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CASE REPORT
Lateral Knee Pain in 16M Competitive Tennis Player
https://upload.orthobullets.com/cases/102739/0209d214-4f6d-4bf0-8e5b-beff7e8164a6_a1.jpg https://upload.orthobullets.com/cases/102739/5e9d4d1a-9f12-4755-a5aa-fde8ed81dbf9_a2.jpg
A
Patrick C. McCulloch MD
Houston Methodist Orthopedics & Sports Medicine
Houston Methodist Orthopedics & Sports Medicine
Houston Methodist Orthopedics & Sports Medicine
VIEW EXPERT OPINIONS
HPI
The patient is a 16-year-old male competitive tennis player who presents with lateral knee pain that has been ongoing for several months. He denies an... y specific inciting injury. The pain is exacerbated by strenuous activity and has become significant enough to interfere with his ability to continue playing tennis at a competitive level. He has previously attempted taking several months off of tennis without improvement. He has attempted treatment with NSAIDs, ice, and activity modification, but reports limited relief. He has no history of prior knee surgeries.
4213   votes
3
(P: 217070) If you choose operative management, how would you address the femoral osteochondral defect?
I would not choose Operative management
2%
13/551
Debridement / Chondroplasty
9%
55/551
Fragment Fixation
24%
137/551
Microfracture
8%
48/551
Osteochondral autograft transfer
15%
86/551
Osteochondral allograft transplant (OCA Graft)
12%
71/551
Autologous chondrocyte implantation (ACI)
7%
40/551
Retrograde drilling
9%
53/551
Outside my area of expertise - best if I don't vote
8%
48/551
9   Surgeons
1
Ponnavolu Reddy, MD Florida Joint and Spine Institute
TOP 5 %
Patient Care
United States of America
Last Month
United States of America
2
mohamed fouad, MD alexandria, EG
TOP 5 %
Patient Care
Egypt
Last Week
Egypt
3
Harry Steinman, MD Veracity-Benefits
TOP 5 %
Patient Care
United States of America
Last Year
United States of America
4
Alejandro Fuentes Salazar, MD Caja Costarricense de Seguro Social (CCSS)
TOP 5 %
Patient Care
Costa Rica
Last Week
Costa Rica
5
Parimal Acharya, MD Civil Service Hospital
TOP 5 %
Patient Care
Nepal
Last Week
Nepal
61   Countries
Leaflet
1
United States of America
73 surgeons
2
Greece
17 surgeons
3
United Kingdom of Great Britain and Northern Ireland
13 surgeons
4
India
9 surgeons
5
Turkey
9 surgeons
80   Expert Comments
Derek Moore MD
TOP 5 %
Educator
United States of America
Last Week
Patrick Mcculloch posted this case with us today. We would love your thoughts on how you would tackl... more
Bryan Saltzman MD
TOP 5 %
Patient Care
United States of America
Last Year
Intraoperative photograph looks great! I think this is a really nice option for this patient's patho... more
Brian Waterman MD
TOP 5 %
Educator
United States of America
Last Year
Resources🔗🧠 Physeal status: https://www.orthobullets.com/evidence/31870748 Infographic: htt... more
PMID: 40308745
Video J Sports Med. 2021 Mar-Apr;1(2):26350254211001369. Epub 2021 Apr 6.
Osteochondral Allograft Transplantation for Osteochondritis Dissecans of the Medial Femoral Condyle.
Video J Sports Med. 2021 Mar-Apr
LeeAnne Torres | Eric Dennis | Lauren Dogariu | Brian R Waterman
PMID: 38388104
Arthroscopy. 2024 Mar;40(3):663-665.
Osteochondral Allograft Transplantation in the Knee.
Arthroscopy. 2024 Mar
Clayton W Nuelle | Pablo E Gelber | Brian R Waterman
PMID: 32387650
Arthroscopy. 2020 Jul;36(7):1803-1804. Epub 2020 May 6.
Management of Symptomatic Osteochondritis Dissecans of the Knee.
Arthroscopy. 2020 Jul
Timothy Waters | Anirudh K Gowd | Brian R Waterman
PMID: 32368467
Arthrosc Tech. 2020 Apr;9(4):e477-e481. Epub 2020 Mar 10.
A Staged Arthroscopic Approach to Fixation of Unstable Osteochondritis Dissecans in the Medial Femoral Condyle of the Knee Using Nonabsorbable Fixation Screws.
Arthrosc Tech. 2020 Apr
Anirudh K Gowd | Edward C Beck | Darren Nabor | Brian R Waterman
PMID: 31870748
Arthroscopy. 2020 Mar;36(3):785-794. Epub 2019 Dec 20.
The Influence of Physeal Status on Rate of Reoperation After Arthroscopic Screw Fixation for Symptomatic Osteochondritis Dissecans of the Knee.
Arthroscopy. 2020 Mar
Kevin Wang | Brian Waterman | Robert Dean | Michael Redondo | Eric Cotter | Blaine Manning | Adam Yanke | Brian Cole
PMID: 30915379
Orthop J Sports Med. 2019 Mar;7(3):2325967119832299. Epub 2019 Mar 19.
Outcomes After Fresh Osteochondral Allograft Transplantation for Medium to Large Chondral Defects of the Knee.
Orthop J Sports Med. 2019 Mar
Dimitri Thomas | K Aaron Shaw | Brian R Waterman
More comments
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PMID: 951915 Vestn Khir Im I I Grek. 1976 May;116(5):82-6.
E
post

[Comparative evaluation of the results of conservative treatment and "closed" osteosynthesis of screw-shaped and oblique fractures of the lower third of the crural bones].

M Ia Baskevich
A A Ovechkin
[Comparative evaluation of the results of conservative treatment and "closed" osteosynthesis of screw-shaped and oblique fractures of the lower third of the crural bones].
Pubmed



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    [Comparative evaluation of the results of conservative treatment and "closed" osteosynthesis of screw-shaped and oblique fractures of the lower third of the crural bones].
    Pubmed
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