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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
A 12½-year-old boy reports intermittent knee pain and limping that interferes with his ability to participate in sports. He actively participates in football, basketball, and baseball. He denies any history of injury. Examination shows full range of motion without effusion. Radiographs reveal an osteochondritis dissecans (OCD) lesion on the lateral aspect of the medial femoral condyle. MRI scans are shown in Figures 14a and 14b. Initial treatment should consist of
arthroscopic evaluation of fragment stability.
transarticular drilling of the lesion with 0.045 Kirschner wire.
arthroscopic excision of the fragment and microfracture of underlying cancellous bone.
excision of the fragment and mosaicplasty.
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