| Summary: | Osteochondritis dissecans affects two distinct populations differentiated by physeal status. Children and adolescents between 5 and 15 years with open physes have the juvenile form. Management of JOCD is controversial. Treatment options are complex and fraught with inherent challenges and risks. Based on current literature and given the low morbidity of drilling and the associated improvement in functional and radiographic outcomes, Juvenile Osteochondritis Dissecans: What's New, What's Old, What Works, What Doesn't reviews why arthroscopic transarticular drilling for patients with JOCD with an intact articular surface who have failed initial nonoperative management is an appropriate approach to treatment. The video also features an in-depth evidence-and experience-based review of pathology, etiology, diagnostics and treatment options for JOCD.
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