Review Question - QID 211304

A 30-year-old active-duty woman presents to your clinic with right knee pain and without any history of trauma. She is an avid runner and is part of the Army 10-miler team. Her pain is located directly over her medial femoral condyle (MFC). Additionally, she describes intermittent episodes of an inability to fully extend her knee. Her clinical mechanical alignment, patellar tracking, meniscal examination, and ligamentous examination are all equivocal on physical examination. Your diagnostic imaging workup with pertinent findings is represented in Figures A through E. You perform a diagnostic arthroscopy to confirm that the pathology is isolated to the medial compartment and you note that there is not any evidence of ligamentous or meniscal pathology. Based on your findings which definitive surgical options would you recommend to the patient?