In simple words: Osteochondritis dissecans is a joint condition where a piece of cartilage and a small bit of bone break off inside the hand. This can cause pain, swelling, and make it hard to move the hand.

In osteochondritis dissecans of the joints of the hand, a piece of joint cartilage and an adjoining fragment of bone break loose from an articular epiphysis, which is the point where the bone and joint meet.

Example 1: A 15-year-old baseball pitcher presents with persistent pain and swelling in his right wrist, along with occasional catching and locking sensations. Imaging reveals a lesion consistent with osteochondritis dissecans in the carpal bones of the hand., A 30-year-old pianist experiences intermittent pain and clicking in their left hand, particularly when playing complex pieces. After a thorough examination and imaging studies, they are diagnosed with osteochondritis dissecans in a joint of the hand., A 50-year-old factory worker develops stiffness and limited range of motion in their dominant hand. An X-ray shows changes characteristic of osteochondritis dissecans, potentially aggravated by repetitive movements at work.

Documentation should include patient history, physical exam findings (including gait and range of motion assessments), imaging results (X-ray, MRI, CT scan), and details of the treatment provided (conservative or surgical).