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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
An 11-year-old soccer player presents with a 6 month history of snapping and discomfort along the lateral joint line of the knee. Examination shows a 10 degree loss of active extension. An AP radiographs is shown in Figure A. Sequential sagittal MRI images of the lateral compartment of the knee are shown in Figure B. What is the most appropriate course of action?
Physical therapy with a focus on concentric knee strengthening
Non-weightbearing for 6 weeks
Arthroscopic saucerization of the lateral meniscus and/or meniscal repair
Open lateral meniscectomy
Arthroscopic microfracture treatment of the defect on the lateral femoral condyle
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An 8-year-old boy was playing at school and took a direct blow to his knee causing pain and swelling. His pediatrician ordered an MRI which is shown in Figure A. The patient was referred to your office for a consultation. He denies any past history of pain, clicking, or locking. His knee exam is unremarkable. Radiographs of the knee in your office are normal. What course of action will you recommend?
Surgical debridement and repair
Casting in 45 degrees of flexion
Knee immobilizer and non weight bearing for 6 weeks
Video (no audio) shows saucerization of a discoid lateral meniscus.