Last I heard, Dr. Filbay is working on a decision aid for patients.

Here’s my guess as to what it’ll suggest:

First, do the bracing protocol. Then do intensive physical therapy. If, after both of the above, you have functional instability that is adversely impacting your quality of life, consider surgery. Otherwise, don’t.

>Would imaging be able to delineate?

Seems like a strong maybe. Check out “Implications of findings” on page 7 of the paper.