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To diagnose osteochondritis dissecans, a orthopedic specialist will take a medical history and perform a physical exam on your child. The doctor will check for pain along the affected joint line.
For osteochondritis dissecans of the knee, the doctor will conduct what’s called the Wilson Test, in which your child’s knee is bent at a 90-degree angle, then turned inward so that the shinbone rotates toward the opposite leg. Your child will extend the affected leg to the point of pain. If your child has osteochondritis dissecans, he or she will reach that point at about 30 degrees of flexion. If rotating your child’s foot back into its normal position facing forward alleviates the pain, then he or she has osteochondritis dissecans.
To diagnose osteochondritis dissecans of the elbow, ankle or another joint, your child’s doctor will perform similar specialized manipulations.
Various tests may be used to confirm the osteochondritis dissecans diagnosis.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”