Psychological Response and Readiness Associated With OCD of the Knee

NCT ID: NCT04649905

Last Updated: 2025-02-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-04

Study Completion Date

2025-12-31

Brief Summary

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This study primarily aims to determine whether patients diagnosed with osteochondritis dissecans (OCD) of the knee experience psychological stress due to their diagnosis and treatment plan. Secondarily, this study aims to determine whether knee OCD patients experience a change in stress and depression as they progress through their standard-of-care treatment plan, and whether they have impaired psychological readiness for return to sport.

Detailed Description

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Young athletes with poor psychological responses to injury and recovery may be at risk for suboptimal rehabilitation and return to sports. The issues of psychological readiness and fear/anxiety of reinjury are well documented in the treatment of ACL injuries in young athletes. To the investigative team's knowledge, no studies have examined the psychological response and psychological readiness to return to sports in pediatric and adolescent patients undergoing treatment for osteochondritis dissecans (OCD) of the knee.

OCD is a focal, idiopathic alteration of subchondral bone with risk for instability and disruption of adjacent articular cartilage that may result in premature osteoarthritis. It generally affects a young population between 6 and 19 years of age, with highest prevalence between the ages of 12 and 19 years of age. This condition can be treated both conservatively and surgically depending on the age of the patient, size of the lesion, severity and instability of the bone \& cartilage, and previous treatment. The unclear etiology of this condition, the delayed / prolonged pre-diagnosis symptoms, varied treatment options, and unpredictable healing timelines are all factors that families and patients find frustrating about this condition. The investigators of this study believe that this leads to higher than normal psychological stress at the time of diagnosis and throughout treatment of this condition.

Improved understanding of the psychological stress and readiness to return to sport in the treatment of knee OCD can help patients, their families, and clinicians alike. Awareness can help clinicians provide the appropriate outreach and counseling for patients at risk for increased psychological stress. Improved psychological states and readiness can improve both physical and mental well-being.

Conditions

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Osteochondritis Dissecans Knee Psychological Stress

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Surgical Treatment

Patient's in this cohort will undergo surgical treatment for OCD of the knee.

Surgical Treatment

Intervention Type PROCEDURE

Surgical standard-of-care treatment for knee OCD

Nonoperative Treatment

Patient's in this cohort will undergo nonoperative treatment for OCD of the knee.

Nonoperative Treatment

Intervention Type PROCEDURE

Nonoperative standard-of-care treatment for knee OCD

Interventions

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Surgical Treatment

Surgical standard-of-care treatment for knee OCD

Intervention Type PROCEDURE

Nonoperative Treatment

Nonoperative standard-of-care treatment for knee OCD

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Between the ages 11-19
* Diagnosis of knee OCD confirmed by X-ray or MRI

Exclusion Criteria

* Had previous surgical treatment for their knee OCD lesion
* Received knee OCD non-operative treatment on the ipsilateral side for \>6 months and taken out of sports/physical activities
* Guardian not comfortable with child completing survey
* Is not fluent in English
Minimum Eligible Age

11 Years

Maximum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Texas Scottish Rite Hospital for Children

OTHER

Sponsor Role collaborator

Boston Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Matthew Milewski

Assistant Professor of Orthopedic Surgery, Harvard Medical School

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Matthew D Milewski, MD

Role: PRINCIPAL_INVESTIGATOR

Boston Children's Hospital

Locations

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Boston Children's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Texas Scottish Rite Hospital

Frisco, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Lauren E Hutchinson, MPH

Role: CONTACT

(617) 919-1632 ext. 91632

Facility Contacts

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Lauren E Hutchinson

Role: primary

6179191632

Savannah Cooper

Role: primary

Other Identifiers

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IRB-P00036878

Identifier Type: -

Identifier Source: org_study_id

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