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There are no specific physical examination tests or findings that can accurately assess or diagnose OCLT. (16) Howeve, the physical examination should include assessment of range of motion, orthopedic tests, and palpation.
CT has an excellent ability to detect OCLT, with a sensitivity of 0.81 and specificity of 0.99, however it lacks the ability to assess cartilage involvement (16), or bone marrow edema.
(13,15,16) However, literature on OCLT is unclear as to whether grading systems lead to changes in clinical decision-making or whether there is any correlation between grade of the lesion and clinical outcomes.
In asymptomatic or mildly symptomatic OCLT in pediatric populations, resolution may occur without treatment, however spontaneous healing in adults in uncommon.
More powerful insights can be obtained through the use of the concept of OCLT and measurement of physiological response to exercise and thermal challenges in populations along latitudinal clines.
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