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Particularly in adolescent male athletes, OCD of the knee is a common source of pain, effusion, and mechanical symptoms with sporting activities. Conservative treatment of athletes with OCD of the knee can entail several months of activity modification and non\u2013weight\u2010bearing restrictions, with varying degrees of healing and return to activity. For unstable OCD lesions not amenable to conservative treatment, previous studies have shown excellent outcomes in patients undergoing osteochondral fixation, with hardware placement and technique being critical determinants of patient outcomes. This infographic reviews the presentation and description of different types of OCD lesions, prognostic factors, surgical indications, and considerations for determining the optimal treatment algorithm. With unstable lesions showing either a \u201clocked door\u201d or \u201ctrapdoor\u201d at the time of arthroscopy, subchondral bone preparation and arthroscopic\u2010assisted or open fixation with dual\u2010pitch metal or bio\u2010composite screws can be successful in 67% to 100% of cases. Nonviable or chronically displaced lesions may undergo abrasion chondroplasty, marrow stimulation, or preferably, secondary cartilage restoration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2020.04.002","type":"journal-article","created":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T17:15:25Z","timestamp":1588785325000},"page":"1803-1804","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Management of Symptomatic Osteochondritis Dissecans of the Knee"],"prefix":"10.1002","volume":"36","author":[{"given":"Timothy","family":"Waters","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Wake Forest Baptist Health Winston\u2010Salem North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anirudh K.","family":"Gowd","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Wake Forest Baptist Health Winston\u2010Salem North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian R.","family":"Waterman","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Wake Forest Baptist Health Winston\u2010Salem North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,6]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1947603515622662"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516637175"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-013-9156-0"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000531"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506290127"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00748"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.03.020"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806320303108?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806320303108?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2020.04.002","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2020.04.002","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2020.04.002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:26:27Z","timestamp":1773566787000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2020.04.002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,6]]},"references-count":7,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1016\/j.arthro.2020.04.002"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2020.04.002","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Management of Symptomatic Osteochondritis Dissecans of the Knee","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2020.04.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}