{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:44:23Z","timestamp":1777880663570,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,8,1]],"date-time":"2012-08-01T00:00:00Z","timestamp":1343779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To assess outcome of 6 juvenile patients with osteochondritis dissecans (OCD) of the ankle treated conservatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Records of 4 males and one female aged 10.8 to 14.1 (mean, 12.3) years who underwent cast immobilisation and\/or restriction of physical activities for OCD of the talus (4 on the left and 2 on the right) were reviewed. OCD lesions were graded using the Berndt and Harty classification. Functional outcome was assessed using the ankle-hindfoot score of the American Orthopaedic Foot and Ankle Society. Clinical and radiographic outcomes were assessed according to the Higuera classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>The mean follow-up period was 30.5 (range, 11\u201363) months. The mean ankle-hindfoot score was 90 (range, 86\u2013100). Radiological resolution of OCD was noted in 2 ankles, although all ankles showed some degree of healing. All patients had resolution of pain after a mean of 7 (range, 3\u201312) months. According to the Higuera classification, clinical outcome was excellent in one and good in 5 ankles, whereas radiological outcome was excellent in 2, good in 2, and fair in 2 ankles. In one patient, the OCD of the right posteromedial talar dome resolved spontaneously.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Almost all patients achieved good functional outcome after conservative management, regardless of the presence of radiological evidence of healing. Surgery should only be performed if the OCD is unstable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949901202000208","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:13:55Z","timestamp":1475601235000},"page":"176-180","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":38,"title":["Conservative Treatment for Juvenile Osteochondritis Dissecans of the Talus"],"prefix":"10.1177","volume":"20","author":[{"given":"Kai Yet","family":"Lam","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua Ming","family":"Siow","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,8,1]]},"reference":[{"key":"bibr1-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.64B4.7096430"},{"key":"bibr2-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800218108"},{"key":"bibr3-230949901202000208","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195335010-00004"},{"key":"bibr4-230949901202000208","first-page":"131","volume":"140","author":"Mubarak SJ","year":"1979","journal-title":"Clin Orthop Relat Res"},{"key":"bibr5-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B2.7706361"},{"key":"bibr6-230949901202000208","first-page":"231","volume":"8","author":"Hefti F","year":"1999","journal-title":"J Pediatr Orthop B"},{"key":"bibr7-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260031201"},{"key":"bibr8-230949901202000208","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195032040-00016"},{"key":"bibr9-230949901202000208","doi-asserted-by":"publisher","DOI":"10.3109\/17453675308991199"},{"key":"bibr10-230949901202000208","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062010-00014"},{"key":"bibr11-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199805000-00011"},{"key":"bibr12-230949901202000208","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195840030-00013"},{"key":"bibr13-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(03)00038-5"},{"key":"bibr14-230949901202000208","volume-title":"The injured adolescent knee","author":"Roberts J","year":"1979"},{"key":"bibr15-230949901202000208","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195941060-00002"},{"key":"bibr16-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500701"},{"key":"bibr17-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1007\/BF00431039"},{"key":"bibr18-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B1.3818743"},{"key":"bibr19-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200309000-00008"},{"key":"bibr20-230949901202000208","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181558961"},{"key":"bibr21-230949901202000208","first-page":"264","volume":"144","author":"McCullough CJ","year":"1979","journal-title":"Clin Orthop Relat Res"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901202000208","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901202000208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:18:16Z","timestamp":1777594696000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949901202000208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012,8]]}},"alternative-id":["10.1177\/230949901202000208"],"URL":"https:\/\/doi.org\/10.1177\/230949901202000208","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8]]}}}