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This course will utilize a case based approach to explain the current steps in the diagnosis, treatment, and prognosis of OCD lesions in the knee and elbow in skeletally immature patients. The treatment of OCD's in skeletally immature patients is evolving due to an increase in the understanding of this condition. The OCD StudyGroup has established classification sysytems to help with determining the diagnosis and prognosis of specific lesions.These classification systems will be presented along with cases to illustrate how the classification systems may facilitate a rational approach to diagnosing and treating OCDs.