Diagnosis and treatment of osteochondritis dissecans |
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| Authors: | Chambers Henry G,Shea Kevin G,Anderson Allen F,Brunelle Tommy J Jojo,Carey James L,Ganley Theodore J,Paterno Mark V,Weiss Jennifer M,Sanders James O,Watters William C,Goldberg Michael J,Keith Michael W,Turkelson Charles M,Wies Janet L,Raymond Laura,Boyer Kevin M,Hitchcock Kristin,Anderson Sara,Sluka Patrick,Boone Catherine,Patel Nilay American Academy of Orthopedic Surgeons |
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| Affiliation: | Rady Children's Hospital, San Diego, CA, USA. |
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| Abstract: | This clinical practice guideline is based on a series of systematic reviews of published studies in the available literature on the diagnosis and treatment of osteochondritis dissecans of the knee. None of the 16 recommendations made by the work group is graded as strong; most are graded inconclusive; two are graded weak; and four are consensus statements. Both of the weak recommendations are related to imaging evaluation. For patients with knee symptoms, radiographs of the joint may be obtained to identify the lesion. For patients with radiographically apparent lesions, MRI may be used to further characterize the osteochondritis dissecans lesion or identify other knee pathology. |
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