2022 AOSSM Annual Meeting Recordings with CME-Decision Making for Athletes; What Techniques Where?

Decision Making for Athletes; What Techniques Where?

Video Transcription

Video Summary

In this video, the speaker discusses the commonness of cartilage and osteochondral disease in athletes, emphasizing that the MRI often does not correlate with what is seen during arthroscopy. The decision-making process for treatment is not linear, and treating athletes for their current symptoms is often the priority. Skillful neglect may be an acceptable option for high-level individuals who have oscillating symptoms and can still perform at appropriate levels. The speaker also discusses different treatment options, such as debridement, orthobiologics, microfracture, autografts, and osteotomy. The importance of load and comorbidity correction is highlighted, along with the focus on bone rather than just cartilage. The speaker advises caution when interpreting return-to-sport rates from the literature. Overall, the aim is to achieve a successful outcome while minimizing risk.

Asset Caption

Brian Cole, MD, MBA

Keywords

cartilage and osteochondral disease

MRI and arthroscopy correlation

treatment decision-making process

treatment options

load and comorbidity correction