Osteochondritis Dissecans (OCD Lesions)

Osteochondritis Dissecans, also commonly referred to as an osteochondral lesion (OCL) or osteochondral defect (OCD), is a condition in which there is a cartilaginous defect within one of the joints in your foot or ankle. A joint, also called an articulation, is comprised by the ends of two bones that are covered by a smooth, spongy surface called cartilage. The purpose of joints is to withstand large compressive and loading forces while allowing fluid movement between the two bones. When there is damage to the cartilage within the joint, a defect is sometimes created. The most common place for these lesions to occur is on the cartilaginous surface of the talus (one of the bones comprising the ankle joint). Some injuries that could lead to an osteochondral defect are ankle sprains, sports injuries, and lower extremity trauma. Symptoms typically include a dull, aching, deep pain in the ankle. Some patients may feel a clicking sensation, decreased mobility of the joint, increased swelling, and general instability. Diagnosis typically begins with X-rays and a thorough clinical evaluation. While this can sometimes confirm Osteochondritis Dissecans​ (an OCD lesion), often times advanced imaging studies such as CT or MRI are required. Treatment of Osteochondritis Dissecans depends on the location and severity. Come see our specialists at Florida Foot and Ankle Specialists today for a proper evaluation and a recommended treatment plan