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Abdullah Al–Mulhim, Mishal Al-Shalan and Alia Al-Barwan
OCD classically occur in convex articular surfaces. The femoral condyles, humeral capitulum and humeral head are the most common affected sites. It rarely involves the glenoid and the diagnosis requires a high index of suspicion. The pathological process and imaging findings are almost similar in all sites but most of the literature focused in the knee joint. The radiographic diagnosis might not be straight forward, and the use of CT scan with or without intra articular contrast and magnetic resonance imaging helps to establish the stability status. The mostly used treatment of stable lesions is conservative treatment and arthroscopic surgical management is preserved for unstable lesions.