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Pediatric Osteochondritis Dessicans M93.20 732.7

  Pediatric OCD ICD-10

Pediatric OCD ICD-9

  • 732.7(osteochondritis dissecans)

OCD Etiology / Epidemiology / Natural History

  • primary determinant of treatment is an age of the patient at presentation.
  • open physes classifies the lesion as the Juvenile form
  • etiology unknown
  • Most children who have juvenile osteochondritis dessicans and open physes can be successfully managed non-operatively.

Pediatric OCD Treatment

  • Cahill proposed limitation of activities until the patient was free of symptoms as well as protected weight bearing with use of splints or crutches. He recommended that non-operative treatment be abandoned if symptoms persist for 3 months
  • pain disappears in an average of 8 months.
  • the classic location for OCD of the knee is the lateral part of the medial condyle
  • discontinue involvement in sports activities until pain has disappeared. conservative treatment is best for juvenile patients, with no difference shown between casting, bracing , PT, NWB or no treatment at all.

Pediatric OCD Review References

  • Herring JA:  Disorders of the knee: Tachdjians Pediatric Orthopaedics, 3rd ed., 789-838.
  • Sales deGauzy J: Natural course of OCD in children. J Pediatr Orthop Br 1999;8:26-28.
  • Hefti F:  OCD: A multicenter study of the European Pediatric Ortho Society. J Pediatr Orthop Br 1999;8:231-245
  • Cahill JAAOS 3:237;1995