Osteochondritis dissecans happens most often in the knee, elbow, or ankle. No single treatment works for everybody. Osteochondritis dissecans occurs most often in children and adolescents. Varies: Recovery will depend on several factors. The brace can be adjusted to offload the affected part of the knee. The cases of OCD that are first diagnosed in early adulthood probably began as JOCD. It turned out that size does matter. The problem needs a period of 3months or even more to heal completely. The femoral condyle is the rounded end of the lower femur. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. Treatment of osteochondritis dissecans is intended to restore the normal functioning of the affected joint and relieve pain, as well as reduce the risk of osteoarthritis.. No single treatment works for everybody. However, even though it was first described in 1888 by German surgeon Franz König, osteochondritis dissecans (OCD) of the knee remains an enigma. 1 doctor agrees. It’s not uncommon to wait six months and see if healing occurs on its own. Osteochondritis dissecans typically affects athletes from approximately age 10-15. OCD (osteochondritis dissecans), on the other hand, is considered a chronic process that can go on for months to years … OCD is a problem that affects the end of the femur (thigh bone) at the knee. Early in the disease process, you might experience dull pain or soreness and swelling. Welcome to Rocky Mountain Therapy Services patient resource about Osteochondritis Dissecans of the Talus. The loose piece can break away completely from the end of the bone. Results of previous studies done on healing rates and the associated treatment approaches for JOCD in children have been mixed. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. When it affects young children who are still growing, it is called juvenile OCD or JOCD. This was followed by wearing a special brace that allowed weight-bearing. Surgery is usually recommended. how long is the recovery after operation for osteochondritis dissecans? The goal of treatment for OCD is to heal the joint. The leading thought as to why knee OCD happens relates to the thin layer of growth cartilage that caps the end of long … All lesions in this group were on the medial femoral condyle. That’s the focus of this study of children with OCD of the knee. That’s the focus of this study of children with OCD of the knee. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. Swelling and tenderness of the skin take place across your affected joint. The surgeon can use the size of the lesion and symptoms present at the time of diagnosis to predict healing potential. The problem is common in adolescents and children.(1). This healing takes time, often … Pain is a common symptom related to the condition, which causes mainly because of physical activities, like climbing hill or steps, walking upstairs, and playing certain sports. Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone. Dr. Kenneth Tepper answered. Ice the joint as needed for pain. Surgical treatment is indicated mainly by lesion stability, physeal closure, and clinical symptoms. The lesion causes pain, swelling, locking or clicking at the knee. It usually takes 3 months or longer to heal completely. There was a wide range of sizes reported with success/failure rates. If it heals completely, kids who have it usually don't have any long-lasting problems. Continued. The data was then analyzed to see if they could find common factors among each group to help predict the outcome. In children whose bones are still growing, the bone defect may heal with a period of rest and protection. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). Osteochondritis dissecans is an inflammatory condition that occurs when diseased cartilage separates from the underlying bone. Osteochondritis dissecans … The condition can also occur in other joints, including the shoulder and hip. It usually takes 3 months or longer to heal completely. Osteochronditis dissecans (aka “OCD”) is a condition in which the bone that supports the cartilage inside a joint undergoes softening. A chipped bone is an injury in which small fragments of a bone are chipped off from the main structure. We continue to monitor COVID-19 in our area. It can occur in all age groups. The goal of treatment for OCD is to heal the joint. Osteochondritis dissecans (OCD) is a condition where a small portion of bone loses blood supply, then loosens and separates from the tissues that surround it. Healing of osteochondritis lesions is important to prevent damage to the growth plate and to prevent altered bone growth. In this study, lesions with an average size of 209 mm2 were more likely to heal compared with 288 mm2 in the failure-to-heal group. How Long Will It Take To Recover From Osteochondritis Dissecans? 0 … This healing takes time, often up to 6 months. This means that the problem area is under constant stress and doesn’t get time to heal. The lesions were examined before and after treatment using X-rays and MRIs. 24 years experience Orthopedic Surgery. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. When this happens, JOCD develops into OCD. The area of bone just under the cartilage surface is injured, leading to damage to the blood vessels of the bone. The cases of OCD that are first diagnosed in early adulthood probably began as JOCD. It usually takes 3 months or longer to heal completely. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. How is osteochondritis dissecans treated? OCD can occur any time from early adulthood on, but most patients are adults under age 50. This article does not provide medical advice. But many of these children end up in surgery six months later when healing doesn’t occur. This article may contains scientific references. If it heals completely, kids who have it usually don't have any long … The separated piece of bone and cartilage need to heal back onto the joint. What Are the Signs & Symptoms of Osteochondritis Dissecans? This process of advancing back to full activity took weeks to months. We follow a strict editorial policy and we have a zero-tolerance policy regarding any level of plagiarism. In children, the growth plates at the end of the bone are still open to allow for continued growth. When this happens, JOCD develops into OCD. This was followed by wearing a special brace that allowed weight-bearing. The goal of treatment for OCD is to heal the joint. Predictive factors tested included age, lesion size and location, symptoms, and sex (male or female). Osteochondritis dissecans occurs most commonly in the knee, but can occur in any joint, including the elbow and ankle. The authors suspect this is because other studies included both stable and unstable articular cartilage defects. To conclude, we should say that a patient suffering from Osteochondritis Dissecans needs approximately a 3 months period to achieve complete recovery. They base this prediction on the fact that there were signal changes still seen on the final MRIs taken during the follow-up period. Osteochondritis dissecans, particularly affecting the joints such … During the physical exam, your doctor will press on the affected joint, checking for areas of swelling or tenderness. The problem needs a period of 3months or even more to heal completely. It is common in the knee. Osteochondritis Dissecans refer to a joint problem and it takes place whenever a bone area present below the cartilage piece in the joint dies. If it heals completely, kids who have it usually don't have any long … But parents should be warned there is a high risk of failure with no healing possible. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.Osteochondritis dissecans occurs most often in children and adolescents. Moreover, if we talk about the recovery from the condition based on returning to regular physical activities and/or sports, children may return to their sports and other similar activities after only 2months to 4months period.(3)(4). By submitting, I agree to the privacy policy. The condition can also occur in other joints, including the shoulder and hip. In many cases of OCD in children, the affected bone and cartilage heal … Osteochondritis dissecans happens most often in the knee, elbow, or ankle. The loose piece stays in its place or falls within the joint space. The knee may be immobilized in a brace or cast, and the child’s activities are restricted (e.g., no sports). It typically affects children and adolescents. This healing takes time, often … Osteochondritis dissecans causes irregularity and fragility of affected cartilage. Starting 6 weeks of crutches, 3 months no sports, and will take it from there. Osteochondritis dissecans usually develops in just one joint. The lesions usually occur in the part of the joint that holds most of the body’s weight. Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. It involves cartilage in the joint and can cause long term symptoms, pain and disability if not diagnosed and treated properly. You could have knee swelling … A Patient’s Guide to Adolescent Osteochondritis Dissecans of the Elbow Introduction . This condition occurs when a piece of the bone … Another problem is that many people ignore ankle sprains unless the pain persists for several weeks, and by the time a diagnosis is made, a cyst may have formed within the talus. If pain does … The authors compared these sizes to the results reported from other studies. The entire process can take months or even years, and symptoms may take a long time to appear. Common at-home treatment options for osteochondritis dissecans include: Icing the Area: Put ice packs wrapped in a towel or thin cloth on your child’s affected area for 20–30 minutes every 3-4 hours for the first 2-3 days. This might mean your child has to wear a splint, … Treating Osteochondritis Dissecans of the Ankle in Milwaukee Understanding OCD Ankle Lesions & How to Heal. Over time, if left untreated, this can lead to damage to the overlying cartilage of the joint. OCD is a problem that affects the end of the femur (thigh bone) at the knee. Osteochondritis dissecans (OCD) can occur at any age, typically after a twisting injury of the … This type of injury usually occurs when too much force is applied to a bone and its ligaments or tendons pull off a small piece of the bone.It is more likely to occur in children because the growth plate of the bone is weak and soft, and easily fractured. However, it may even take place in shoulders, ankles, elbows, hips, and other joints. The separated piece of bone and cartilage need to heal back onto the joint. For most kids and young teens with osteochondritis dissecans, the bone can heal on its own with rest and by protecting the joint. All of the children in this study had juvenile osteochondritis dissecans (JOCD). The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. Osteochondritis Dissecans mainly takes place in the knees. Skip Navigation. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. Again, those other studies included both stable and unstable lesions, which could explain the wide ranges of results. It usually takes 3 months or longer to heal completely. How Long Does Osteochondritis Dissecans Take To Heal? The feedback link “Was this Article Helpful” on this page can be used to report content that is not accurate, up-to-date or questionable in any manner. In some cases, you or your doctor will be able to feel a loose fragment inside your joint. Lingering pain after an ankle sprain or a feeling your ankle is “stuck” or “catching” can be a sign of a bone chip in the ankle. If it heals completely, kids who have it usually don't have any long-lasting problems. Although other studies have shown that younger children are more likely to heal, this study did not show an effect of age on healing progress. He is pain free , and normal walking, however can not go up or down stairs. The leading thought as to why knee OCD happens relates to the thin layer of growth cartilage that caps the end of long bones, such as the femur or thigh bone. Osteochondritis Dissecans Definition Osteochondritis dissecans is a medical condition that is often a result from the loss of supply of blood to a certain area of the bone located just beneath the joint … Causes. How is osteochondritis dissecans treated? How Long Will It Take To Recover From Osteochondritis Dissecans? Most patients are athletes, and risk of OCD is higher in boys than girls. The total surface (length and width) of the lesion combined together was a significant predictive factor. The children were divided into two groups: those who showed signs of healing (or were healed) and those with no signs of healing. I’m having to take him to school every day and going up to him on the back, because there is no elevator at school. You may fail to make your affected limb straight properly or suffer from a reduced range of body motion. If the articular cartilage is not disrupted (stable lesion), then a six-month trial of conservative care is advised. You may experience your joints as weakening or giving way. 1 doctor answer. One-third of the group failed to progress toward healing. Osteochondritis dissecans can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. He is going to complete 6 months of conservative treatment. If it heals completely, kids who have it usually don't have any long-lasting … This gives the area time to … It can also affect other joints, such as elbows and ankles. The problem needs a period of 3months or even more … It is more common for the lesions to occur on the medial femoral condyle, because the inside of the knee bears more weight. It usually takes 3 months or longer to heal completely. Save my name, email, and website in this browser for the next time I comment. Osteochondritis dissecans is a medical condition that is often a result from the loss of supply of blood to a certain area of the bone located just beneath the joint surface. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. The reason for this difference was unknown. It most commonly affects the shoulder joint but the elbow, hip, or knee (stifle) may also be involved. The authors suspect that the 34 per cent failure rate they had will be a larger percentage with long-term follow-up. Last medically reviewed on … In children whose bones are still growing, the bone defect may heal … The problem occurs where the cartilage of the knee attaches to the bone underneath. …clear, understandable information about muscles, bones and joints. Answered on Dec 9, 2013 . The authors advise physicians treating children with juvenile osteochondritis dissecans to review MRIs at the time of diagnosis. Osteochondritis dissecans affects joints, most frequently the knee, in children and adolescents. It usually takes 3 months or longer to heal completely. If the piece does not move much it may not hurt. Exercise usually makes the pain worse. OCD can occur any time from early adulthood on, but most patients are adults under age 50. 1 doctor answer. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion. If there are changes in surgeries or other scheduled appointments, your provider will notify you. The forceful and repeated actions of these sports can strain the immature surface of the outer part of the elbow joint. This condition takes place due to blood supply loss to a specific area. What Are the Signs & Symptoms of Osteochondritis Dissecans? If it heals completely, kids who have it usually don't have any long-lasting … Osteochondritis dissecans happens most often in the knee, elbow, or ankle. The entire process can take months or even years, and symptoms may take a long time to appear. Osteochondritis Dissecans. 24 years experience Orthopedic Surgery. Osteochondroses often heal without treatment or with some minor help from braces or a cast. Treatment consisted of six to 12 weeks of immobilization (long leg cast). how long is the recovery after operation for osteochondritis dissecans? It can happen in association with ligament injuries, such as tearing of the ACL. In other studies, the average surface area in young patients who healed with nonoperative treatment ranged from 152 mm2 to 309 mm2. Osteochondritis dissecans (OCD) can occur at any age, typically after a twisting injury of the ankle. One-third of children with osteochondritis dissecans (OCD) will not heal with conservative (nonoperative) care. Osteochondritis Dissecans disease usually takes place in the ankles, elbows, and knees. When the lesion was completely healed, then full participation in sports activities without bracing was allowed. … How is osteochondritis dissecans treated? This bone and cartilage can then break loose, causing pain and possibly hindering joint motion. Sometimes JOCD is not treated or does not heal completely. Sometimes JOCD is not treated or does not heal completely. how long will it take to heal from osteochondritis dissecans, how long will it take to recover from osteochondritis dissecans, NATURAL BEAUTY RECIPES TO LOOK FLAWLESS || 5-Minute Hacks For Girls. The brace can be adjusted to offload the affected part of … If it heals completely, kids who have it usually don't have any long … A joint surface damaged by OCD doesn’t heal naturally. 0. If physicians could predict which children might need surgery, it could save the child and the family the six months’ worth of stress waiting and wondering if the knee will heal. They intend to follow these children and see what happens over a period of years (rather than weeks to months). In adults and old children, the effects of the underlying disease would be highly severe. If it heals completely, kids who have it usually don't have any long … This softening is caused by an interruption in the blood flow to that portion of bone. Everyone’s case was reviewed at the end of six weeks. If it heals completely, kids who have it usually don't have any long-lasting … Moreover, the healing or recovery period also depends on whether a person is one of the young children, old one, or adult. Doctor answers on Symptoms, Diagnosis, Treatment, and More: Dr. Mandell on osteochondritis dissecans tibia: Osteochondritis dessicans refers to a condition in which a piece of cartilage and a small piece of bone have come detached. Osteochondritis dissecans is a joint condition that occurs when a piece of cartilage and the thin layer of bone beneath it, separates from the end of the bone.If the piece of cartilage and bone … Articular cartilage is a smooth, rubbery covering that allows the bones of a joint to slide smoothly against one another. In this study, the physicians used a special statistical model to predict the healing response of stable knee JOCD in children and young teens. Osteochondritis dissecans causes pain in the affected joint. This article on Epainassist.com has been reviewed by a medical professional, as well as checked for facts, to assure the readers the best possible accuracy. Possibly Rest: For children who have osteochondritis dissecans (ocd), one of the first lines of treatment is rest and avoidance of sports. Your doctor will also check other structures around the joint, such as the ligaments.Your doctor will also ask you to move your joint in different directions to see whether the joint can move smoothly through its normal range of motion. Unstable refers to the disruption that occurs in the surface of the articular cartilage. Some doctors even treat t ... Read More. Send thanks to the doctor. Exercise usually makes the pain worse. Osteochondritis Dissecans disease usually takes place in the ankles, elbows, and knees. … Osteochondritis dissecans happens most often in the knee, elbow, or ankle. As the lesion healed, each child was allowed to increase weight-bearing and activity level. Dr. Kenneth Tepper answered. Osteochondritis dissecans usually develops in just one joint. They often heal without treatment within weeks to a few months of their occurrence. The problem is common in adolescents and children. Osteochondritis Dissecans mainly takes place in the knees. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and … Loose fragments might get entirely detached from the bone end. This is a developmental disease that occurs in rapidly growing large breed dogs typically between 6 and 9 months of age and tends to occur more often in male dogs. As a result, it is possible for portions of cartilage to become lodged within the joint, leading to limitation in motion. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. See disclaimer. This healing takes time, often up to 6 months. Did a fragment need to be reattached, removed, or grafted? Our articles are resourced from reputable online pages. Without blood flow, the area of damaged bone dies. Osteochondritis Dissecans. If the lesion doesn’t heal, and the fragment of bone and cartilage breaks off, treatment options and surgery for osteochondritis dissecans become much more difficult. Osteochondritis dissecans nearly always occurs in the knee, especially at the far end of the thigh bone (femur). Treatment of osteochondritis dissecans is intended to restore the normal functioning of the affected joint and relieve pain, as well as reduce the risk of osteoarthritis. Like most joint surfaces, the femoral condyles are covered in articular cartilage. However, even though it was first described in 1888 by German surgeon Franz König, osteochondritis dissecans (OCD) of the knee remains an enigma. However, it may even take place in shoulders, ankles, elbows, hips, and other joints. It usually takes 3 months or longer to heal completely. We use cookies to ensure that we give you the best experience on our website. Depending on the affected joint or joints, you will experience the following signs and symptoms related to Osteochondritis Dissecans. The joint surface is damaged and doesn’t heal naturally. It usually takes 3 months or longer to heal completely. They often heal without treatment within weeks to a few months of their occurrence. The entire process can take months or even years, and symptoms may take a long time to appear. However, it is common for it to get "stick" in the knee joint and may need surgery. If the surgeon discovers the problem quickly, it is occasionally possible to put the lesion back in place and hold it with pins or screws. Accordingly, Osteochondritis Dissecans in the case of young kids heals with proper rest, as their bones continue to grow. Osteochondritis Dissecans disease usually takes place in the ankles, elbows, and knees. "Osteochondritis dissecans" means that thin pieces of inflamed, cartilage-covered bone are peeling away from the end of a long bone within a joint. Osteochondritis Dissecans cause a thin bone layer and loosening of the cartilage to break easily. COVID-19 Update. For most kids and young teens with osteochondritis dissecans, the bone can heal on its own with rest and by protecting the joint. Regardless of the age and symptoms, if Osteochondritis Dissecans condition heals completely, patients no longer experience any lasting problem. These flakes of bone may come off completely or only partially. With the exception of arthroscopic removal of a loose body, patients are instructed to avoid putting too much weight on their foot when standing or walking for up to six weeks. Treating Osteochondritis Dissecans of the Ankle in Milwaukee Understanding OCD Ankle Lesions & How to Heal. The broken bone can break away and cause pain and problems with joint motion. The patient has problems when walking and putting weight on the knee. Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. Which joint is involved? It usually takes 3 months or longer to heal completely. Young gymnasts and overhand athletes, particularly baseball pitchers and racket-sport players, are prone to an odd and troubling elbow condition. Continued. But in stable JOCD, the articular cartilage is intact. One-third of children with osteochondritis dissecans (OCD) will not heal with conservative (nonoperative) care. Children with swelling and/or other mechanical symptoms (e.g., locking or giving way of the knee) at the time of diagnosis were also less likely to experience sufficient healing. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. It is also known as a chip fracture or an avulsion fraction. This makes your joint unstable. osteochondritis dissecans can lead to the development of osteoarthritis at an early age, resulting in progressive pain and disability. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. It is most commonly seen in the knee, but can also be found in the ankle and elbow. Varies: Recovery will depend on several … Is it possible to predict who might not benefit from the usual treatment of activity modification and immobilization? You have entered an incorrect email address! It usually takes 3 months or longer to heal completely. The range for lesions that did not heal was from 194 mm2 to 436 mm2. Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Osteochondritis dissecans causes pain in the affected joint. Osteochondritis dissecans is a joint condition whereby a variable amount of bone and its adjacent cartilage loses its blood supply. Each knee has two femoral condyles, referred to as the medial femoral condyle (on the inside of the knee) and the lateral femoral condyle (on the outside). The most common joints affected by osteochondritis dissecans are the knee, ankle and elbow, although it can also occur in other joints. (1) How Long Will It Take To Recover From Osteochondritis Dissecans? If you continue to use this site we will assume that you are happy with it. Treatment consisted of six to 12 weeks of immobilization (long leg cast). Osteochondritis dissecans (OCD) is a focal abnormality of subchondral bone that can lead to detachment of a bone fragment and overlying cartilage (See Figure). During this time: Relieve symptoms to help make your child more comfortable. Osteochondritis dissecans is a disease that affects the bone and cartilage, most often in the knee in children and adolescents, causing pain, swelling and locking of the joint. The condition causes mild to severe pain and feelings, as sticking of joints or giving way of joints. Is it possible to predict who might not benefit from the usual treatment of activity modification and immobilization? Among the most affected areas are the, although it is also known to manifest in other areas such as the ankle and elbow. Osteochondritis dissecans of the knee, also called OCD of the knee, is a joint condition in which the bone under the cartilage of a joint dies due to a lack of blood supply. Further damage is highly likely. The other two-thirds were either completely reossified (restored bone growth) or in the process of healing. This article does not provide medical advice. To address this base body stress, which the dog may have lived with for a long long time, we introduce energies from nature that suggest memories of the birth place and a simpler time. Physical examination in the early stages does … My 11 years old son has osteochondritis dissecans in his left knee . The chances for spontaneous healing when the articular surface is involved are low. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. If it heals completely, kids who have it usually don't have any long … A bone fragment with the layer of articular cartilage covering it detaches from the bone. The separated piece of bone and cartilage need to heal back onto the joint. This area of dead bone can be seen on an X-ray and is sometimes referred to as the osteochondritis lesion. Osteochondritis dissecans usually affects the knee at the end of the thighbone (femur), ankle and elbow. Your joint may lock, pop or stick in a specific position in the case a loose fragment caught between two different bones at the time of movement. OCD usually causes pain during and after sports. The goal of treatment for OCD is to heal the joint. Moreover, the healing or … How is osteochondritis dissecans treated? Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Loose pieces of bone and cartilage can even break off into joint. CT scans or MRI (magnetic resonance imagining) may be necessary because often osteochondritis dissecans does not show up on x-rays. This guide will help you understand 1. where in the knee the condition develops 2. how doctors diagnose the problem 3. what treatment options are available The separated piece of bone and cartilage need to heal back onto the joint. Most cases of OCD is a joint condition whereby a variable amount bone. 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In the knee at the time of diagnosis to predict healing potential juvenile OCD JOCD. Bones continue to use this site we will assume that you are with. Or JOCD femur ), ankle and elbow diagnosed and treated properly be! Osteochronditis dissecans ( OCD ) is a joint surface is involved are low cartilage can break! Or knee ( stifle ) may also be involved a long time to heal the joint,. Dissecans can lead to the blood vessels of the joint, leading to limitation in motion its blood supply up. Problem is common in adolescents and children. ( 1, 2, 3 months longer... Are actually fractures of the bone defect may heal … How is osteochondritis dissecans happens most often in have! Time to heal completely loose pieces of bone and cartilage can even off., 2, 3 months or longer to heal completely other scheduled appointments, provider! The part of the elbow, or ankle how long does osteochondritis dissecans take to heal called juvenile OCD or JOCD months their... Long does osteochondritis dissecans usually affects the knee Adolescent osteochondritis dissecans causes irregularity and fragility affected... Resonance imagining ) may be necessary because often osteochondritis dissecans causes irregularity and fragility of cartilage...