Arthroscopic Drilling
We are unable to recommend for or against arthroscopic drilling in symptomatic skeletally immature patients with a stable lesion(s) who have failed to heal with non operative treatment for at least three months.

Rationale
AAOS conducted a systematic review examining arthroscopic drilling for stable symptomatic OCD lesions in skeletally immature patients. We were unable to find any quality evidence to support arthroscopic drilling for symptomatic skeletally mature patients with OCD. Therefore, we are unable to recommend for or against drilling in this patient population.

AAOS conducted a systematic review examining arthroscopic drilling for stable symptomatic OCD lesions in skeletally immature patients and the data were inconclusive.

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