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to restore the joint surface.7 In patients with osteochondritis dissecans the fragment should be removed if it has separated from the underlying bone and cartilage. The crater from which it originated should be carefully inspected and any other loose pieces excised.3 The treatment of synovial osteochondromatosis poses more difficult problems. Miligram4 has postulated that there are three recognisable phases of the disease : active intrasynovial
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K W Heaton (1979) studied this question.
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