org]
  • Pathophysiology Once a lesion is present, it typically progresses through 4 stages unless appropriately treated. Stage I consists of a small area of compression of subchondral bone. Stage II consists of a partially detached osteochondral fragment.[emedicine.medscape.com]

Prevention

  • All of the subject areas tested on the boards are represented, including basic science and general procedures; health promotion and preventive aspects; emergency assessment and care; and diagnosis, management, and treatment of the full range of sports-related[books.google.com]
  • Prevent any tears and breaks of the knee with: Exercise that strengthens muscles around the knee A well-balanced diet to strengthen bones Protective knee pads and gear for athletes[drburkeortho.com]
  • How can I help prevent bone chips in the knee? Bone chips are usually caused by injuries to the knee that are not easily prevented. Developed by RelayHealth. Published by RelayHealth.[summitmedicalgroup.com]
  • It is important to seek treatment for synovial chondromatosis as early as possible to help relieve painful symptoms and prevent the progression of osteoarthritis in the joint.[orthoinfo.aaos.org]
  • Prevent Yoga Injury: 3 Things You Must Do to Keep Your Knees Safe in Yoga Knee Anatomy---my new obsession to study well, a meniscus tear puts a cramp in my running style[pinterest.fr]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!