Adult osteochondritis dissecans and focussed ESWT: A successful treatment option.

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Abstract

[Indexed for MEDLINE] 13. Osteochondritis Dissecans. Wood D(1), Davis DD(2), Carter KR(3). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. 2023 Aug 8. Author information: (1)Kansas City University of Medicine (2)Wellstar Atlanta Medical Center (3)McLaren Oakland First described in 1888 by the German surgeon Franz König, osteochondritis dissecans (OCD), also known as an osteochondral lesion, is not a fully understood process, though it is believed to be multi-factorial in etiology. OCD is an idiopathic process and can occur from childhood through adult life, with the majority of patients presenting in their teenage years. Osteochondral lesions range in severity from being asymptomatic to mild pain or advanced cases having symptoms of joint instability and locking. The lesions can progress from stable to fragmentation of the overlying cartilage with the formation of a loose body in the affected joint space. Eventual early-onset osteoarthritic changes of the joint can occur at any level of severity if not diagnosed and adequately managed; therefore, early recognition and treatment are important to achieve favorable long-term outcomes. Copyright © 2026, StatPearls Publishing LLC.