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THE THREE CRITICAL COMPONENTS IN THE CONSERVATIVE TREATMENT OF JUVENILE OSTEOCHONDRITIS DISSECANS (JOCD)
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Abstract
There has been explosive growth of intensive, year-round sports for children of both
sexes, with a resulting high degree of family involvement and commitment. Consequently,
a diagnosis of juvenile osteochondritis dissecans (JOCD) impacts parent and child
on many different levels. Compliance is the key element when a conservative treatment
plan for JOCD is appropriate. An informed physician understands the dynamics between
the "compliance triad" of physician, parent, and child, and recognizes that compliance
is a process with foreseeable stages and characteristic behaviors.