The Reliability to Determine “Healing” in Osteochondritis Dissecans From Radiographic Assessment

Abstract

Not applicable.

Multifocal Juvenile Osteochondritis Dissecans of the Knee

“…MRI has become routine diagnostically given its accuracy of characterizing subchondral bone but is not feasible given its expense. Despite imprecise standards, plain films continue to be the imaging study of choice for follow-up 32 and hence were used in combination with clinical symptoms to evaluate healing in our study.…”

Results of Surgical Management of Osteochondritis Dissecans of the Ankle in the Pediatric and Adolescent Population

“…Although radiographs were graded for healing by 1 of 3 different fellowshiptrained attending orthopaedic surgeons using agreed-upon guidelines, this is also a study limitation as prior studies have documented a significant lack of interrater reliability for judging healing of OCD lesions on knee radiographs. 31 A high rate of reoperation is notable within our study group, with a nonsignificant positive trend for lesion salvage versus lesion excision. The overall high rate of reoperation may be related to the younger and highdemand nature of our study population.…”

Conservative Management and Serial Magnetic Resonance Imaging in an Athlete with Radiographically Unstable Juvenile Osteochondritis Dissecans of the Knee: Case Report

“…According to Krause et al's nomogram, the probability of our patient's JOCD healing increased from a baseline of 20 to 26%, 40%, and 70% at the 3, 6, and 8-month follow-up MRIs, respectively. We did not track the coalescence of bone, which is not easily measured, or changes on radiography, which lack standardization [16].…”