What’s the Difference Between Osteochondrosis and Osteochondritis Dissecans?

What’s the Difference Between Osteochondrosis and Osteochondritis Dissecans?


A set of disorders known as osteochondrosis is defined by a reduction in a bone's blood flow, which causes bone tissue to break down and regenerate. One kind is osteochondritis dissecans.

Joint pain and swelling can be caused by osteochondrosis and osteochondritis dissecans.

"Osteo" is derived from the word "osteon," which means bone in Ancient Greek. The word for cartilage in Ancient Greek is "chondr."

Osteochondrosis is a collection of disorders marked by avascular necrosis, or the loss of blood flow to a portion of a bone, which causes the bone to degenerate and regenerate new bone.

A kind of osteochondrosis known as osteochondritis dissecans occurs when a bone flap separates from the underlying bone as a result of the loss of its blood supply.

Continue reading to find out more about osteochondritis dissecans and osteochondrosis.



Osteochondrosis vs. osteochondritis dissecans symptoms

The signs and symptoms of osteochondrosis and osteochondritis dissecans are shown here.

Osteochondrosis symptoms

Osteochondrosis symptoms include:
  • joint stiffness
  • swelling
  • tenderness
  • joint pain
  • limping
  • reduced mobility
  • joint popping
  • weakness

Legg-Calvé-Perthes disease symptoms

Legg-Calvé-Perthes disease is the most well-known type of osteochondrosis. It's an uncommon illness that develops in children when there is a disruption in the blood flow from the head to the thighbone. The ball-and-socket joint may collapse as a result of this.

Legg-Calvé-Perthes disease symptoms include:
  • the onset of a limp with no apparent reason
hip or groyne ache that is described as a:
  • knee
  • thigh
  • abdomen
  • discomfort that worsens when one moves
  • painful muscle spasms

Osgood-Schlatter disease symptoms

Osgood-Schlatter disease is a kind of osteochondrosis that is commonly recognised. In teenagers, this results in pain and swelling beneath the kneecap. Generally speaking, pain is worse when you run, jump, or climb stairs.

Osteochondritis dissecans symptoms

The most typical symptoms of osteochondritis dissecans include:
  • ankle
  • elbow
  • knee
The most typical symptoms are joint discomfort and edoema after physical exertion. In more advanced situations, joint locking or catching may occur.


What causes osteochondrosis vs. osteochondritis dissecans?

The causes of osteochondrosis and osteochondritis dissecans are examined here.

Osteochondrosis causes

Temporary disturbances in the blood flow to bone and cartilage in a specific bone cause osteochondrosis.

It is unknown what causes osteochondrosis at its root. According to experts, it could be connected to:
  • repetitive trauma
  • biomechanical factors
  • hormonal imbalances
  • genetic causes
  • atypical blood vessel structures

Osteochondritis dissecans causes

A small piece of bone and cartilage that separates off the end of your bone because there is insufficient blood flow is called osteochondritis dissecans.

Although the exact source of the blood supply loss is unknown, repeated trauma or stress to the bone in genetically predisposed individuals may be a factor.


Who gets osteochondrosis or osteochondritis dissecans?

The risk factors for osteochondrosis and osteochondritis are listed below.

Osteochondrosis risk factors

Osgood-Schlatter disease risk factors include:
  • male sex
  • ages 12 to 15 years for males
  • ages 8 to 13 years for females
  • sudden skeletal growth
  • Leaping, running, or engaging in other repetitive exercises
Legg-Calve-Perthés disease risk factors include:
  • short stature
  • For men, birth weights under 5.5 pounds
  • secondhand smoke exposure
  • some blood clotting disorders
  • HIV

Osteochondritis dissecans risk factors

Although it can happen at any age, osteochondritis dissecans is most frequent in young athletes between the ages of 10 and 20. Males are affected roughly twice as frequently as females.


Potential complications of osteochondrosis and osteochondritis dissecans

The following are a few possible side effects of osteochondrosis and osteochondritis dissecans.

Osteochondrosis complications

Arthritis or persistent joint discomfort can occasionally result from osteochondrosis.

A femur head deformity brought on by Legg-Calve-Pethés disease may increase your risk of:
  • leg length discrepancy
  • labral tear
  • hip arthritis
Long-term consequences are infrequent in Osgood-Schlatter disease cases. However, some kids might experience persistent discomfort throughout adulthood or grow a bony lump beneath their shin.

Osteochondritis dissecans complications

Osteochondritis dissecans complications can include:
  • arthritis
  • chronic pain
  • discomfort when using a limb
  • hematomas brought on by decreased mobility

When to contact a doctor

It's critical to get medical help if you or your child experiences bone or joint pain that is:
  • getting progressively worse
  • severe
  • impacting the things you do every day
  • resulting in a persistent new limp (in youngsters)

Diagnosing osteochondrosis and osteochondritis dissecans

Osteochondrosis and osteochondritis dissecans can be diagnosed with the following tests:
  • an examination of your medical history and that of your family
  • a recap of your medical history
  • a physical exam
  • X-rays
  • an MRI scan
  • ultrasound


How do doctors treat osteochondrosis and osteochondritis dissecans?

These are the osteochondrosis and osteochondritis dissecans therapy options.

Osteochondrosis treatment

Osteochondrosis frequently recovers on its own over time. Among the supportive therapies are:
  • home remedies, like:
  • icing the affected area
  • resting
  • stretching tight muscles
  • consuming analgesics, such as nonsteroidal anti-inflammatory medications
  • casting and crutches
  • physical therapy
Should conservative treatment fail, you might require surgery.

Osteochondritis dissecans treatment

Osteochondritis dissecans treatment options include:
  • using crutches or splints
  • avoiding vigorous activity
  • casting the affected limb
  • obtaining surgery if, after two to four months, your symptoms don't go better
Surgical alternatives could consist of:
  • drilling to provide space for new blood arteries in the damaged area
  • maintaining the afflicted region in place with screws and pins
  • utilising a bone and cartilage graft to replace the injured area

Recovering from osteochondrosis vs. osteochondritis dissecans

The prognosis for osteochondrosis and osteochondritis dissecans is shown below.

Osteochondrosis recovery

Usually, Osgood-Schlatter's disease resolves on its own, but it can take months. 10% of people continue to experience symptoms as adults.

Legg-Calve-Perthés disease patients do not experience long-term problems in about half of cases. In their 60s or 70s, the other half may need a hip replacement due to a handicap that they may have developed in their 40s or 50s.

Osteochondritis dissecans recovery

If osteochondritis dissecans require surgery, you might require crutches for around six weeks, followed by two to four months of physical therapy.

The majority of surgical patients eventually experience early-onset osteoarthritis.


Can you prevent osteochondrosis or osteochondritis dissecans?

The best way to avoid osteochondrosis and osteochondritis dissecans is unknown. However, adhering to a suitable training regimen and refraining from overtraining could aid young athletes in preventing joint issues.



Takeaway

Both osteochondrosis and osteochondritis dissecans can frequently be treated conservatively. If conservative treatment choices don't work for you, you might need surgery.

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