Non-Surgical Treatment Symptomatic
We are unable to recommend for or against a specific non-operative treatment (casting, bracing, splinting, unloader brace, electrical or ultrasound bone stimulators, or activity restriction alone) for symptomatic skeletally immature patients with OCD.

Rationale
No conclusions can be made regarding the non-operative management of symptomatic skeletally immature patients. The AAOS systematic review found no prospective studies that determined the efficacy of non operative treatment in this patient population.