Review Question - QID 218668

A 20-year-old male college football player presents to your clinic with complaints of acute right knee pain. It has been present for the last 2 weeks after he awkwardly twisted his knee in a game. No prior issues with the knee. He notes his pain is primarily over the anteromedial joint line and he feels a "catching," sensation when he extends the knee. On exam, he is tender over the medial joint line and has a moderate size effusion. His lachman and posterior drawer are negative and he has no increase in varus/valgus laxity at 0/30°. Radiographs and MRI demonstrate an unstable osteochondral lesion measuring 1.5 x 3 cm^2 with no chronic bony changes. What is the best management strategy for this patient?