Presentation
Multiple prior injuries, right-sided knee pain. ?ACL rupture
Patient Data
Age: 40 years
Gender: Male
From the case:
Osteochondral knee injury and ACL rupture
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- about 20 mm fragmented osteochondral injury of the medial femoral condylar surface; the fragments are only minimally displaced though there is considerable fluid seeping in between them putting the injury between stage III and IV
- more discrete chondral delamination injury of the medial tibial condyle with subchondral edema
- discontinuity of the anterior cruciate ligament (ACL) with a shallow angle
- moderate knee joint effusion and synovial proliferation
Case Discussion
Extensive, likely subacute/chronic osteochondral injury and status post anterior cruciate ligament (ACL) rupture with resultant joint effusion.