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Osteochondrosis

Bones, Joints, Muscles and Skin · NLM MeSH · updated 2026-11-04 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 6 min read

Any of a group of bone disorders involving one or more ossification centers (epiphyses).

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (1,071 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Any of a group of bone disorders involving one or more ossification centers (epiphyses). It is characterized by degeneration or necrosis followed by revascularization and reossification. Osteochondrosis often occurs in children causing varying degrees of discomfort or pain. There are many eponymic types for specific affected areas, such as tarsal navicular (Kohler disease) and tibial tuberosity (Osgood-Schlatter disease).

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Osteochondroses; Koehler Disease; Koehler's Disease; Koehlers Disease; Navicular Osteochondrosis; Navicular Osteochondroses; Osteochondroses, Navicular; Osteochondrosis, Navicular.

Where it fits in the MeSH classification

Broader topics
Bone Diseases
Narrower topics
Spinal Osteochondrosis

Related concepts

  • Epiphyses
  • Necrosis

Research landscape

PubMed indexes 1,712 records tagged with the MeSH heading “Osteochondrosis” (counts retrieved 2026-11-04). 291 of them (17.0%) were published from 2020 onward, and the busiest period so far is through 1999 with 748 records.

Reviews account for 154 records (9.0%) and meta-analyses for 7. Randomized controlled trials number 16 (0.9%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 748 records; 2000-2009: 127 records; 2010-2019: 546 records; 2020 onward: 291 records748through 19991272000-20095462010-20192912020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 1999748
2000-2009127
2010-2019546
2020 onward291
Share of records by publication typeReviews: 9.0 percent; Meta-analyses: 0.4 percent; Randomized controlled trials: 0.9 percentReviews9.0% (154)Meta-analyses0.4% (7)Randomized controlled trials0.9% (16)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 1,712 PubMed records
TypeRecordsShare
Reviews1549.0%
Meta-analyses70.4%
Randomized controlled trials160.9%

Method: PubMed query "Osteochondrosis"[MeSH Terms] with publication-type and date filters, retrieved 2026-11-04.

Reading the evidence in bones, joints, muscles and skin

Joint, bone, muscle and skin conditions are often judged by pain scores, function questionnaires, imaging or photographs, and symptoms can fluctuate, so placebo response and natural improvement matter. Imaging changes are common in people without symptoms. Nothing on this page is advice about treatment. Check how outcomes were measured, whether the comparison group received a placebo or usual care, and how long the benefit lasted.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
An investigation into blood microbiota and its potential association with Bacterial Chondronecrosis with Osteomyelitis (BCO) in Broilers
Mandal RK, Jiang T, Al-Rubaye AA, Rhoads DD, Wideman RF, Zhao J, et al.
2016Research article
Design not recorded in structured metadata
49cc by
PMID 27174843 · DOI · PMC4865835
Molecular survey of bacterial communities associated with bacterial chondronecrosis with osteomyelitis (BCO) in broilers
Jiang T, Mandal RK, Wideman RF, Khatiwara A, Pevzner I, Min Kwon Y
2015Research article
Design not recorded in structured metadata
41cc by
PMID 25881241 · DOI · PMC4400152
Next-generation sequencing identifies equine cartilage and subchondral bone miRNAs and suggests their involvement in osteochondrosis physiopathology
Desjardin C, Vaiman A, Mata X, Legendre R, Laubier J, Kennedy SP, et al.
2014Research article
Design not recorded in structured metadata
33cc by
PMID 25227120 · DOI · PMC4190437
Osteochondrosis in horses: An overview of genetic and other factors
Martinez-Saez L, Marín-García PJ, Llobat ML
2026Review article
Design not recorded in structured metadata
4cc by
PMID 40302410 · DOI · PMC12699116

An investigation into blood microbiota and its potential association with Bacterial Chondronecrosis with Osteomyelitis (BCO) in Broilers [1]

Research article Mandal RK, Jiang T, Al-Rubaye AA, Rhoads DD, Wideman RF, Zhao J, et al. · · 2016 · cited 49 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Bacterial chondronecrosis with osteomyelitis (BCO) is a common cause of lameness in commercial broiler chickens worldwide.
Closing excerpt
The results from this study have significant implications in understanding blood microbiota present in broiler chickens and its potential role in BCO pathogenesis.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (203 words)

Bacterial chondronecrosis with osteomyelitis (BCO) is a common cause of lameness in commercial broiler chickens worldwide. BCO represents substantial production loss and welfare issues of chickens. The bacterial species or communities underlying BCO pathogenesis still remain to be fully characterized. To gain insights on blood microbiota in broilers and its potential association with BCO, blood samples collected from healthy (n = 240) and lame (n = 12) chickens were analyzed by deep sequencing of 16S RNA genes. The chicken blood microbiota were dominated by Proteobacteria (60.58% ± 0.65) followed by Bactroidetes (13.99% ± 0.29), Firmicutes (11.45% ± 0.51), Actinobacteria (10.21% ± 0.37) and Cyanobacteria (1.96% ± 0.21) that constituted 98.18% (± 0.22) of the whole phyla. The bacterial communities consist of 30-40 OTUs in the blood of broiler chickens, regardless of ages and other environmental or host conditions, and the blood microbiomes of BCO chickens were largely distinct from those of healthy chickens. In addition, Linear discriminant analysis (LDA) effect size (LEfSe) method revealed that Staphylococcus, Granulicatella, and Microbacterium were significantly enriched in BCO chickens as compared to healthy chickens. The results from this study have significant implications in understanding blood microbiota present in broiler chickens and its potential role in BCO pathogenesis.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 27174843 · DOI · PMC4865835

Molecular survey of bacterial communities associated with bacterial chondronecrosis with osteomyelitis (BCO) in broilers [2]

Research article Jiang T, Mandal RK, Wideman RF, Khatiwara A, Pevzner I, Min Kwon Y · · 2015 · cited 41 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Bacterial chondronecrosis with osteomyelitis (BCO) is recognized as an important cause of lameness in commercial broiler chickens (meat-type chickens).
Closing excerpt
Understanding the microbial species associated with BCO will identify opportunities for understanding and modulating the pathogenesis of this form of lameness in broilers.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (275 words)

Bacterial chondronecrosis with osteomyelitis (BCO) is recognized as an important cause of lameness in commercial broiler chickens (meat-type chickens). Relatively little is known about the microbial communities associated with BCO. This study was conducted to increase our understanding of the microbial factors associated with BCO using a culture-independent approach. Using Illumina sequencing of the hyper-variable region V6 in the 16S rRNA gene, we characterized the bacterial communities in 97 femoral or tibial heads from normal and lame broilers carefully selected to represent diverse variations in age, line, lesion type, floor type, clinical status and bone type. Our in-depth survey based on 14 million assembled sequence reads revealed that complex bacterial communities exist in all samples, including macroscopically normal bones from clinically healthy birds. Overall, Proteobacteria (mean 90.9%) comprised the most common phylum, followed by Firmicutes (6.1%) and Actinobacteria (2.6%), accounting for more than 99% of all reads. Statistical analyses demonstrated that there are differences in bacterial communities in different types of bones (femur vs. tibia), lesion types (macroscopically normal femora or tibiae vs. those with pathognomonic BCO lesions), and among individual birds. This analysis also showed that BCO samples overrepresented genera Staphylococcus, whose species have been frequently isolated in BCO samples in previous studies. Rarefaction analysis demonstrated the general tendency that increased severities of BCO lesions were associated with reduced species diversity in both femoral and tibial samples when compared to macroscopically normal samples. These observations suggest that certain bacterial subgroups are preferentially selected in association with the development of BCO lesions. Understanding the microbial species associated with BCO will identify opportunities for understanding and modulating the pathogenesis of this form of lameness in broilers.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 25881241 · DOI · PMC4400152

Next-generation sequencing identifies equine cartilage and subchondral bone miRNAs and suggests their involvement in osteochondrosis physiopathology [3]

Research article Desjardin C, Vaiman A, Mata X, Legendre R, Laubier J, Kennedy SP, et al. · · 2014 · cited 33 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundMicroRNAs (miRNAs) are an abundant class of small single-stranded non-coding RNA molecules ranging from 18 to 24 nucleotides.
Closing excerpt
In silico target prediction and functional enrichment analysis provides new insight into OC molecular physiopathology.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (333 words)

BackgroundMicroRNAs (miRNAs) are an abundant class of small single-stranded non-coding RNA molecules ranging from 18 to 24 nucleotides. They negatively regulate gene expression at the post-transcriptional level and play key roles in many biological processes, including skeletal development and cartilage maturation. In addition, miRNAs involvement in osteoarticular diseases has been proved and some of them were identified as suitable biomarkers for pathological conditions. Equine osteochondrosis (OC) is one of the most prevalent juvenile osteoarticular disorders in horses and represents a major concern for animal welfare and economic reasons. Its etiology and pathology remain controversial and biological pathways as well as molecular mechanisms involved in the physiopathology are still unclear. This study aims to investigate the potential role of miRNAs in equine osteochondrosis (OC) physiopathology.Short-read NGS technology (SOLID™, Life Technologies) was used to establish a comprehensive repertoire of miRNA expressed in either equine cartilage or subchondral bone. Undamaged cartilage and subchondral bone samples from healthy (healthy samples) and OC-affected (predisposed samples) 10-month Anglo-Arabian foals were analysed. Samples were also subjected or not to an experimental mechanical loading to evaluate the role of miRNAs in the regulation of mechano-transduction pathways. Predicted targets of annotated miRNAs were identified using miRmap.ResultsEpiphyseal cartilage and subchondral bone miRNome were defined, including about 300 new miRNAs. Differentially expressed miRNAs were identified between bone and cartilage from healthy and OC foals, as well as after an experimental mechanical loading. In cartilage, functional annotation of their predicted targets suggests a role in the maintenance of cartilage integrity through the control of cell cycle and differentiation, energy production and metabolism as well as extracellular matrix structure and dynamics. In bone, miRNA predicited targets were associated with osteoblasts and osteoclasts differentiation, though the regulation of energy production, vesicle transport and some growth factor signaling pathways.ConclusionTaken together, our results suggest a role of miRNAs in equine OC physiopathology and in the cellular response to biomechanical stress in cartilage and bone. In silico target prediction and functional enrichment analysis provides new insight into OC molecular physiopathology.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 25227120 · DOI · PMC4190437

Osteochondrosis in horses: An overview of genetic and other factors [4]

Review article Martinez-Saez L, Marín-García PJ, Llobat ML · · 2026 · cited 4 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Osteochondrosis (OC) is a frequent manifestation of developmental orthopaedic disease, and its severe clinical presentation is known as OC dissecans (OCD).
Closing excerpt
This review summarises the main factors associated with OC in horses, with particular emphasis on genetic factors.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (260 words)

Osteochondrosis (OC) is a frequent manifestation of developmental orthopaedic disease, and its severe clinical presentation is known as OC dissecans (OCD). OC is defined as a disruption of the endochondral ossification process in the epiphyseal cartilage, and this disease has been reported in different mammalian species, including humans, dogs, pigs, and horses. OCD is an important cause of lameness in sport horses and is a common cause of impaired orthopaedic potential, whose clinical signs may be of minimal magnitude or manifest as severe joint effusion or clinically noticeable lameness. The aetiology of OCD is unknown, although it has traditionally been considered to be multifactorial. In addition to genetic factors, associated factors include both non-genetic elements such as rapid growth, nutrition, trauma, anatomical conformation, and biomechanics. Since the prevalence of the disease varies greatly depending on the horse breed, from 13% in Swedish Warmblood to 53% in Lusitano breed, genetic factors have a great relevance in the appearance and development of OCD in horses. Many genetic modifications have been related, and the genes involved can be grouped into five clusters, related to fundamental functions for the correct development and regeneration of cartilage, such as collagen, laminin, cell signalling, matrix turnover, and transcriptional regulation. Changes in genes such as COL3A1, COL5A1, COL5A2, COL24A1, COL27A1 (collagen cluster), LAMB1 (laminin cluster), PTH, PHT receptors, and IHH (cell signalling), and genes encoding matrix metalloproteinases have been related to the occurrence and severity of diseases in different equine breeds. This review summarises the main factors associated with OC in horses, with particular emphasis on genetic factors.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40302410 · DOI · PMC12699116

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Outcomes and Complications of Tibial Tubercle Fractures in Pediatric Patients: A Systematic Review of the Literature [5]
    Pretell-Mazzini J, Kelly DM, Sawyer JR, Esteban EM, Spence DD, Warner WC, et al. · J Pediatr Orthop · 2016 · cited 98 times (Europe PMC)
  • Research article Scheuermann kyphosis [6]
    Wenger DR, Frick SL · Spine (Phila Pa 1976) · 1999 · cited 97 times (Europe PMC)
  • Research article An Update on the Pathogenesis of Osteochondrosis [7]
    Olstad K, Ekman S, Carlson CS · Vet Pathol · 2015 · cited 86 times (Europe PMC)
  • Research article Articular osteochondrosis: a comparison of naturally-occurring human and animal disease [8]
    McCoy AM, Toth F, Dolvik NI, Ekman S, Ellermann J, Olstad K, et al. · Osteoarthritis Cartilage · 2013 · cited 77 times (Europe PMC)
  • Research article Evidence based medicine: analysis of Scheuermann kyphosis [9]
    Lowe TG, Line BG · Spine (Phila Pa 1976) · 2007 · cited 70 times (Europe PMC)
  • Research article Scheuermann's disease: an update [10]
    Palazzo C, Sailhan F, Revel M · Joint Bone Spine · 2014 · cited 63 times (Europe PMC)

References

  1. Mandal RK, Jiang T, Al-Rubaye AA, Rhoads DD, Wideman RF, Zhao J, et al.. An investigation into blood microbiota and its potential association with Bacterial Chondronecrosis with Osteomyelitis (BCO) in Broilers. . 2016. PMID 27174843 · DOI · PMC4865835
  2. Jiang T, Mandal RK, Wideman RF, Khatiwara A, Pevzner I, Min Kwon Y. Molecular survey of bacterial communities associated with bacterial chondronecrosis with osteomyelitis (BCO) in broilers. . 2015. PMID 25881241 · DOI · PMC4400152
  3. Desjardin C, Vaiman A, Mata X, Legendre R, Laubier J, Kennedy SP, et al.. Next-generation sequencing identifies equine cartilage and subchondral bone miRNAs and suggests their involvement in osteochondrosis physiopathology. . 2014. PMID 25227120 · DOI · PMC4190437
  4. Martinez-Saez L, Marín-García PJ, Llobat ML. Osteochondrosis in horses: An overview of genetic and other factors. . 2026. PMID 40302410 · DOI · PMC12699116
  5. Pretell-Mazzini J, Kelly DM, Sawyer JR, Esteban EM, Spence DD, Warner WC, et al.. Outcomes and Complications of Tibial Tubercle Fractures in Pediatric Patients: A Systematic Review of the Literature. J Pediatr Orthop. 2016. PMID 25887827 · DOI
  6. Wenger DR, Frick SL. Scheuermann kyphosis. Spine (Phila Pa 1976). 1999. PMID 10635526 · DOI
  7. Olstad K, Ekman S, Carlson CS. An Update on the Pathogenesis of Osteochondrosis. Vet Pathol. 2015. PMID 26080832 · DOI
  8. McCoy AM, Toth F, Dolvik NI, Ekman S, Ellermann J, Olstad K, et al.. Articular osteochondrosis: a comparison of naturally-occurring human and animal disease. Osteoarthritis Cartilage. 2013. PMID 23954774 · DOI · PMC3815567
  9. Lowe TG, Line BG. Evidence based medicine: analysis of Scheuermann kyphosis. Spine (Phila Pa 1976). 2007. PMID 17728677 · DOI
  10. Palazzo C, Sailhan F, Revel M. Scheuermann's disease: an update. Joint Bone Spine. 2014. PMID 24468666 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-11-04; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-11-04.

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At a glance

1,712
PubMed records on this heading
17%
published since 2020
154
review articles
16
randomized trials
10
verified references below

Counts come from PubMed on 2026-11-04; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • Legg-Calve-Perthes DiseaseBones, Joints, Muscles and Skin
  • EpiphysesAnatomy and Physiology
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