IC 103-2024: Case-Based Diagnosis and Management of Patellofemoral Cartilage Injuries-IC103_Case-Based Diagnosis and Management of Patellofemoral Cartilage Injuries_Edited.mp4IC103_Case-Based Diagnosis and Management of Patellofemoral Cartilage Injuries

IC103_Case-Based Diagnosis and Management of Patellofemoral Cartilage Injuries_Edited.mp4IC103_Case-Based Diagnosis and Management of Patellofemoral Cartilage Injuries

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Video Summary

The morning session kicks off with an emphasis on fostering interaction and discussion among attendees, particularly focusing on controversial topics in medical case studies. The faculty present has a mix of expertise, bringing various perspectives to the table.<br /><br />The session delves into the case of a 17-year-old male soccer player with chronic right anterior knee pain, which worsened without any traumatic incident. Initial treatments included therapy and non-steroidal medications. Six months later, symptoms persisted with atraumatic effusions, leading to an MRI that revealed significant cartilage and bone damage in the trochlea.<br /><br />The discussion moves to treatment options, considering the athlete's goal to play at an elite level. Options vary from arthroscopic debridement to complex cartilage repair techniques like osteochondral allografts (OCA) and Autologous Chondrocyte Implantation (ACI/MACI). The consensus leans towards addressing the mechanical symptoms first, with subsequent close monitoring.<br /><br />The session also explores the case of a 16-year-old soccer player with knee pain and mild effusion, diagnosed with an osteochondritis dissecans (OCD) lesion on the trochlea. The difference in MRI appearance and subsequent arthroscopic findings challenge the treatment approach. The faculty debates between conservative treatments and surgical options, weighing the pros and cons of cellular therapies versus structural grafts.<br /><br />The discussion highlights the complexities involved in treating young athletes, especially with the variability in insurance coverage and long-term implications of surgical interventions. The consensus emphasizes individualized treatment plans, considering both immediate and future athletic goals.<br /><br />Lastly, a complex case of a 25-year-old ex-collegiate basketball player with significant knee arthritis is discussed. Treatment options explore the balance between symptomatic relief and definitive surgical interventions, acknowledging the challenges posed by degenerative cartilage conditions. The session concludes with a plan for close follow-up, recognizing the intricate nature of cartilage repair and the necessity for personalized treatment strategies.

Keywords

medical case studies

knee pain

soccer player

MRI

cartilage damage

treatment options

arthroscopic debridement

osteochondral allografts

Autologous Chondrocyte Implantation

osteochondritis dissecans

cellular therapies

personalized treatment