Juvenile osteochondritis dissecans (JOCD) of the knee: Current concepts review

Abstract

▪Juvenile osteochondritis dissecans (JOCD) is a joint disorder of the subchondral bone and articular cartilage that affects skeletally immature patients. ▪The aetiology of JOCD is unknown and the natural history is poorly characterized in part due to inconsistent and largely retrospective literature. ▪Most OCD in children and adolescents presents as a stable lesion amenable to non-operative treatment or minimally invasive drilling. However, unstable forms can require a more aggressive approach. ▪This article reviews the most recent literature available and focuses on the pathophysiology, diagnosis and treatment of JOCD of the knee.