{"id":177,"date":"2026-08-30T13:24:14","date_gmt":"2026-08-30T13:24:14","guid":{"rendered":"https:\/\/dryousefmuhammad.com\/osteochondral-lesions\/"},"modified":"2026-09-02T18:31:18","modified_gmt":"2026-09-02T18:31:18","slug":"osteochondral-lesions","status":"publish","type":"page","link":"https:\/\/dryousefmuhammad.com\/ar\/osteochondral-lesions\/","title":{"rendered":"\u0622\u0641\u0627\u062a \u0627\u0644\u0639\u0638\u0645 \u0648\u0627\u0644\u063a\u0636\u0631\u0648\u0641"},"content":{"rendered":"<section class=\"acl-hero\"><div class=\"acl-hero-grid\"><div class=\"acl-copy\"><div class=\"acl-eyebrow\">\u062d\u0627\u0644\u0629 \u0641\u064a \u0627\u0644\u0631\u0643\u0628\u0629<\/div><h1 class=\"acl-title\">\u0622\u0641\u0627\u062a \u0627\u0644\u0639\u0638\u0645 \u0648\u0627\u0644\u063a\u0636\u0631\u0648\u0641<\/h1><div class=\"acl-subtitle\">Symptoms, Diagnosis &amp; Treatment Options<\/div><p class=\"acl-lede\">An osteochondral lesion involves both the cartilage surface and the bone just beneath it. Because both layers are affected, these injuries need careful assessment and a considered plan.<\/p><\/div><div class=\"acl-portrait\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/doctor-cutout.png\" alt=\"Dr. Yousef Muhammad\"><\/div><div class=\"acl-cred\"><div class=\"cred-name\">\u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><div class=\"cred-role\">\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u0628\u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a | \u0627\u0644\u0637\u0628 \u0627\u0644\u0631\u064a\u0627\u0636\u064a | \u062a\u0646\u0638\u064a\u0631 \u0627\u0644\u0645\u0641\u0627\u0635\u0644 | \u0627\u0633\u062a\u0628\u062f\u0627\u0644 \u0627\u0644\u0645\u0641\u0627\u0635\u0644<\/div><ul class=\"acl-cred-list\"><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u062d\u0627\u0635\u0644 \u0639\u0644\u0649 \u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062c\u0631\u0627\u062d \u0631\u0643\u0628\u0629 \u0645\u0639\u062a\u0645\u062f \u0645\u0646 DKG<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062c\u0631\u0627\u062d \u062a\u0646\u0638\u064a\u0631 \u0645\u0641\u0627\u0635\u0644 \u0645\u0639\u062a\u0645\u062f \u0645\u0646 AGA<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0637\u0628\u064a\u0628 \u0631\u064a\u0627\u0636\u064a \u0645\u0639\u062a\u0645\u062f \u0645\u0646 GOTS<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062f\u0628\u0644\u0648\u0645 \u0627\u0644\u0641\u064a\u0641\u0627 \u0641\u064a \u0637\u0628 \u0643\u0631\u0629 \u0627\u0644\u0642\u062f\u0645<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>International Experience (Germany &amp; Middle East)<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0631\u0626\u064a\u0633 \u0633\u0627\u0628\u0642 \u0644\u0642\u0633\u0645 \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 (\u0623\u0644\u0645\u0627\u0646\u064a\u0627)<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0623\u0643\u062b\u0631 \u0645\u0646 \u0661\u0664 \u0639\u0627\u0645\u064b\u0627 \u0645\u0646 \u0627\u0644\u062e\u0628\u0631\u0629<\/span><\/li><\/ul><div class=\"acl-actions\"><a class=\"btn-book\" href=\"#book\"><svg viewbox=\"0 0 24 24\"><rect x=\"3.5\" y=\"5\" width=\"17\" height=\"16\" rx=\"2\"><\/rect><path d=\"M3.5 9.5h17M8 3v4M16 3v4\"><\/path><\/svg> \u0627\u062d\u062c\u0632 \u0627\u0633\u062a\u0634\u0627\u0631\u0629<\/a>\n            <a class=\"btn-wa\" href=\"#\" aria-disabled=\"true\" tabindex=\"-1\" data-wa-off=\"\" title=\"\u0648\u0627\u062a\u0633\u0627\u0628 \u063a\u064a\u0631 \u0645\u0641\u0639\u0651\u0644 \u0628\u0639\u062f\"><svg class=\"wa-ic\" viewbox=\"0 0 32 32\"><path d=\"M16 3C9.4 3 4 8.4 4 15c0 2.1.6 4.2 1.6 6L4 29l8.2-1.6c1.7.9 3.7 1.4 5.8 1.4 6.6 0 12-5.4 12-12S22.6 3 16 3zm0 21.8c-1.8 0-3.6-.5-5.1-1.4l-.4-.2-4.9 1 1-4.7-.3-.4C5.5 18 5 16.5 5 15 5 9 10 4 16 4s11 5 11 11-5 9.8-11 9.8zm5.6-7.3c-.3-.2-1.8-.9-2.1-1-.3-.1-.5-.2-.7.2s-.8 1-1 1.2c-.2.2-.4.2-.7.1-.3-.2-1.3-.5-2.4-1.5-.9-.8-1.5-1.8-1.7-2.1-.2-.3 0-.5.1-.7l.5-.6c.2-.2.2-.3.4-.6.1-.2.1-.4 0-.6l-1-2.4c-.3-.6-.5-.5-.7-.5h-.6c-.2 0-.5.1-.8.4-.3.3-1 1-1 2.5s1.1 2.9 1.2 3.1c.2.2 2.2 3.4 5.3 4.7.7.3 1.3.5 1.8.6.7.2 1.4.2 1.9.1.6-.1 1.8-.7 2-1.5.3-.7.3-1.4.2-1.5-.1-.2-.3-.3-.6-.4z\"><\/path><\/svg> \u0631\u0627\u0633\u0644\u0646\u0627 \u0639\u0644\u0649 \u0648\u0627\u062a\u0633\u0627\u0628<\/a><\/div><\/div><\/div><\/section><section class=\"acl-intro\"><p>An osteochondral lesion is an injury to a small area of cartilage together with the bone immediately beneath it. In adolescents this often takes the form of osteochondritis dissecans, where a segment of bone loses its blood supply and the cartilage above it can loosen.<\/p><\/section><section class=\"acl-strip\"><figure class=\"acl-fig\"><div class=\"im\"><span>\u0631\u0633\u0645 \u062a\u0634\u0631\u064a\u062d\u064a<\/span><\/div><h4>1. Anatomy &amp; Overview<\/h4><p>An osteochondral lesion is an injury to a small area of cartilage together with the bone immediately beneath it.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0633\u0631\u064a\u0631\u064a<\/span><\/div><h4>2. Signs &amp; Symptoms<\/h4><p>Aching, activity-related pain \u2014 often poorly localised at first.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0627\u0644\u062a\u0635\u0648\u064a\u0631 \u0627\u0644\u062a\u0634\u062e\u064a\u0635\u064a<\/span><\/div><h4>3. Diagnosis &amp; Imaging<\/h4><p>X-rays can show the bony part of the lesion, but an MRI is essential \u2014 it reveals whether the fragment is stable or loosening, the health of the cartilage and bone, and the presence of any loose bodies.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0627\u0644\u0639\u0644\u0627\u062c<\/span><\/div><h4>\u0664. \u062e\u064a\u0627\u0631\u0627\u062a \u0627\u0644\u0639\u0644\u0627\u062c<\/h4><p>Protected healing: Stable lesions in growing patients can heal with a period of reduced loading and monitoring.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644<\/span><\/div><h4>5. Recovery &amp; Rehabilitation<\/h4><p>Recovery is staged and protective, allowing the bone and cartilage to heal before impact is reintroduced \u2014 typically over several months.<\/p><\/figure><\/section><section class=\"clin\"><div class=\"clin-portrait\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/doctor-cutout.png\" alt=\"Dr. Yousef Muhammad\"><\/div><div class=\"clin-body\"><div class=\"clin-eyebrow\"><span class=\"qm\">\u201d<\/span> \u0645\u0644\u0627\u062d\u0638\u0629 \u0633\u0631\u064a\u0631\u064a\u0629 \u0645\u0646 \u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><p>An osteochondral lesion involves both the cartilage surface and the bone just beneath it. Because both layers are affected, these injuries need careful assessment and a considered plan.<\/p><\/div><div class=\"clin-sign\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/signature.png\" alt=\"Dr. Yousef Muhammad\" class=\"sig-img\"><div class=\"nm\">\u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><div class=\"rl\">\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645<\/div><\/div><\/section><section class=\"faq\"><h2 class=\"sec-h\">\u0627\u0644\u0623\u0633\u0626\u0644\u0629 \u0627\u0644\u0634\u0627\u0626\u0639\u0629<\/h2><div class=\"faq-grid\"><details><summary><span class=\"dym-lt\">What are the symptoms of Osteochondral Lesions?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Aching, activity-related pain \u2014 often poorly localised at first. Swelling \u2014 after activity. Catching, locking or clicking \u2014 if a fragment has loosened. A sense of the knee \u201cgiving way\u201d \u2014 or not feeling reliable.<\/div><\/details><details><summary><span class=\"dym-lt\">What causes Osteochondral Lesions?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Repetitive impact and overload in young athletes. A single significant injury to the joint surface. Interrupted blood supply to a segment of bone. Growth-related vulnerability in adolescence.<\/div><\/details><details><summary><span class=\"dym-lt\">How is Osteochondral Lesions diagnosed?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">X-rays can show the bony part of the lesion, but an MRI is essential \u2014 it reveals whether the fragment is stable or loosening, the health of the cartilage and bone, and the presence of any loose bodies. This staging determines whether the lesion can be left to heal or needs fixing.<\/div><\/details><details><summary><span class=\"dym-lt\">How is Osteochondral Lesions treated?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Protected healing: Stable lesions in growing patients can heal with a period of reduced loading and monitoring. Fixation: A loosening but viable fragment can be pinned or screwed back into place to heal. Resurfacing: A detached fragment is removed and the defect restored with cartilage transfer or regeneration techniques.<\/div><\/details><details><summary><span class=\"dym-lt\">\u0645\u0627\u0630\u0627 \u064a\u062a\u0636\u0645\u0646 \u0627\u0644\u062a\u0639\u0627\u0641\u064a\u061f<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Recovery is staged and protective, allowing the bone and cartilage to heal before impact is reintroduced \u2014 typically over several months. Outcomes are good, especially for stable lesions treated early, with the goal of preserving the joint surface for the long term.<\/div><\/details><\/div><p class=\"disclaimer\">\u0645\u0644\u0627\u062d\u0638\u0629: \u0647\u0630\u0647 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0644\u0644\u062a\u062b\u0642\u064a\u0641 \u0627\u0644\u0639\u0627\u0645 \u0641\u0642\u0637 \u0648\u0644\u0627 \u062a\u063a\u0646\u064a \u0639\u0646 \u0627\u0633\u062a\u0634\u0627\u0631\u0629 \u0637\u0628\u064a\u0628\u0643.<\/p><\/section><section class=\"refs\"><h2 class=\"sec-h\">\u0645\u0631\u0627\u062c\u0639 \u0637\u0628\u064a\u0629 \u062f\u0648\u0644\u064a\u0629<\/h2><div class=\"refs-grid\"><a class=\"ref-cell\" href=\"https:\/\/www.aaos.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aaos.png\" alt=\"AAOS\"><span class=\"ref-desc\">\u0627\u0644\u0623\u0643\u0627\u062f\u064a\u0645\u064a\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629 \u0644\u062c\u0631\u0627\u062d\u064a \u0627\u0644\u0639\u0638\u0627\u0645<\/span><span class=\"ref-url\" data-no-translation=\"\">aaos.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.esska.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-esska.png\" alt=\"ESSKA\"><span class=\"ref-desc\">European Society of Sports Traumatology, Knee Surgery &amp; Arthroscopy<\/span><span class=\"ref-url\" data-no-translation=\"\">esska.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.sportsmed.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aossm.png\" alt=\"AOSSM\"><span 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src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aga.png\" alt=\"AGA\"><span class=\"ref-desc\">\u062c\u0645\u0639\u064a\u0629 \u062a\u0646\u0638\u064a\u0631 \u0627\u0644\u0645\u0641\u0627\u0635\u0644 \u0648\u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0645\u0641\u0627\u0635\u0644<\/span><span class=\"ref-url\" data-no-translation=\"\">aga-online.ch<\/span><\/a><\/div><\/section><section class=\"rel2\"><h2 class=\"sec-h\">\u062d\u0627\u0644\u0627\u062a \u0630\u0627\u062a \u0635\u0644\u0629<\/h2><div class=\"rel2-grid\"><a class=\"rel2-card\" href=\"\/ar\/acl-tear\/\"><div><div class=\"nm\">\u062a\u0645\u0632\u0642 \u0627\u0644\u0631\u0628\u0627\u0637 \u0627\u0644\u0635\u0644\u064a\u0628\u064a \u0627\u0644\u0623\u0645\u0627\u0645\u064a<\/div><div class=\"lm\">\u0627\u0639\u0631\u0641 \u0627\u0644\u0645\u0632\u064a\u062f <svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/div><\/div><div class=\"th\"><\/div><\/a>\n        <a 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