If signs of osteochondritis dissecans are seen on X-rays of one joint, you’ll have X-rays of the other joint to compare them. After this, you may have an MRI (magnetic resonance imaging) or a CT (computerized tomography) done. These tests can show whether the loose piece is still in place or whether it has moved into the joint space. If the loose piece is unstable, you might need surgery to remove it or secure it. If the loose piece is stable you may not need surgery, but you may need other kinds of treatment, such as resting the affected joint, bracing the joint when playing sports and treating pain and inflammation with ibuprofen.
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