"Juvenile Osteochondritis Dissecans" by John D. Polousky, M.D. was recently published in Sports Medicine and Arthroscopy Review, March 2011, Vol. 19, No. 1, pp. 56-62. Dr. Polousky is an orthopedic surgeon with the Rocky Mountain Youth Sports Medicine Institute at Rocky Mountain Hospital for Children.
Despite the fact that juvenile osteochondritis dissecans (JOCD) has been recognized for over 100 years, its natural history and best treatment options are poorly understood. Dr. Polousky discusses therapy based upon the stability of the lesion and initial response to treatment in his article. He recommends surgery only for unstable lesions and those not responding to therapy. He uses radiographic and arthroscopic characteristics of the lesion to determine the type and extent of the surgery required.
You are invited to come by the Denver Medical Library reference desk and pick up a copy of his interesting article.
