“…Multiple surgical techniques have been proposed, including fragment excision, open or arthroscopic fragment fixation, arthroscopic d ebridement, with or without marrow stimulation, and most recently, OAT. 1,3,4,9,12,17,18,21,22,28 Currently, a clear consensus on surgical management does not exist. Fragment fixation, with or without bone grafting, has only been examined in small series, largely due to concern about the healing potential of loose or displaced fragments.…”