In this episode of HSS Presents, physical therapist Joe Molony is joined by pediatric orthopedic surgeon Dr. Peter D. Fabricant, MD, MPH to discuss the diagnosis and treatment of common knee injuries in young athletes, including osteochondritis dissecans (OCD), tibial spine avulsion fractures, and ACL injuries. Dr. Fabricant shares insights into the nuances of managing OCD—from early symptom recognition and non-operative strategies to surgical decision-making and long-term outcomes. The conversation also covers the evolving approach to pediatric ACL reconstruction, including growth-sparing techniques, lateral augmentation, and the role of biologics. With practical takeaways for clinicians and families alike, this episode sheds light on how to best support recovery and safeguard joint health in growing athletes.