Management of the Failed OCD.

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Abstract

Conflict of interest statement: Crystal A. Perkins declares that she has no conflict of interest pertaining to this chapter. S. Clifton Willimon declares that he has no conflict of interest pertaining to this chapter. 10. Orthop Clin North Am. 2012 Apr;43(2):201-11, v-vi. doi: 10.1016/j.ocl.2012.01.001. Epub 2012 Feb 21. Imaging of osteochondritis dissecans. Moktassi A(1), Popkin CA, White LM, Murnaghan ML. Author information: (1)Department of Medical Imaging, Mount Sinai Hospital, University of Toronto, 600 University Avenue, Toronto, Ontario M5G 1X5, Canada. aiden.moktassi@gmail.com Osteochondritis dissecans (OCD) is a localized process that affects the subchondral bone and can progress to the overlying articular cartilage. The cause of this lesion remains elusive. With the vague clinical symptoms and signs of OCD, imaging plays a vital role in making the diagnosis and helping with the prognosis of OCD lesions. This article reviews current imaging modalities for the assessment of OCD including conventional radiography, nuclear medicine, computed tomography (CT), CT arthrography, magnetic resonance (MR) and MR arthrography. The role of imaging in evaluating healing of the OCD and articular congruity after surgical and nonsurgical management is discussed. Copyright © 2012 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2012.01.001