Skip to content
DraconiticResearch
Search Sources API
201,818 studies31 sourcesUpdated just now
Peer-reviewedCC BY-NC-ND 4.0Arthroscopy, Sports Medicine, and Rehabilitation

Significant Differences in the Presentation, Diagnosis, and Management of Juvenile Osteochondritis Dissecans Exist Among Asia‐Pacific and European Surgeons

  • Si Jian Hui1
  • Jacqueline Jin Li Liew1
  • Khim Yew Chew1
  • Ryan Wai Keong Loke2
  • James Hoi Po Hui1
  • Rishi Malhotra1
  1. 1Department of Orthopaedic Surgery National University Health System Singapore Singapore
  2. 2Yong Loo Lin School of Medicine Singapore Singapore
Read full textPDFDOICite

Abstract

Purpose: To compare diagnostic and treatment preferences for juvenile osteochondritis dissecans between Asia‐Pacific and European surgeons.

Methods: Between January 2024 and July 2024, an electronic survey was distributed to orthopaedic surgeons affiliated with Pediatric Research in Sports Medicine Asia‐Pacific (n = 54 invited). Responses were compared with data from the 2023 European Society of Sports Traumatology, Knee Surgery and Arthroscopy survey. Domains included clinical presentation, imaging preferences, nonoperative strategies, operative techniques, and follow‐up protocols. Proportions were compared using χ 2 or Fisher's exact tests (P < .05).

Results: Fifty‐four surgeons (100%) responded to our survey. A total of 104 surgeons were analyzed (54 Asia‐Pacific, 50 Europe). Trauma was more frequently cited as a presenting factor in Asia‐Pacific (knee: 100% vs 17%; ankle: 100% vs 21%; P < .001). European surgeons relied more on magnetic resonance imaging for knee juvenile osteochondritis dissecans (100% vs 66%; P < .001), whereas Asia‐Pacific surgeons more frequently used computed tomography (88% vs 17%; P < .001) and arthroscopy for stability assessment (88% vs 48%; P < .001). Nonoperative management differed, with casting and bracing more common in Asia‐Pacific (50% vs 0%; P < .001), whereas nonsteroidal anti‐inflammatory drug use was more frequent in Europe (21% vs 0%; P < .001). Operative strategies diverged significantly, with European surgeons favoring microfracture (48% vs 0%; P < .001) and debridement (50% vs 18%; P = .002), whereas Asia‐Pacific surgeons favored osteochondral autograft (68% vs 33%; P = .001) and antegrade drilling (84% vs 48%; P < .001).

Conclusions: Significant regional differences exist between Asia‐Pacific and European surgeons in the presentation, diagnostic evaluation, and management strategies for juvenile osteochondritis dissecans.

Clinical Relevance: Marked regional variation exits in the diagnostic and therapeutic management of juvenile osteochondritis dissecans. These differences influence imaging selection, operative thresholds, and surgical technique choice. Understanding such variability is essential for developing international consensus guidelines and ensuring consistent, evidence‐based care across various health care systems.

Related

  1. Significant Geographic Variation in the Epidemiology and Management of Pediatric Osteochondritis Dissecans Exists Between the Asia‐Pacific and North America
    Joshua Rui Yen Wong, Yun Xiu Lam, Si Heng Sharon Tan +2
    Arthroscopy, sports medicine, and rehabilitationPeer-reviewedCC BYFull textSurgery & anaesthesiaEurope PMCPMC
  2. Internal Jugular Compression Syndrome Because of Compression Between the Styloid Process and C1 Transverse Process: Clinical Presentation, Diagnosis, and Management.
    Varadaraya S Shenoy, Tyler Lazaro, Margot Kelly-Hedrick +4
    Neurosurgery practicePeer-reviewedCC BY-NC-NDFull textNeurologyEurope PMC
  3. Clinical and Dermoscopic Presentation of Rhabdomyomatous Mesenchymal Hamartoma: Differential Diagnosis and Review of the Literature.
    Julia Nowowiejska-Purpurowicz, Mario Cutrone, Giuseppe Argenziano +3
    Dermatology practical & conceptualPeer-reviewedCC BY-NCFull textGeneral medicineEurope PMC
  4. Imaging-based diagnosis of cryptic foreign body aspiration in a toddler with normal clinical presentation: A case report
    Seth-Martin Appiah Kubi, Ewurama Andam Idun, Michael Kofi Amedi +3
    Radiology case reportsPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  5. Elderly men and women with similar areal bone density show significant differences in bone microstructure and fracture pattern.
    Eduardo Medeiros Ferreira da Gama, Leonardo Vieira, Francisco de Paula Paranhos-Neto +7
    Archives of endocrinology and metabolismPeer-reviewedCC BYFull textSurgery & anaesthesiaEurope PMC

Cite

BibTeXRIS
BibTeX
@article{hui2026significant,
  title = {{Significant Differences in the Presentation, Diagnosis, and Management of Juvenile Osteochondritis Dissecans Exist Among Asia‐Pacific and European Surgeons}},
  author = {Si Jian Hui and Jacqueline Jin Li Liew and Khim Yew Chew and Ryan Wai Keong Loke and James Hoi Po Hui and Rishi Malhotra},
  journal = {Arthroscopy, Sports Medicine, and Rehabilitation},
  year = {2026},
  month = nov,
  doi = {10.1002/ars2.70154},
  url = {https://doi.org/10.1002/ars2.70154},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Significant Differences in the Presentation, Diagnosis, and Management of Juvenile Osteochondritis Dissecans Exist Among Asia‐Pacific and European Surgeons
AU  - Si Jian Hui
AU  - Jacqueline Jin Li Liew
AU  - Khim Yew Chew
AU  - Ryan Wai Keong Loke
AU  - James Hoi Po Hui
AU  - Rishi Malhotra
PY  - 2026
DA  - 2026/11/04
JO  - Arthroscopy, Sports Medicine, and Rehabilitation
DO  - 10.1002/ars2.70154
UR  - https://doi.org/10.1002/ars2.70154
AB  - Purpose: To compare diagnostic and treatment preferences for juvenile osteochondritis dissecans between Asia‐Pacific and European surgeons.  Methods: Between January 2024 and July 2024, an electronic survey was distributed to orthopaedic surgeons affiliated with Pediatric Research in Sports Medicine Asia‐Pacific (n = 54 invited). Responses were compared with data from the 2023 European Society of Sports Traumatology, Knee Surgery and Arthroscopy survey. Domains included clinical presentation, imaging preferences, nonoperative strategies, operative techniques, and follow‐up protocols. Proportions were compared using χ 2 or Fisher's exact tests (P < .05).  Results: Fifty‐four surgeons (100%) responded to our survey. A total of 104 surgeons were analyzed (54 Asia‐Pacific, 50 Europe). Trauma was more frequently cited as a presenting factor in Asia‐Pacific (knee: 100% vs 17%; ankle: 100% vs 21%; P < .001). European surgeons relied more on magnetic resonance imaging for knee juvenile osteochondritis dissecans (100% vs 66%; P < .001), whereas Asia‐Pacific surgeons more frequently used computed tomography (88% vs 17%; P < .001) and arthroscopy for stability assessment (88% vs 48%; P < .001). Nonoperative management differed, with casting and bracing more common in Asia‐Pacific (50% vs 0%; P < .001), whereas nonsteroidal anti‐inflammatory drug use was more frequent in Europe (21% vs 0%; P < .001). Operative strategies diverged significantly, with European surgeons favoring microfracture (48% vs 0%; P < .001) and debridement (50% vs 18%; P = .002), whereas Asia‐Pacific surgeons favored osteochondral autograft (68% vs 33%; P = .001) and antegrade drilling (84% vs 48%; P < .001).  Conclusions: Significant regional differences exist between Asia‐Pacific and European surgeons in the presentation, diagnostic evaluation, and management strategies for juvenile osteochondritis dissecans.  Clinical Relevance: Marked regional variation exits in the diagnostic and therapeutic management of juvenile osteochondritis dissecans. These differences influence imaging selection, operative thresholds, and surgical technique choice. Understanding such variability is essential for developing international consensus guidelines and ensuring consistent, evidence‐based care across various health care systems.
SN  - 2666-061X
ER  -