Osteochondral defect

Case contributed by Gerry Gardner

Presentation

Pain in the knee

Patient Data

Age: 25 years
Gender: Female
X-ray

An osteochondral defect in the medial femoral condyle.

MRI

The defect was measured  to be in excess of 1.2 cm and a partial tear of the ACL and edema in the medial facet of the anterior patellofemoral compartment was demonstrated.

Case Discussion

The patient presented with pain in the knee to A/E. No definite history of trauma.

Plain film showed an osteochondral defect in the medial femoral condyle.

On MRI the defect was measured  to be in excess of 1.2 cm and a partial tear of the ACL and edema in the medial facet of the anterior patellofemoral compartment was demonstrated.

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