Asymptomatic Progression
We are unable to recommend for or against treating asymptomatic skeletally mature patients with OCD progression (as identified by X-ray or MRI) like symptomatic patients.

Rationale
We were unable to find any evidence to support treating asymptomatic skeletally mature patients with progression of OCD on x-ray and/or MRI as symptomatic skeletally mature patients. Therefore, we are unable to recommend for or against a treatment in this patient population.