{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:58:26Z","timestamp":1785437906494,"version":"3.56.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a unique case of a 14-year-old girl with juvenile osteochondritis dissecans (JOCD) lesions of the talus and humeral head. She presented with painful motion of the ankle and shoulder that failed conservative treatment and was treated with surgical intervention. Four-year follow-up was achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A paucity of literature exists regarding the incidence and treatment of JOCD lesions occurring in multiple joint areas of a single patient. Our case highlights a unique presentation of contralateral, multijoint JOCD lesions and describes the treatment modalities subsequently used to address symptoms and assist in return to sport.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00483","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:01:05Z","timestamp":1785434465000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Treatment of Multifocal Nonbilateral Juvenile Osteochondritis Dissecans in the Ankle and Shoulder"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7714-5455","authenticated-orcid":false,"given":"Benjamin R.","family":"Wharton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8185-2326","authenticated-orcid":false,"given":"Eric Cleveland","family":"McCarty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6115-0799","authenticated-orcid":false,"given":"Joshua A.","family":"Metzl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8717-5174","authenticated-orcid":false,"given":"Jay C.","family":"Albright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8948-5862","authenticated-orcid":false,"given":"Eric Cleveland","family":"McCarty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7]]},"reference":[{"issue":"1","key":"bib1-20260730","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1186\/s13018-018-1017-5","article-title":"Overuse injuries in sport: a comprehensive overview","volume":"13","author":"Aicale","year":"2018","journal-title":"J Orthop Surg Res."},{"issue":"5","key":"bib2-20260730","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1302\/2058-5241.4.180079","article-title":"Juvenile osteochondritis dissecans (JOCD) of the knee: current concepts review","volume":"4","author":"Masquijo","year":"2019","journal-title":"EFORT Open Rev."},{"issue":"4","key":"bib3-20260730","first-page":"384","article-title":"Juvenile osteochondritis dissecans in a 13-year-old male athlete: a case report","volume":"58","author":"D'Angelo","year":"2014","journal-title":"J Can Chiropr Assoc."},{"issue":"24","key":"bib4-20260730","doi-asserted-by":"crossref","first-page":"2132","DOI":"10.2106\/JBJS.18.00464","article-title":"Identification of areas of epiphyseal cartilage necrosis at predilection sites of juvenile osteochondritis dissecans in pediatric cadavers","volume":"100","author":"T\u00f3th","year":"2018","journal-title":"J Bone Joint Surg Am Vol."},{"issue":"5","key":"bib5-20260730","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1097\/BPO.0000000000000323","article-title":"Prevalence of bilateral JOCD of the knee and associated risk factors","volume":"35","author":"Cooper","year":"2015","journal-title":"J Pediatr Orthop."},{"issue":"4","key":"bib6-20260730","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1016\/j.ocl.2022.05.001","article-title":"Osteochondritis dissecans lesions of the pediatric and adolescent knee","volume":"53","author":"Roaten","year":"2022","journal-title":"Orthop Clin North America."},{"issue":"4","key":"bib7-20260730","doi-asserted-by":"crossref","first-page":"726","DOI":"10.26603\/ijspt20180726","article-title":"Osteochondritis dissecans of the radial head in a young athlete: a case report","volume":"13","author":"Mourad","year":"2018","journal-title":"Int J Sports Phys Ther."},{"issue":"12","key":"bib8-20260730","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.2106\/JBJS.20.01399","article-title":"Osteochondritis dissecans: current understanding of epidemiology, etiology, management, and outcomes","volume":"103","author":"Chau","year":"2021","journal-title":"J Bone Joint Surg Am."},{"key":"bib9-20260730","first-page":"8828687","article-title":"Multiple osteochondritis dissecans in multiple joints. Sairyo K, ed","volume":"2021","author":"Takeda","year":"2021","journal-title":"Case Rep Orthop."},{"issue":"4","key":"bib10-20260730","doi-asserted-by":"crossref","first-page":"1","DOI":"10.12968\/hmed.2023.0044","article-title":"Osteochondritis dissecans","volume":"84","author":"Hashim","year":"2023","journal-title":"Br J Hosp Med (Lond)."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00483","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:01:07Z","timestamp":1785434467000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00483"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00483","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}