Early bracing may beat casting for JOCD

By Peter Pollack

40 percent of patients still require surgery

Nonsurgical treatment is appropriate for many patients who have juvenile osteochondritis dissecans (JOCD) of the knee, especially if the disease is in an early stage, according to the results of a prospective cohort study presented by Robert K. Fullick, MD, at the AAOS 2010 Annual Meeting. Furthermore, of nonsurgical treatments, the data suggest that unloader bracing followed by physical therapy may have the greatest efficacy.

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