The three critical components in the conservative treatment of juvenile osteochondritis dissecans (JOCD). Physician, parent, and child.
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.
Cahill
B R
BR
University of Illinois College of Medicine, Peoria, Illinois, USA. brcahill@mtco.com
Ahten
S M
SM
D000293:Adolescent; D002648:Child; D012090:Cumulative Trauma Disorders / Q000503:physiopathology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007596:Joints / Q000503:physiopathology; D007718:Knee Injuries / Q000150:complications / Q000628:therapy; D010008:Osteochondritis Dissecans / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D010349:Patient Compliance; D010353:Patient Education as Topic; D010565:Persuasive Communication; D010817:Physician-Patient Relations; D011368:Professional-Family Relations; D017211:Treatment Failure